Intraoperative Neuromonitoring Market, by Modality (Sub-sensory Evoked Potentials, Motor Sensory Evoked Potentials (Brainstem Auditory Evoked Potentials, Visual Evoked Potentials, and Somatosensory Evoked Potentials), Mapping for Motor Cortex), by Source Type (Insourced Monitoring and Outsourced Monitoring) by End User (Hospitals, Ambulatory Surgical Centers, Others) and by Region - Global Trends, and Forecast till 2025

  • Published On : Mar 2018 |
  • Pages : 145 Pages |
  • Format : CMI Insight PPT Format CMI Insight PDF Format

Intraoperative Neuromonitoring Market – To avoid Neural Hazards

Intraoperative Neuromonitoring (IONM) also called as Intraoperative neurophysiological monitoring is a procedure that uses specialized equipment to evaluate function of nervous system including nerves and spinal cord during neural surgeries. The role of intraoperative neuromonitoring is to provide immediate feedback and warning to the surgeon for prevention of permanent nerve injury as a result of iatrogenic damage. The IONM is usually employed as it increases safety and improves outcomes during a spine surgery. The neural activity is measured in terms of electrically evoked potentials from the nerves with the help of an equipment called electroencephalogram (EEG). The intraoperative neuromonitoring is beneficial to the patient as it allows the assessment of nerve tissue function during surgery, making the surgery safe as compared to conventional hardware tests such as X-rays and CT scans. The IONM is also quick, painless, easy and inexpensive. It can record the nerve function multiple times or even throughout the entire process of surgery. Increasing number of mortality during spinal surgeries major factor driving the growth of global intraoperative neuromonitoring market. For instance, according to a research survey conducted by Scoliosis Research Society, U.S, a total of 197 mortalities was reported among 108,419 patients that had undergone neural surgery.

The global intraoperative neuromonitoring market was valued at US$ 2,632.4 million in 2016 and is expected to witness a robust CAGR of 6.53% over the forecast period (2017 - 2025).

Figure 1. Global Intraoperative Neuromonitoring Market (US$ Mn), by Region, 2016

intraoperative neuromonitoring market

US$ 901.5 Mn

Source: Coherent Market Insights

Increasing number of surgical failure leading to iatrogenic damage is one of the prominent factor responsible for the growth of intraoperative neuromonitoring market. For instance, according to a research survey published by Laser Spine Institute LLC 2015, an estimated 400,000 people undergo a spinal surgery in the U.S. annually and 30-40% of patients were reported to be suffering from post-operative complications. Moreover, according to The American Laryngological, Rhinological and Otological Society 2013, an estimated 6% of the cases undergoing facial nerve injury suffered from iatrogenic facial nerve injury due to lack of care during surgical procedures. The benefits offered by the Intraoperative Neuromonitoring are leading to rise in the adoption of these units by various surgical facilities. For instance, according to the International Journal of Spine Surgery 2017, the use of IONM in scoliosis surgical procedures was recorded to be 27% in 2005 that has witnessed a rise of 46.9% in 2011. However, lack of skilled professionals and low awareness of IONM in emerging economies are expected to hinder the market growth.

North America was the leading region in global intraoperative neuromonitoring market in 2016, owing to the favoring reimbursement scenario in the region and rising adoptions of IONM in surgical department. For instance, Medicare built CPT codes and reimbursement policies regarding to the use of intraoperative neuromonitoring as a part of revised CPT codes and guidelines released in 2017. Another factor boosting growth of the market is the increasing cases in the number of spinal cord surgeries in North America. For instance, according to Pennsylvania Health Care Cost Containment Council, Statewide Statistics and Key Findings 2014, around 21,293 adults underwent spinal fusion surgery in 2014 witnessing a rise of 67.2% since 2004 in the U.S. The same source states that that 3.3% people who underwent spinal fusion in Pennsylvania experienced surgical complication during the fusion process.

Asia Pacific is anticipated to witness a marginal growth in the global intraoperative neuromonitoring market, owing to rising medical tourism and increasing awareness of patient safety during the surgery. For instance, according to Indian Brand Equity Foundation (IBEF) 2015, over 2,000,000 patients visited India in 2015 for medical procedures, which majorly include spinal procedures, liver transplant, and other cosmetic procedures.

Market players are adopting inorganic growth strategies to maintain leading position in the global intraoperative neuromonitoring market

Key players of the market are focused on acquisition of mid and small sized companies for expansion of manufacturing and distribution capacities to large geographical area. For instance, in December 2017, NuVasive, Inc. acquired SafePassage, a privately held intraoperative neurophysiological monitoring services provider for expanding neuromonitoring business. Moreover, companies are investing into research & development activities for development of better quality systems with improved performance and facilities. For instance, in 2012 Inomed Medizintechnik GmbH introduced a C2 Spine Software that provides automatic control for pharmacological relaxation status and offers effective and efficient neuromonitoring.

Key players operating the global intraoperative neuromonitoring market include Accurate Monitoring, Inomed Medizintechnik GmbH, Neuromonitoring Technologies, Natus Medical Incorporated, Medtronic, Biotronic NeuroNetwork, NuVasive Inc., Sentient Medical Systems, and SpecialityCare.

Intraoperative neuromonitoring also called as intraoperative neurophysiological monitoring (IOM), is an integral part of surgical procedures that use electrophysiological techniques such as electromyography (EMG), Electroencephalography (EEG), and evoked potentials to monitor the integrity of the neural structures during various surgical procedures. These neural structures include neurons, spinal cord, and several parts of the brain. The IONM helps in the risk reduction from the iatrogenic damage to the nervous system during the surgical procedures by surgeons and anesthesiologists. The intraoperative neuromonitoring techniques help to reduce the mortality and morbidity levels to a significant rate without the new addition of risks. Therefore, intraoperative neuromonitoring techniques have helped to reduce the postoperative complications in a number of surgical procedures.

Market Dynamics

The high risk to nervous system associated with surgeries increases demand for intraoperative neuromonitoring, which is major factor driving growth of the global intraoperative neuromonitoring market. According to the National Centre for Biotechnology Information (NCBI) 2014, iatrogenic nerve injuries accounted for 17.4% of the total traumatic nerve injuries. Moreover, according to World Health Organization (WHO) factsheet of 2015, around 80% disorders in the disabling conditions are neurological. The favorable reimbursement scenario is also responsible to fuel the market growth. However, lack of skilled professionals to operate these systems and lack of awareness regarding neuromonitoring facilities in emerging countries are some factors that are responsible to restrain the growth of the global intraoperative neuromonitoring market.

Key features of the study:

  • This report provides in-depth analysis of intraoperative neuromonitoring market and provides market size (US$ Million) and Cumulative Annual Growth Rate (CAGR %) for the forecast period (2017 – 2025), considering 2017 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrix for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategy adopted by the leading players
  • It profiles leading players in the global intraoperative neuromonitoring market based on the following parameters – company overview, financial performance, product portfolio, market presence, distribution strategies, key developments and strategies, and future plans
  • Key companies covered as a part of this study Accurate Monitoring, Inomed Medizintechnik GmbH, Neuromonitoring Technologies, Natus Medical Incorporated, Medtronic, Biotronic NeuroNetwork, NuVasive Inc., Sentient Medical Systems, and SpecialityCare.
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decision regarding their future product launch, technology up-gradation, market expansion, and marketing tactics
  • The global intraoperative neuromonitoring market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through the various strategy matrices used in analyzing the intraoperative neuromonitoring market

Detailed Segmentation:

  • Global Intraoperative Neuromonitoring Market, By Modality:
    • Sub-Sensory Evoked Potentials
    • Motor-Sensory Evoked Potentials
      • Brainstem Auditory Evoked Potentials
      • Visual Evoked Potentials
      • Somatosensory Evoked Potentials
    • Mapping of Motor Cortex
  • Global Intraoperative Neuromonitoring Market, By Source Type:
    • Insourced Monitoring
    • Outsourced Monitoring
  • Global Intraoperative Neuromonitoring Market, By End User:
    • Hospitals
    • Ambulatory Surgical Centers
    • Others
  • Global Intraoperative Neuromonitoring Market, By Geography:
    • North America
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • U.S.
        • Canada
    • Latin America
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • Germany
        • U.K.
        • France
        • Italy
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • China
        • India
        • Japan
        • Australia
        • South Korea
        • ASEAN
        • Rest of Asia Pacific
    • Middle East
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • By Modality:
        • Sub-Sensory Evoked Potentials
        • Motor-Sensory Evoked Potentials
          • Brainstem Auditory Evoked Potentials
          • Visual Evoked Potentials
          • Somatosensory Evoked Potentials
        • Mapping of Motor Cortex
      • By Source Type:
        • Insourced Monitoring
        • Outsourced Monitoring
      • By End User:
        • Hospitals
        • Ambulatory Surgical Centers
        • Others
      • By Country:
        • South Africa
        • Central Africa
        • North Africa
  • Company Profiles
    • NuVasive, Inc. *
      • Company Overview
      • Product Portfolio
      • Financial Performance
      • Key Strategies
      • Recent Developments
    • Accurate Monitoring
    • Inomed Medizintechnik GmbH
    • Neuromonitoring Technologies
    • Natus Medical, Inc.
    • Medtronic
    • Biotronic NeuroNetwork
    • Sentient Medical Systems
    • SpecialtyCare

“*” marked represents similar segmentation in other categories in the respective section.

Table of Contents

  1. Research Objective and Assumption
    • Research Objectives
    • Assumptions
    • Abbreviations
  2. Market Purview
    • Report Description
      • Market Definition and Scope
    • Executive Summary
      • Market Snippet, By Modality
      • Market Snippet, By Source Type
      • Market Snippet, By End User
      • Market Snippet, By Region
    • Coherent Opportunity Map (COM)
  3. Market Dynamics, Regulations, and Trends Analysis
    • Market Dynamics
      • Drivers
      • Restraints
      • Market Opportunities
    • Key Highlights
    • Reimbursement Scenario
    • Technological Advancements
    • Epidemiology
  4. Global Intraoperative Neuromonitoring Market, By Modality, 2017 – 2025, (US$ Million)
    • Introduction
      • Market Share Analysis, 2016 and 2025 (%)
      • Y-o-Y Growth Analysis, 2016 – 2025
      • Segment Trends
    • Sub-Sensory Evoked Potentials
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
    • Motor Sensory Evoked Potentials
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
      • Segment Trends
        • Brainstem Auditory Evoked Potentials
        • Visual Evoked Potentials
        • Somatosensory Evoked Potentials
    • Mapping for Motor Cortex
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
  5. Global Intraoperative Neuromonitoring Market, By Source Type, 2015 – 2025, (US$ Million)
    • Introduction
      • Market Share Analysis, 2016 and 2025 (%)
      • Y-o-Y Growth Analysis, 2016 – 2025
      • Segment Trends
    • Insourced Monitoring
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
    • Outsourced Monitoring
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
  6. Global Intraoperative Neuromonitoring Market, By End User, 2015 – 2025, (US$ Million)
    • Introduction
      • Market Share Analysis, 2016 and 2025 (%)
      • Y-o-Y Growth Analysis, 2016 – 2025
      • Segment Trends
    • Hospitals
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
    • Ambulatory Surgical Centers
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
    • Others
      • Introduction
      • Market Size and Forecast, and Y-o-Y Growth, 2015 – 2025, (US$ Million)
  7. Global Intraoperative Neuromonitoring Market, By Region, 2015 – 2025, (US$ Million)
    • Introduction
      • Market Share Analysis, By Region, 2016 and 2025 (%)
      • Y-o-Y Growth Analysis, For Region, 2016 – 2025
    • North America
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • U.S.
        • Canada
    • Latin America
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • Germany
        • U.K.
        • France
        • Italy
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • China
        • India
        • Japan
        • Australia
        • South Korea
        • ASEAN
        • Rest of APAC
    • Middle East
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • Market Size and Forecast, By Modality, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Source Type, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By End User, 2015 – 2025, (US$ Million)
      • Market Size and Forecast, By Country, 2015 – 2025, (US$ Million)
        • South Africa
        • Central Africa
        • North Africa
  8. Competitive Landscape
    • Heat Map Analysis
    • Company Profiles
      • NuVasive, Inc.*
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Medtronic
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Accurate Monitoring
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Inomed Medizintechnik GmbH
        •  Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Neuromonitoring Technologies
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Natus Medical, Inc.
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Biotronic NeuroNetwork
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • Sentient Medical Systems
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
      • SpecialtyCare
        • Company Overview
        • Product Portfolio
        • Financial Overview
        • Key Developments
        • Strategies
  9. Section
    • Analyst Views
  10. Section
    • References
    • Research Methodology
    • About us and Sales Contact

*Browse 34 market data tables and 28 figures on "Intraoperative Neuromonitoring Market - Global forecast to 2025”.

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