Chapter 1: Executive Summary

• Scope and Methodology
• Introduction to MIS
• Overview of the Industry
• Market Definition
• Advantages of Minimally Invasive Surgery
• Less Pain
• Less Scarring
• New Procedures
• Outpatient Option
• Reduced Costs
• Reduced Risks
• Shorter Hospital Stays
• Shorter Recovery Time
• The Products
• The Endoscope
• Related Instruments and Accessories
• The U.S. Market
• Scope and Methodology
• Notes on the Data
• Size of the Market
• International Markets
• Scope and Methodology
• Size of the Market
• Europe
• Japan

Chapter 2: Introduction To Minimally Invasive Surgery

• Scope and Methodology
• Overview of the Industry
• Market Definition
• Advantages of Minimally Invasive Surgery
• Less Pain
• Less Scarring
• New Procedures
• Outpatient Option
• Reduced Costs
• Reduced Risks
• Shorter Hospital Stays
• Shorter Recovery Time
• Industry Background
• The Laparoscopic Cholecystectomy
• More Widespread Use of MIS Procedures
• Physicians' Need to Learn Technique
• Physicians' Ties to Manufacturers
• MIS Device Manufacturers
• Private Companies
• Foreign?Owned Companies
• Sales and Marketing
• Distribution
• Direct Sales Forces
• Limited Advertising
• Seminars and Training Sessions
• Medical Conventions
• Publication in Medical Journals
• Medical Application
• Types of Endoscopes
• Digestive Tract Applications
• Ear, Nose, and Throat Applications
• General Surgery Applications
• Gynecological Applications
• Orthopedic Applications
• Respiratory Applications
• Urological Applications
• The Endoscopic Technique
• Insufflation
• Local Anesthesia
• Incision
• The Endoscopic Operation
• Procedure Completion
• The Controversy over Endoscopy
• Cost
• Endoscopic Examinations
• Endoscopic Operations
• Cost to the Physician
• Insurance Reimbursement
• Rate of Reimbursement
• Rising Technology, Rising Costs
• Quality Assurance
• Lack of Certification
• The Society of American Gastrointestinal Endoscopic Surgeons
• The American Society for Gastrointestinal Endoscopy
• Enforcement of Standards
• Hospital Fees
• Professional Standards Review Organizations
• Peer Review Organizations
• Physicians' Fees
• The Harvard Resource?Based Relative Value Scales for Physician
• Limits on Beneficiary Liability
• Establishment of Medicare Volume Performance Standards
• Creation of the Agency for Health Care Policy and Research
• Prohibition of Referrals that Present a Conflict of Interest
• Impact of the New Medicare Fee Schedules
• Lower Fees Paid
• Impact on Hospitals
• Reduced Physician Reimbursement
• Impact on Delivery of Services
• Drop in Hospital Admissions
• More Outpatient Procedures

Chapter 3: The Products

• Introduction
• The Evolution and History of the Endoscope
• Colonoscopy
• Laparoscopy
• The Endoscope
• Related Instruments and Accessories
• Electrosurgical Instruments
• Unipolar Systems
• Bipolar Systems
• Hand Instruments
• Biopsy Forceps
• Grasping Forceps
• Scissors
• Trocars and Cannulas
• Lasers
• Argon Lasers
• CO2 Lasers
• Nd:YAG Lasers
• Power Surgical Instruments
• Other Instruments and Accessories
• Insufflators
• Light Sources
• Video Cameras
• Digestive Tract Applications
• Medical Background
• Types of Endoscopes Used
• Lower Gastrointestinal Tract
• Upper Gastrointestinal Tract
• Laser Treatment
• Leading Suppliers
• Ear, Nose, and Throat Application
• Medical Background
• ENT Endoscopic Procedures
• Types of Endoscope Used
• Flexible Endoscopes
• Rigid Endoscopes
• Laryngoscopes
• Laser Treatment
• Leading Suppliers
• General Surgery Applications
• Medical Background
• General Surgery Endoscopic Procedures
• Cholecystectomy
• Laparoscopic Cholecystectomy
• Advantages of Laparoscopic Cholecystectomy
• Reduced Cost
• Less Scarring
• Shorter Hospital Stays
• Shorter Recovery Time
• Risks
• Types of Endoscopes Used
• Laser Treatment
• Leading Suppliers
• Gynecological Applications
• Medical Background
• Gynecological Endoscopic Procedures
• Types of Endoscopes Used
• Hysteroscopes
• Laparoscopes
• Laser Treatment
• Leading Suppliers
• Orthopedic Applications
• Medical Background
• Orthopedic Endoscopic Procedure
• Diagnostic Arthroscopy
• Therapeutic Arthroscopy
• Types of Endoscopes Used
• Laser Treatment
• Percutaneous Microdiskectomy
• Leading Supplier
• Respiratory Applications
• Medical Background
• Respiratory Bronchoscopic Procedures
• Aspiration of Gastric Content
• Examination of the Trachea
• Treatment of Atelectasis
• Treatment of Bronchopleurocutaneous Fistulas
• Treatment of Burns, Cervical Arthritis, and Cervical Fractures
• Tracheal Stenosis
• Types of Bronchoscopes Used
• Leading Suppliers
• Urological Applications
• Medical Background
• Urological Endoscopic Procedures
• Kidney Stones and Upper Ureteral Stones
• Percutaneous Lithotripsy
• Extracorporeal Shock Wave Lithotripsy
• Prostate Gland and Bladder Tumors
• Types of Endoscopes Used
• Laser Treatment
• Leading Supplier

Chapter 4: Issues And Trends

• A Growing Industry
• Growth Factors
• A Patient?Driven Market
• Encouragement by Physicians
• Innovations by Manufacturers
• No Physician Certification Needed
• Encouragement by Third?Party Payors
• Limits to Growth
• Implementation of Certification and Quality Standards
• A Crowded Playing Field
• Research and Development Expenditures
• The Effect of New Drugs
• The Effect of MIS on Health Care Industry Trends
• Effect on Hospitals
• Shorter Hospital Stays
• Outpatient Surgery Centers
• Physician Office?Based Surgery Centers
• The Basic Functions of Hospitals Changing
• Patient Handling
• Nursing Care
• Anesthesiology
• A Realignment of Specialties
• Effect on Designing and Equipping Operating Rooms
• Effect on Surgeons
• A Hospital?Based Training Center Opens
• SAGES's Endoscopic Guidelines
• The MIS Industry
• Trends
• A Move to Complete Lines
• Intense Competition
• Mergers and Acquisitions

Chapter 5: The Market

• Scope and Methodology
• Notes on the Data
• Size of the Market
• Number of Surgical Procedures
• Total Number of Surgical Procedures
• Medical Specialties that Offer Opportunities for MIS
• Number of Endoscopic Procedures
• Digestive Tract Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers
• Ear, Nose, and Throat Application
• Definition of the Market
• Size of the Market
• Leading Suppliers
• General Surgery Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers
• Gynecological Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers
• Orthopedic Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers
• Respiratory Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers
• Urological Applications
• Definition of the Market
• Size of the Market
• Leading Suppliers

Chapter 6: International Markets

• Scope and Methodology
• Size of the Market
• Europe
• Japan
• Market Growth
• Europe
• Japan
• Trends in Growth
• Digestive Tract Applications
• Ear, Nose, and Throat Applications
• General Surgery Applications
• Gynecological Applications
• Orthopedic Applications
• Diskectomies
• Office Arthroscopy
• Respiratory Applications
• Urological Applications
• Growth Factors
• Health Reforms
• New Procedures
• Quality of Life Issues
• Technological Developments
• Instruments
• Microendoscope
• 3-D Video Endoscope
• Limits to Growth
• Physician Training
• Regulations
• Cost-Containment Pressures
• Industry Trends
• Competition and Entry Barriers
• Mergers and Acquisitions
• Line Extensions
• New Products
• 3-D Video Endoscopes
• Robotics
• Instruments
• End User Issues

Chapter 7: Competitor Profiles

• Advanced Surgical, Inc.
• MIS Products
• Corporate Strategies
• Birtcher Medical Systems, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Cabot Medical Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Colposcopes
• Irrigation Systems
• Laparoscopy System
• Tubal Ligation System
• The Ultroid System
• Voyles Electrosurgical System
• New Products
• Other Products
• Corporate Strategies
• Circon Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Gastroenterology
• General Surgery
• Gynecology
• Orthopedics
• Urology
• AFC?1
• AUR?8
• MR?6
• USA Series Resectoscope System
• Video Cameras
• Coherent, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• CO2 Lasers
• Holmium Lasers
• Research and Development
• Corporate Strategies
• Ethicon Endo-Surgery
• History and Lines of Business
• Financial Information
• MIS Products
• Endopath ELC35 Endoscopic Linear Cutter
• Endopath TriStar Trocar and Endopath Endoscopic Reloadable Linear
• Flexipath
• MCA II
• Probe Plus II
• Proximate Access 55 Articulating Linear Stapler
• Corporate Strategies
• Linvatec Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Concept Arthroscopy Division
• Edward Weck Division
• Linvatec Imaging Systems Division
• Medical Dynamics, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• Models 5940 and 5960 Cameras
• Adaptation to Endoscopic Use
• Character Generator
• The 5990 Optical Catheter System
• Corporate Strategies
• Olympus America, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Pentax Precision Instrument Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Smith & Nephew Dyonics
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Karl Storz Endoscopy-America, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Stryker Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies
• Surgical Laser Technologies
• History and Lines of Business
• Financial Information
• MIS Products
• Contact Laser System
• Portable Laser Units
• Corporate Strategies
• U.S. Surgical Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• The Surgiport Trocar
• Accessory Devices
• The EndoClip
• Endo Hernia Disposable Surgical Stapler
• Endo Shears, Endo Grasp, Endo Dissect, Endo Babcock
• Multifire Endo GIA 30 Stapler
• Surgiwip Ligature
• Surgiview Single?Use Laparoscope
• Visiport Optical Trocar
• Corporate Strategies
• Valleylab, Inc.
• History and Lines of Business
• Financial Information
• MIS Products
• Richard Wolf Medical Instrument Corporation
• History and Lines of Business
• Financial Information
• MIS Products
• Corporate Strategies