Japanese Market for Gastrointestinal Endoscopic Devices 2009

Published: February 2009
No. of Pages: 256

Price

In 2008, the Japanese market for gastrointestinal endoscopic devices was valued at almost $620 million, representing an increase of over 3%, over 2007. More than 18 million procedures were performed with GI endoscopic devices. This total number encompasses devices used for GI endoscopes, capsule endoscopy, stenting devices, dilation balloons, ERCP devices, biopsy forceps, polypectomy snares, fine aspiration needles, specimen and foreign body retrieval devices, hemostasis devices, and enteral feeding product.

Japanese Market for Gastrointestinal Endoscopic Devices 2009

TABLE OF CONTENTS

TABLE OF CONTENTS .......................................................................................................I

LIST OF FIGURES.............................................................................................................IX

LIST OF CHARTS.............................................................................................................XV

EXECUTIVE SUMMARY ................................................................................................... 1

1.1MARKET ANALYSIS AND FORECAST............................................................................. 1

1.2MARKET BY SEGMENT.................................................................................................. 2

1.3 TREND ANALYSIS ......................................................................................................... 3

1.4 GI ENDOSCOPES............................................................................................................ 4

1.5 CAPSULE ENDOSCOPY .................................................................................................. 5

1.6 STENTING AND DILATION DEVICES.............................................................................. 5

1.7 ERCP DEVICES ............................................................................................................. 6

1.8 BIOPSY FORCEPS AND POLYPECTOMY SNARES............................................................ 7

1.9 FNA DEVICES AND FOREIGN BODY RETRIEVAL DEVICES........................................... 8

1.10 FOREIGN BODY REMOVAL DEVICES........................................................................... 8

1.11 HEMOSTASIS DEVICES ................................................................................................ 8

1.12 ENTERAL FEEDING DEVICES....................................................................................... 9

1.13 COMPETITIVE ANALYSIS .......................................................................................... 10

RESEARCH METHODOLOGY....................................................................................... 11

2.1 RESEARCH SCOPE ....................................................................................................... 11

2.2 IDATA’S 9-STEP METHODOLOGY ............................................................................... 11

Step 1: Project Initiation & Team Selection ............................................................... 12

Step 2: Prepare Data Systems and Perform Secondary Research.............................. 13

Step 3: Preparation for Interviews & Questionnaire Design ..................................... 14

Step 4: Performing Primary Research........................................................................ 15

Step 5: Research Analysis: Establishing Baseline Estimates ..................................... 17

Step 6: Market Forecast and Analysis ........................................................................ 17

Table of Contents

Step 7: Identify Strategic Opportunities ..................................................................... 19

Step 8: Final Review and Market Release .................................................................. 20

Step 9: Customer Feedback and Market Monitoring.................................................. 21

OVERVIEW OF GASTROINTESTINAL ENDOSCOPIC DEVICES ......................... 22

3.1 INTRODUCTION ........................................................................................................... 22

3.2 PROCEDURE NUMBERS ............................................................................................... 23

3.3MARKET ANALYSIS AND FORECAST........................................................................... 23

3.4MARKET BY SEGMENT................................................................................................ 32

3.5 TREND ANALYSIS BY MARKET SEGMENT .................................................................. 33

3.6MARKET DRIVERS ...................................................................................................... 35

3.6.1 Cancer Screening.................................................................................................. 35

3.6.2 Technological Advancements................................................................................ 35

3.6.3 Aging Population .................................................................................................. 35

3.7MARKET LIMITERS ..................................................................................................... 36

3.7.1 Increasing Competition......................................................................................... 36

3.7.2 Current Economic Outlook ................................................................................... 36

3.7.3 Reimbursement Issues........................................................................................... 37

3.8 COMPETITIVE ANALYSIS ............................................................................................ 38

3.9MERGERS, ACQUISITIONS AND LITIGATION ISSUES................................................... 42

3.9.1 Boston-Scientific and Guidant .............................................................................. 42

3.9.2 Pentax and Hoya................................................................................................... 42

3.9.3 Given Imaging and Olympus ................................................................................ 42

PROCEDURE NUMBERS................................................................................................. 43

4.1 TOTAL PROCEDURES................................................................................................... 43

4.2 GI ENDOSCOPES.......................................................................................................... 44

4.2.1 Colonoscopy Procedures ...................................................................................... 44

4.2.2 Upper GI Procedures............................................................................................ 45

4.2.3 Ultrasound Endoscopy Procedures ...................................................................... 46

4.3 CAPSULE ENDOSCOPY ................................................................................................ 47

4.4 STENTING AND DILATION DEVICES............................................................................ 48

4.5 ERCP DEVICES ........................................................................................................... 49

4.6 BIOPSY FORCEPS AND POLYPECTOMY SNARES.......................................................... 50

4.7 FOREIGN BODY RETRIEVAL DEVICES......................................................................... 51

Table of Contents

iii

4.8 HEMOSTASIS DEVICES ................................................................................................ 52

4.9 ENTERAL FEEDING DEVICES....................................................................................... 53

GASTROINTESTINAL ENDOSCOPES.......................................................................... 54

5.1 INTRODUCTION ........................................................................................................... 54

5.2MARKET FORECAST AND ANALYSIS........................................................................... 55

5.3MARKET FOR GI ENDOSCOPES BY TYPE..................................................................... 59

5.3.1 Colonoscopes ........................................................................................................ 59

5.3.1.1 Procedure Numbers .........................................................................................59

5.3.1.2 Market Analysis and Forecast .........................................................................60

5.3.2 Gastroscopes......................................................................................................... 62

5.3.2.1 Procedure Numbers .........................................................................................62

5.3.2.2 Market Analysis and Forecast .........................................................................63

5.3.3 Duodenoscopes ..................................................................................................... 65

5.3.4 Enteroscopes......................................................................................................... 67

5.3.5 Ultrasound Endoscopes ........................................................................................ 69

5.3.5.1 Procedure Numbers .........................................................................................69

5.3.5.2 Market Analysis and Forecast .........................................................................70

5.3.6 Natural Orifice Transluminal Endoscopy............................................................. 72

5.4MARKET DRIVERS AND LIMITERS .............................................................................. 72

5.4.1 Market Drivers...................................................................................................... 72

5.4.1.1 Stomach Cancer Incidence ..............................................................................72

5.4.1.2 Emphasis on Colon Screening .........................................................................72

5.4.1.3 New Technological Developments...................................................................73

5.4.1.4 Price Increases ................................................................................................73

5.4.1.5 Multiple Applications.......................................................................................73

5.4.2 Market Limiters..................................................................................................... 74

5.4.2.1 Reimbursement Issues......................................................................................74

5.4.2.2 Technological Advancements ..........................................................................74

5.4.2.3 Unproven Technology......................................................................................74

5.5 COMPETITIVE ANALYSIS ............................................................................................ 75

CAPSULE ENDOSCOPY................................................................................................... 77

6.1 INTRODUCTION ........................................................................................................... 77

6.2 PROCEDURES............................................................................................................... 78

Table of Contents

6.3MARKET ANALYSIS AND FORECAST........................................................................... 80

6.3.1 Small Bowel Camera Capsules............................................................................. 82

6.3.2 Workstations ......................................................................................................... 84

6.3.3 Data Recorders ..................................................................................................... 86

6.4MARKET DRIVERS AND LIMITERS .............................................................................. 88

6.4.1 Market Drivers...................................................................................................... 88

6.4.1.1 Comfort Level for the Patient ..........................................................................88

6.4.1.2 Extensive Visualization....................................................................................88

6.4.1.3 Reimbursement ................................................................................................88

6.4.2 Market Limiters..................................................................................................... 88

6.4.2.1 Diagnostic Nature of the Procedure................................................................88

6.4.2.2 Number of Images............................................................................................89

6.4.2.3 Image Quality ..................................................................................................89

6.4.2.4 Lack of Information .........................................................................................89

6.5 COMPETITIVE ANALYSIS ............................................................................................ 90

STENTING AND DILATION DEVICES......................................................................... 91

7.1 INTRODUCTION ........................................................................................................... 91

7.2 PROCEDURES............................................................................................................... 92

7.3 ESOPHAGEAL STENT MARKET.................................................................................... 94

7.3.1 Market Analysis and Forecast .............................................................................. 94

7.3.2 Esophageal Covered-Metal Stents........................................................................ 96

7.3.3 Esophageal Bare-Metal Stents.............................................................................. 98

7.3.4 Esophageal Plastic Stents ................................................................................... 100

7.4 BILIARY STENT MARKET.......................................................................................... 102

7.4.1 Biliary Covered-Metal Stents.............................................................................. 104

7.4.2 Biliary Bare-Metal Stents ................................................................................... 106

7.4.3 Biliary Plastic Stents........................................................................................... 108

7.5 DUODENAL STENT MARKET..................................................................................... 110

7.6 ESOPHAGEAL DILATION BALLOON MARKET ........................................................... 112

7.7 BILIARY DILATION BALLOON MARKET ................................................................... 114

7.8 DUODENAL/COLONIC DILATION BALLOON MARKET .............................................. 116

7.9MARKET DRIVERS AND LIMITERS ............................................................................ 118

7.9.1 Market Drivers.................................................................................................... 118

Table of Contents

7.9.1.1 Covered-Metal Stents.....................................................................................118

7.9.1.2 New Technologies..........................................................................................118

7.9.1.3 Expansion of Uses and Indications................................................................118

7.9.2 Market Limiters................................................................................................... 118

7.9.2.1 Certain Disease States...................................................................................118

7.9.2.2 Cost................................................................................................................119

7.9.2.3 Complications ................................................................................................119

7.10 COMPETITIVE ANALYSIS ........................................................................................ 120

ERCP DEVICES................................................................................................................ 123

8.1 INTRODUCTION ......................................................................................................... 123

8.2 PROCEDURE NUMBERS ............................................................................................. 124

8.3MARKET ANALYSIS AND FORECAST......................................................................... 125

8.4 SPHINCTEROTOMES................................................................................................... 129

8.5 STONE REMOVAL BALLOONS ................................................................................... 131

8.6 STONE REMOVAL BASKETS...................................................................................... 133

8.7 LITHOTRIPSY BASKETS............................................................................................. 135

8.8 ERCP GUIDEWIRES................................................................................................... 137

8.9 CANNULAS................................................................................................................ 139

8.10MARKET DRIVERS AND LIMITERS .......................................................................... 141

8.10.1 Market Drivers.................................................................................................. 141

8.10.1.1 Sphincterotome Market................................................................................141

8.10.1.2 Short-Wire Systems......................................................................................141

8.10.1.3 Physicians’ Level of Comfort.......................................................................141

8.10.1.4 Certain Disease States.................................................................................141

8.10.2 Market Limiters................................................................................................. 142

8.10.2.1 Cannula Market ...........................................................................................142

8.10.2.2 Price Erosion ...............................................................................................142

8.11 COMPETITIVE ANALYSIS ........................................................................................ 143

BIOPSY FORCEPS AND POLYPECTOMY SNARES................................................ 146

9.1 INTRODUCTION ......................................................................................................... 146

9.2 PROCEDURE NUMBERS ............................................................................................. 147

9.3 BIOPSY FORCEPS MARKET ....................................................................................... 148

9.3.1 Market Analysis and Forecast ............................................................................ 148

Table of Contents

9.3.2 Disposable Biopsy Forceps................................................................................. 151

9.3.3 Reusable Biopsy Forceps.................................................................................... 153

9.3.4 Hot Biopsy Forceps ............................................................................................ 155

9.4 POLYPECTOMY SNARES............................................................................................ 157

9.5MARKET DRIVERS AND LIMITERS ............................................................................ 159

9.5.1 Market Drivers.................................................................................................... 159

9.5.1.1 Trend Towards Disposable Biopsy Forceps ..................................................159

9.5.1.2 Increase in Colon Screening..........................................................................159

9.5.1.3 Public Awareness and Acceptance ................................................................159

9.5.2 Market Limiters................................................................................................... 160

9.5.2.1 Reimbursement Issues....................................................................................160

9.5.2.2 Decreasing Prices..........................................................................................160

9.6 COMPETITIVE ANALYSIS .......................................................................................... 161

FNA DEVICES AND FOREIGN BODY REMOVAL DEVICES................................ 163

10.1 INTRODUCTION ....................................................................................................... 163

10.2 FINE ASPIRATION NEEDLES.................................................................................... 164

10.2.1 Market Analysis and Forecast .......................................................................... 164

10.2.2 Market Drivers.................................................................................................. 166

10.2.2.1 Acceptance of the Procedure .......................................................................166

10.2.3 Market Limiters................................................................................................. 166

10.2.3.1 Difficult to Read Results ..............................................................................166

10.2.3.2 Lack of Reimbursement................................................................................166

10.2.4 Competitive Analysis......................................................................................... 167

10.3 FOREIGN BODY RETRIEVAL DEVICES..................................................................... 169

10.3.1 Procedure Numbers .......................................................................................... 169

10.3.2 Market Analysis and Forecast .......................................................................... 170

10.3.3 Market Drivers.................................................................................................. 172

10.3.3.1 New Products and Technological Advancements ........................................172

10.3.4 Market Limiters................................................................................................. 172

10.3.4.1 Use of Other Devices ...................................................................................172

10.3.5 Competitive Analysis......................................................................................... 173

HEMOSTASIS DEVICES ................................................................................................ 175

11.1 INTRODUCTION ....................................................................................................... 175

Table of Contents

vii

11.2 PROCEDURE NUMBERS ........................................................................................... 176

11.3MARKET ANALYSIS AND FORECAST....................................................................... 177

11.4 ELECTROSURGICAL PROBES ................................................................................... 181

11.5 HEATER PROBES ..................................................................................................... 183

11.6 LIGATION BANDS.................................................................................................... 185

11.7 LIGATION CLIPS...................................................................................................... 187

11.8 SCLEROTHERAPY NEEDLES .................................................................................... 189

11.9 ARGON PROBES....................................................................................................... 191

11.10MARKET DRIVERS AND LIMITERS ........................................................................ 193

11.10.1 Market Drivers................................................................................................ 193

11.10.1.1 Combination Therapy ................................................................................193

11.10.1.2 Ligation Clips ............................................................................................193

11.10.1.3 Aging Population .......................................................................................193

11.10.2 Market Limiters............................................................................................... 194

11.10.2.1 Drug Treatment .........................................................................................194

11.10.2.2 Market Cannibalization .............................................................................194

11.10.2.3 Reimbursement ..........................................................................................194

11.11 COMPETITIVE ANALYSIS ...................................................................................... 195

ENTERAL FEEDING DEVICES.................................................................................... 198

12.1 INTRODUCTION ....................................................................................................... 198

12.2 PROCEDURE NUMBERS ........................................................................................... 199

12.3MARKET ANALYSIS AND FORECAST....................................................................... 201

12.4MARKET FOR INITIAL KITS ..................................................................................... 205

12.4.1 Market for Percutaneous Placement Kits ......................................................... 205

12.4.2 Market for PEG Kits ......................................................................................... 207

12.4.3 Market for PEJ Kits .......................................................................................... 209

12.4.4 Market for PEG/PEJ Kits ................................................................................. 211

12.5MARKET FOR REPLACEMENT DEVICES .................................................................. 213

12.5.1 Market for Low-Profile Balloons...................................................................... 213

12.5.2 Market for Balloon Tubes ................................................................................. 215

12.5.3 Market for Low-Profile Bumpers...................................................................... 217

12.5.4 Market for Bumper Tubes ................................................................................. 219

12.6MARKET DRIVERS AND LIMITERS .......................................................................... 221

Table of Contents

viii

12.6.1 Market Drivers.................................................................................................. 221

12.6.1.1 Percutaneous Kit Placement........................................................................221

12.6.1.2 Aging Population .........................................................................................221

12.6.1.3 Replacement Devices ...................................................................................221

12.6.2 Market Limiters................................................................................................. 222

12.6.2.1 Lack of New Technology..............................................................................222

12.6.2.2 Training .......................................................................................................222

12.6.2.3 Nature of the Procedure ..............................................................................222

12.7 COMPETITIVE ANALYSIS ........................................................................................ 223

ABBREVIATIONS............................................................................................................ 226

List of Figures

LIST OF FIGURES

EXECUTIVE SUMMARY.................................................................................... 1

RESEARCH METHODOLOGY.......................................................................... 11

OVERVIEW OF GASTROINTESTINAL ENDOSCOPIC DEVICES.................... 22

Figure 3-1: Procedure Numbers Segmented by Application for the

Gastrointestinal Endoscopic Devices Market, Japan, 2005 – 2015 ................... 24

Figure 3-2: Gastrointestinal Endoscopic Devices Market by Segment (US$M),

Japan, 2005 – 2015 ........................................................................................ 27

Figure 3-3: Market Drivers and Limiters, Gastrointestinal Endoscopic Devices

Market, U.S., 2008 ........................................................................................ 37

Figure 3-4: Leading Competitors, Gastrointestinal Endoscopic Devices Market,

Japan, 2008 ................................................................................................... 39

PROCEDURE NUMBERS.................................................................................. 43

Figure 4-1: Total Procedures Numbers, Gastrointestinal Endoscopic Devices

Market, Japan, 2005 – 2015 ........................................................................... 43

Figure 4-2: Colonoscopy Procedure Numbers, Gastrointestinal Endoscopic

Devices Market, Japan, 2005 – 2015 .............................................................. 44

Figure 4-3: Upper GI Procedure Numbers, Gastrointestinal Endoscopic Devices

Market, Japan, 2005 – 2015 ........................................................................... 45

Figure 4-4: Ultrasound Endoscopy Procedure Numbers, Gastrointestinal

Endoscopic Devices Market, U.S., 2005 – 2015 .............................................. 46

Figure 4-5: Capsule Endoscopy Procedure Numbers, Gastrointestinal Endoscopic

Devices Market, Japan, 2005 – 2015 .............................................................. 47

Figure 4-6: Stenting and Dilation Procedure Numbers, Gastrointestinal

Endoscopic Devices Market, Japan, 2005 – 2015 ............................................ 48

Figure 4-7: ERCP Procedure Numbers, Gastrointestinal Endoscopic Devices

Market, Japan, 2005 – 2015 ........................................................................... 49

Figure 4-8: Biopsy and Polyp Removal Procedure Numbers, Gastrointestinal

Endoscopic Devices Market, Japan, 2005 – 2015 ............................................ 50

List of Figures

Figure 4-9: Foreign Body Retrieval Procedure Numbers, Gastrointestinal

Endoscopic Devices Market, U.S., 2005 – 2015 .............................................. 51

Figure 4-10: Hemostasis Procedure Numbers, Gastrointestinal Endoscopic

Devices Market, Japan, 2005 – 2015 .............................................................. 52

Figure 4-11: Enteral Feeding Procedure Numbers, Gastrointestinal Endoscopic

Devices Market, Japan, 2005 – 2015 .............................................................. 53

GASTROINTESTINAL ENDOSCOPES ............................................................. 54

Figure 5-1: GI Endoscopes Market, Japan (US$), 2005 – 2015 ............................ 56

Figure 5-2: GI Endoscopes Market, Japan (¥), 2005 – 2015 ................................. 57

Figure 5-3: Colonoscopy Procedures, Japan, 2005 – 2015 ................................... 59

Figure 5-4: Colonoscopes Market (US$), Japan, 2005 – 2015 .............................. 61

Figure 5-5: Colonoscopes Market (¥), Japan, 2005 – 2015................................... 61

Figure 5-6: Upper GI Endoscopy Procedures, Japan, 2005 – 2015 ....................... 62

Figure 5-7: Gastroscopes Market, Japan (US$), 2005 – 2015 ............................... 64

Figure 5-8: Gastroscopes Market, Japan (¥), 2005 – 2015.................................... 64

Figure 5-9: Duodenoscopes Market, Japan (US$), 2005 – 2015 ........................... 66

Figure 5-10: Duodenoscopes Market, Japan (¥), 2005 – 2015 .............................. 66

Figure 5-11: Enteroscopes Market, Japan (US$), 2005 – 2015 ............................. 68

Figure 5-12: Enteroscopes Market, Japan (¥), 2005 – 2015.................................. 68

Figure 5-13: Ultrasound Endoscopy Procedures, Japan, 2005 – 2015 ................... 69

Figure 5-14: Ultrasound Endoscopes Market, Japan (US$), 2005 – 2015.............. 71

Figure 5-15: Ultrasound Endoscopes Market, Japan (¥), 2005 – 2015 .................. 71

Figure 5-16: Market Drivers and Limiters, GI Endoscopes, Japan, 2005 – 2015 ... 74

Figure 5-17: Leading Competitors, GI Endoscopes, Japan, 2008.......................... 75

CAPSULE ENDOSCOPY................................................................................... 77

Figure 6-1: Small Bowel Capsule Endoscopy Procedures, Japan, 2005 – 2015 ..... 78

Figure 6-2: Capsule Endoscopy Market (US$), Japan, 2005 – 2015 ..................... 81

Figure 6-3: Capsule Endoscopy Market (¥), Japan, 2005 – 2015 .......................... 81

Figure 6-4: Small Bowel Camera Capsules Market (US$), Japan, 2005 – 2015..... 83

Figure 6-5: Small Bowel Camera Capsules Market (¥), Japan, 2005 – 2015 ......... 83

Figure 6-6: Workstations Market (US$), Japan, 2005 – 2015 ............................... 85

Figure 6-7: Workstations Market (¥), Japan, 2005 – 2015.................................... 85

Figure 6-8: Data Recorders Market (US$), Japan, 2005 – 2015............................ 87

Figure 6-9: Data Recorders Market (¥), Japan, 2005 – 2015 ................................ 87

List of Figures

Figure 6-10: Market Drivers and Limiters, Capsule Endoscopy, Japan, 2008 ....... 89

Figure 6-11: Leading Competitors, Capsule Endoscopy, Japan, 2008 ................... 90

STENTING AND DILATION DEVICES ............................................................ 91

Figure 7-1: Esophageal Stenting and Dilation Procedures, Japan, 2005 – 2015..... 92

Figure 7-2: Esophageal Stent Market (US$), Japan, 2005 – 2015 ......................... 95

Figure 7-3: Esophageal Stent Market (¥), Japan, 2005 – 2015.............................. 95

Figure 7-4: Esophageal Covered-Metal Market (US$), Japan, 2005 – 2015 .......... 97

Figure 7-5: Esophageal Covered-Metal Market (¥), Japan, 2005 – 2015............... 97

Figure 7-6: Esophageal Bare-Metal Market (US$), Japan, 2005 – 2015................ 99

Figure 7-7: Esophageal Bare-Metal Market (¥), Japan, 2005 – 2015 .................... 99

Figure 7-8: Esophageal Plastic Market (US$), Japan, 2005 – 2015..................... 101

Figure 7-9: Esophageal Plastic Market (¥), Japan, 2005 – 2015 ......................... 101

Figure 7-10: Biliary Stent Market (US$), Japan, 2005 – 2015............................ 103

Figure 7-11: Biliary Stent Market (¥), Japan, 2005 – 2015 ................................ 103

Figure 7-12: Biliary Covered-Metal Stents Market (US$), Japan, 2005 – 2015... 105

Figure 7-13: Biliary Covered-Metal Stents Market (¥), Japan, 2005 – 2015 ....... 105

Figure 7-14: Biliary Bare-Metal Stents Market (US$), Japan, 2005 – 2015 ........ 107

Figure 7-15: Biliary Bare-Metal Stents Market (¥), Japan, 2005 – 2015 ............. 107

Figure 7-16: Biliary Plastic Stent Market (US$), Japan, 2005 – 2015................. 109

Figure 7-17: Biliary Plastic Stent Market (¥), Japan, 2005 – 2015 ..................... 109

Figure 7-18: Duodenal/Colonic Stent Market (US$), Japan, 2005 – 2015 ........... 111

Figure 7-19: Duodenal/Colonic Stent Market (¥), Japan, 2005 – 2015................ 111

Figure 7-20: Esophageal Dilation Balloon Market (US$), Japan, 2005 – 2015.... 113

Figure 7-21: Esophageal Dilation Balloon Market (¥), Japan, 2005 – 2015 ........ 113

Figure 7-22: Biliary Dilation Balloons Market (US$), Japan, 2005 – 2015 ......... 115

Figure 7-23: Biliary Dilation Balloons Market (¥), Japan, 2005 – 2015 ............. 115

Figure 7-24: Duodenal/Colonic Dilation Balloons Market (US$), Japan, 2005 –

2015 ............................................................................................................ 117

Figure 7-25: Duodenal/Colonic Dilation Balloons Market (¥), Japan, 2005 – 2015117

Figure 7-26: Market Drivers and Limiters, Stents and Dilation Balloons Market,

Japan, 2008 ................................................................................................. 119

Figure 7-27: Leading Competitors, Stents and Dilation Balloons Market, Japan,

2008 ............................................................................................................ 121

ERCP DEVICES .............................................................................................. 123

List of Figures

xii

Figure 8-1: ERCP Common Treatments, ERCP Devices Market ........................ 123

Figure 8-2: ERCP Procedures, Japan, 2005 – 2015 ............................................ 124

Figure 8-3: ERCP Devices Market by Segment (US$), Japan, 2005 – 2015 ........ 126

Figure 8-4: ERCP Devices Market by Segment, (¥), Japan, 2005 – 2015............ 127

Figure 8-5: Sphincterotomes Market (US$), Japan, 2005 – 2015........................ 130

Figure 8-6: Sphincterotomes Market (¥), Japan, 2005 – 2015 ............................ 130

Figure 8-7: Stone Removal Balloons Market (US$), Japan, 2005 – 2015............ 132

Figure 8-8: Stone Removal Balloons Market (¥), Japan, 2005 – 2015 ................ 132

Figure 8-9: Stone Removal Baskets Market (US$), Japan, 2005 – 2015 ............. 134

Figure 8-10: Stone Removal Baskets Market (¥), Japan, 2005 – 2015 ................ 134

Figure 8-11: Lithotripsy Baskets Market (US$), Japan, 2005 – 2015.................. 136

Figure 8-12: Lithotripsy Baskets Market (¥), Japan, 2005 – 2015 ...................... 136

Figure 8-13: ERCP Guidewires Market (US$), Japan, 2005 – 2015.................... 138

Figure 8-14: ERCP Guidewires Market (¥), Japan, 2005 – 2015 ........................ 138

Figure 8-15: Cannulas Market (US$), Japan, 2005 – 2015 ................................. 140

Figure 8-16: Cannulas Market (¥), Japan, 2005 – 2015 ...................................... 140

Figure 8-17: Market Drivers and Limiters, ERCP Devices Market, Japan, 2005 –

2015 ............................................................................................................ 142

Figure 8-18: Leading Competitors, ERCP Devices Market, Japan, 2008............. 144

BIOPSY FORCEPS AND POLYPECTOMY SNARES ...................................... 146

Figure 9-1: Device Characteristics: Biopsy Forceps and Polypectomy Snares .... 146

Figure 9-2: Biopsy and Polyp Removal Procedures, Japan, 2005 – 2015 ............ 147

Figure 9-3: Biopsy Forceps Market (US$), Japan, 2005 – 2015 ......................... 149

Figure 9-4: Biopsy Forceps Market (¥), Japan, 2005 – 2015 .............................. 149

Figure 9-5: Disposable Biopsy Forceps Market (US$), Japan, 2005 – 2015 ........ 152

Figure 9-6: Disposable Biopsy Forceps Market (¥), Japan, 2005 – 2015............. 152

Figure 9-7: Reusable Biopsy Forceps Market (US$), Japan, 2005 – 2015........... 154

Figure 9-8: Reusable Biopsy Forceps Market (¥), Japan, 2005 – 2015 ............... 154

Figure 9-9: Hot Biopsy Forceps Market (US$), Japan, 2005 – 2015 ................... 156

Figure 9-10: Hot Biopsy Forceps Market (¥), Japan, 2005 – 2015...................... 156

Figure 9-11: Polypectomy Snares Market (US$), Japan, 2005 – 2015 ................ 158

Figure 9-12: Polypectomy Snares Market (¥), Japan, 2005 – 2015 ..................... 158

Figure 9-13: Market Drivers and Limiters, Biopsy Forceps and Polypectomy

Snares Market, Japan, 2008.......................................................................... 160

List of Figures

xiii

Figure 9-14: Leading Competitors, Biopsy Forceps and Polypectomy Snares

Market, Japan, 2008..................................................................................... 161

FNA DEVICES AND FOREIGN BODY REMOVAL DEVICES ........................ 163

Figure 10-1: Fine Aspiration Needles Market (US$), Japan, 2005 – 2015 .......... 165

Figure 10-2: Fine Aspiration Needles Market (¥), Japan, 2005 – 2015 ............... 165

Figure 10-3: Market Drivers and Limiters, Fine Aspiration Needles Market,

Japan, 2008 ................................................................................................. 166

Figure 10-4: Leading Competitors, Fine Aspiration Needles Market, Japan, 2008167

Figure 10-5: Foreign Body Retrieval Procedures, Japan, 2005 – 2015................ 169

Figure 10-6: Fine Aspiration Needles Market (US$), Japan, 2005 – 2015 .......... 171

Figure 10-7: Fine Aspiration Needles Market (¥), Japan, 2005 – 2015 ............... 171

Figure 10-8: Market Drivers and Limiters, Foreign Body Retrieval Devices

Market, Japan, 2008..................................................................................... 172

Figure 10-9: Leading Competitors, Foreign Body Retrieval Devices Market,

Japan, 2008 ................................................................................................. 173

HEMOSTASIS DEVICES ................................................................................ 175

Figure 11-1: Device Characteristics: Hemostasis Devices.................................. 175

Figure 11-2: Hemostasis Procedures, Japan ,2005 – 2015 .................................. 176

Figure 11-3: Hemostasis Devices Market (US$), Japan, 2005 – 2015................. 178

Figure 11-4: Hemostasis Devices Market (¥), Japan, 2005 – 2015 ..................... 179

Figure 11-5: Electrosurgical Probes Market (US$), Japan, 2005 – 2015 ............. 182

Figure 11-6: Electrosurgical Probes Market (¥), Japan, 2005 – 2015.................. 182

Figure 11-7: Heater Probes Market (US$), Japan, 2005 – 2015 .......................... 184

Figure 11-8: Heater Probes Market (¥), Japan, 2005 – 2015............................... 184

Figure 11-9: Ligation Bands Market (US$), Japan, 2005 – 2015 ........................ 186

Figure 11-10: Ligation Bands Market (¥), Japan, 2005 – 2015........................... 186

Figure 11-11: Ligation Clips Market (US$), Japan, 2005 – 2015 ....................... 188

Figure 11-12: Ligation Clips Market (¥), Japan, 2005 – 2015 ............................ 188

Figure 11-13: Sclerotherapy Needles Market (US$), Japan, 2005 – 2015 ........... 190

Figure 11-14: Sclerotherapy Needles Market (¥), Japan, 2005 – 2015 ................ 190

Figure 11-15: Argon Probes Market (US$), Japan, 2005 – 2015......................... 192

Figure 11-16: Argon Probes Market (¥), Japan, 2005 – 2015 ............................. 192

Figure 11-17: Market Drivers and Limiters, Hemostasis Devices Market, Japan,

2005 – 2015................................................................................................. 194

List of Figures

xiv

Figure 11-18: Leading Competitors, Hemostasis Devices Market, Japan, 2005 –

2015 ............................................................................................................ 196

ENTERAL FEEDING DEVICES ...................................................................... 198

Figure 12-1: Enteral Feeding Placements, Japan, 2005 – 2015 ........................... 199

Figure 12-2: Enteral Feeding Devices Market (US$), Japan, 2005 – 2015 .......... 202

Figure 12-3: Enteral Feeding Devices Market (¥), Japan, 2005 – 2015............... 203

Figure 12-4: Percutaneous Placement Kits Market (US$), Japan, 2005 – 2015 ... 206

Figure 12-5: Percutaneous Placement Kits Market (¥), Japan, 2005 – 2015 ........ 206

Figure 12-6: PEG Market (US$), Japan, 2005 – 2015 ........................................ 208

Figure 12-7: PEG Market (¥), Japan, 2005 – 2015 ............................................. 208

Figure 12-8: PEJ Market (US$), Japan, 2005 – 2015 ......................................... 210

Figure 12-9: PEJ Market (¥), Japan, 2005 – 2015 .............................................. 210

Figure 12-10: PEG/PEJ Market (US$), Japan, 2005 – 2015 ............................... 212

Figure 12-11: PEG/PEJ Balloons Market (¥), Japan, 2005 – 2015...................... 212

Figure 12-12: Low-Profile Balloons Market (US$), Japan, 2005 – 2015............. 214

Figure 12-13: Low-Profile Balloons Market (¥), Japan, 2005 – 2015 ................. 214

Figure 12-14: Balloon Tubes Market (US$), Japan, 2005 – 2015 ....................... 216

Figure 12-15: Balloon Tubes Market (¥), Japan, 2005 – 2015 ............................ 216

Figure 12-16: Low-Profile Bumpers Market (US$), Japan, 2005 – 2015............. 218

Figure 12-17: Low-Profile Bumpers Market (¥), Japan, 2005 – 2015 ................. 218

Figure 12-18: Bumper Tubes Market (US$), Japan, 2005 – 2015 ....................... 220

Figure 12-19: Bumper Tubes Market (¥), Japan, 2005 – 2015 ............................ 220

Figure 12-21: Market Drivers and Limiters, Enteral Feeding Devices Market,

Japan, 2008 ................................................................................................. 222

Figure 12-22: Leading Competitors, Enteral Feeding Devices Market, Japan, 2005

– 2015 ......................................................................................................... 224

ABBREVIATIONS .......................................................................................... 226

List of Charts

LIST OF CHART S

EXECUTIVE SUMMARY.................................................................................... 1

Chart 1-1: GI Endoscopic Devices Market, Japan, 2005 – 2015 ............................. 1

Chart 1-2: GI Endoscopic Devices Market by Segment, Japan, 2008...................... 2

Chart 1-3: Fastest Declining and Growing Segments, GI Endoscopic Devices

Market, Japan, 2005 – 2015 ............................................................................. 3

Chart 1-4: Ultrasound Endoscopes Market, Japan, 2005 – 2015 ............................. 4

Chart 1-5: Stone Removal Baskets Market, Japan, 2005 – 2015 ............................. 6

Chart 1-6: Biopsy Forceps Market, Japan, 2005 – 2015 ......................................... 7

Chart 1-7: Percutaneous Kits, Japan, 2005 – 2015 ................................................. 9

Chart 1-8: Leading Competitors, GI Endoscopic Devices Market, Japan, 2008..... 10

RESEARCH METHODOLOGY.......................................................................... 11

OVERVIEW OF GASTROINTESTINAL ENDOSCOPIC DEVICES.................... 22

Chart 3-1: Gastrointestinal Endoscopic Devices Market (US$M), Japan, 2005 –

2015 .............................................................................................................. 26

Chart 3-2: Gastrointestinal Endoscopic Devices Market by Segment (US$M),

Japan, 2008 ................................................................................................... 30

Chart 3-3: Gastrointestinal Endoscopic Devices Market by Segment (US$M),

Japan, 2015 ................................................................................................... 31

Chart 3-4: Fastest Growing Market Segments, Gastrointestinal Endoscopic

Devices Market, Japan, 2005 – 2015 .............................................................. 34

Chart 3-5: Leading Competitors, Gastrointestinal Endoscopic Devices Market,

Japan, 2008 ................................................................................................... 41

PROCEDURE NUMBERS.................................................................................. 43

GASTROINTESTINAL ENDOSCOPES ............................................................. 54

Chart 5-1: GI Endoscopes Market, Japan (US$), 2005 – 2015.............................. 58

Chart 5-2: Colonoscopes Market (US$), Japan, 2005 – 2015 ............................... 60

Chart 5-3: Gastroscopes Market, Japan (US$), 2005 – 2015 ................................ 63

Chart 5-4: Duodenoscopes Market, Japan (US$), 2005 – 2015 ............................. 65

List of Charts

xvi

Chart 5-5: Enteroscopes Market, Japan (US$), 2005 – 2015 ................................ 67

Chart 5-6: Ultrasound Endoscopes Market, Japan (US$), 2005 – 2015 ................. 70

Chart 5-7: Leading Competitors, GI Endoscopes, Japan, 2008 ............................. 76

CAPSULE ENDOSCOPY................................................................................... 77

Chart 6-1: Small Bowel Capsule Endoscopy Procedures, Japan, 2005 – 2015....... 79

Chart 6-2: Capsule Endoscopy Market (US$), Japan, 2005 – 2015 ....................... 80

Chart 6-3: Small Bowel Camera Capsules Market (US$), Japan, 2005 – 2015 ...... 82

Chart 6-4: Workstations Market (US$), Japan, 2005 – 2015 ................................ 84

Chart 6-5: Data Recorders Market (US$), Japan, 2005 – 2015 ............................. 86

STENTING AND DILATION DEVICES ............................................................ 91

Chart 7-1: Esophageal Stenting and Dilation Procedures, Japan, 2005 – 2015 ...... 93

Chart 7-2: Esophageal Stent Market (US$), Japan, 2005 – 2015 .......................... 94

Chart 7-3: Esophageal Covered-Metal Market (US$), Japan, 2005 – 2015............ 96

Chart 7-4: Esophageal Bare-Metal Market (US$), Japan, 2005 – 2015 ................. 98

Chart 7-5: Esophageal Plastic Market (US$), Japan, 2005 – 2015 ...................... 100

Chart 7-6: Biliary Stent Market (US$), Japan, 2005 – 2015 ............................... 102

Chart 7-7: Biliary Covered-Metal Stents Market (US$), Japan, 2005 – 2015 ...... 104

Chart 7-8: Biliary Bare-Metal Stents Market (US$), Japan, 2005 – 2015............ 106

Chart 7-9: Biliary Plastic Stent Market (US$), Japan, 2005 – 2015 .................... 108

Chart 7-10: Duodenal/Colonic Stent Market (US$), Japan, 2005 – 2015 ............ 110

Chart 7-11: Esophageal Dilation Balloon Market (US$), Japan, 2005 – 2015 ..... 112

Chart 7-12: Biliary Dilation Balloons Market (US$), Japan, 2005 – 2015 .......... 114

Chart 7-13: Duodenal/Colonic Dilation Balloons Market (US$), Japan, 2005 –

2015 ............................................................................................................ 116

Chart 7-14: Leading Competitors, Stents and Dilation Balloons Market, Japan,

2008 ............................................................................................................ 122

ERCP DEVICES .............................................................................................. 123

Chart 8-1: ERCP Devices Market by Segment (US$), Japan, 2005 – 2015.......... 128

Chart 8-2: Sphincterotomes Market (US$), Japan, 2005 – 2015 ......................... 129

Chart 8-3: Stone Removal Balloons Market (US$), Japan, 2005 – 2015 ............. 131

Chart 8-4: Stone Removal Baskets Market (US$), Japan, 2005 – 2015 ............... 133

Chart 8-5: Lithotripsy Baskets Market (US$), Japan, 2005 – 2015 ..................... 135

Chart 8-6: ERCP Guidewires Market (US$), Japan, 2005 – 2015 ....................... 137

Chart 8-7: Cannulas Market (US$), Japan, 2005 – 2015 .................................... 139

List of Charts

xvii

Chart 8-8: Leading Competitors, ERCP Devices Market, Japan, 2008 ................ 145

BIOPSY FORCEPS AND POLYPECTOMY SNARES ...................................... 146

Chart 9-1: Biopsy Forceps Market (US$), Japan, 2005 – 2015 ........................... 150

Chart 9-2: Disposable Biopsy Forceps Market (US$), Japan, 2005 – 2015 ......... 151

Chart 9-3: Reusable Biopsy Forceps Market (US$), Japan, 2005 – 2015 ............ 153

Chart 9-4: Hot Biopsy Forceps Market (US$), Japan, 2005 – 2015 .................... 155

Chart 9-5: Polypectomy Snares Market (US$), Japan, 2005 – 2015.................... 157

Chart 9-6: Leading Competitors, Biopsy Forceps and Polypectomy Snares

Market, Japan, 2008..................................................................................... 162

FNA DEVICES AND FOREIGN BODY REMOVAL DEVICES ........................ 163

Chart 10-1: Fine Aspiration Needles Market (US$), Japan, 2005 – 2015 ............ 164

Chart 10-2: Leading Competitors, Japanese Market for Fine Needle Aspiration

Devices, 2008 .............................................................................................. 168

Chart 10-3: Foreign Body Removal Devices Market (US$), Japan, 2005 – 2015 170

Chart 10-4: Leading Competitors, Foreign Body Removal Devices Market, Japan,

2008 ............................................................................................................ 174

HEMOSTASIS DEVICES ................................................................................ 175

Chart 11-1: Hemostasis Devices Market (US$), Japan, 2005 – 2015 .................. 180

Chart 11-2: Electrosurgical Probes Market (US$), Japan, 2005 – 2015 .............. 181

Chart 11-3: Heater Probes Market (US$), Japan, 2005 – 2015 ........................... 183

Chart 11-4: Ligation Bands Market (US$), Japan, 2005 – 2015 ......................... 185

Chart 11-5: Ligation Clips Market (US$), Japan, 2005 – 2015........................... 187

Chart 11-6: Sclerotherapy Needles Market (US$), Japan, 2005 – 2015............... 189

Chart 11-7: Argon Probes Market (US$), Japan, 2005 – 2015 ............................ 191

Chart 11-8: Leading Competitors, Hemostasis Devices Market, Japan, 2005 –

2015 ............................................................................................................ 197

ENTERAL FEEDING DEVICES ...................................................................... 198

Chart 12-1: Enteral Feeding Placements, Japan, 2005 – 2015 ............................ 200

Chart 12-2: Enteral Feeding Devices Market (US$), Japan, 2005 – 2015............ 204

Chart 12-3: Percutaneous Placement Kits Market (US$), Japan, 2005 – 2015..... 205

Chart 12-4: PEG Market (US$), Japan, 2005 – 2015.......................................... 207

Chart 12-5: PEJ Market (US$), Japan, 2005 – 2015........................................... 209

Chart 12-6: PEG/PEJ Market (US$), Japan, 2005 – 2015 ................................... 211

Chart 12-7: Low-Profile Balloons Market (US$), Japan, 2005 – 2015 ................ 213

List of Charts

xviii

Chart 12-8: Balloon Tubes Market (US$), Japan, 2005 – 2015........................... 215

Chart 12-9: Low-Profile Bumpers Market (US$), Japan, 2005 – 2015 ................ 217

Chart 12-10: Bumper Tubes Market (US$), Japan, 2005 – 2015......................... 219

Chart 12-11: Leading Competitors, Enteral Feeding Devices Market, Japan, 2005

– 2015 ......................................................................................................... 225

ABBREVIATIONS .......................................................................................... 226

Published By: iData Research
Product Code: iData Research1063

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