Intraoperative neuromonitoring (IONM) incorporates the application of a varied variety of electrophysiological procedures to inspect the functional part of the nervous system during surgical interventions. The IONM devices are designed to monitor, analyze, and then transform complex neurophysiologic data into simple, useful information to assist the surgeon in the clinical decision-making process. The development of advanced devices that interactive medical equipment that enables safe navigation through the body’s nerve anatomy during surgery is propelling the growth of the North America IONM market. The prevalence of chronic diseases such as heart diseases, stroke, cancer, type 2 diabetes, obesity, and arthritis both in US and Canada will boost the demand for advanced devices in the North America IONM market.

The North America IONM market is expected to generate revenues of around $2.1 billion by 2022, growing at a CAGR of more than 8% during the forecast period.

The list of top six vendors in the North America IONM market are discussed in detail below:

1.    Cadwell Industries Inc.

Cadwell Industries Inc is a medical device company focused on innovation and manufacture of neurophysiology instruments in the North America IONM market. The company offers products for EEG, EMG, IONM, and for sleep diagnosis. Its product portfolio also includes the CadLink clinical information management platform. It provides secure and efficient access to clinical information and helps deliver efficient workflow, quality data, and easy reporting by connecting Cascade Surgical Studio IONM, Arc EEG, and Sierra EMG/EP.

Key News: Cadwell is focusing on new technological innovations and concentrates on seeking opportunities for geographical expansion in the North America IONM market.

2.    SpecialtyCare

SpecialtyCare is one of the key providers of outsourced clinical services to hospitals and other healthcare providers in the North America IONM market. The company offers a wide spectrum of other clinical services ranging from perfusion services, IONM, sterile processing management, autotransfusion, surgical assist, and minimally invasive surgical support in the North America IONM market. The company maintains regional offices across the US to maximize operational efficiencies and clinical integration with patient care teams at the local level and is certified by the Joint Commission.

Key News: SpecialtyCare intraoperative neuromonitoring in February 2016, earned accreditation in Surgical Ambulatory Healthcare from the Joint Commission.

3.    Natus Medical Incorporated (Natus)

Natus is one of the leading providers of newborn care and neurology healthcare products and services. The products offered by the company is used for the screening, diagnosis, treatment, detection, monitoring, and tracking of common medical disorders in neurological dysfunction, newborn care, hearing impairment, epilepsy, sleep disorders, neuromuscular diseases and balance and mobility disorders in the North America IONM market. The company persistently evaluates new, emerging, and complementary technologies to identify new product opportunities.

Key News: Natus in May 2015, expanded its neurodiagnostic services into 7 new states with the acquisition of the assets of NeuroQuest, a provider of neurodiagnostic services in the North America IONM market.

4.    NuVasive Inc.

NuVasive is one of the leading medical device companies focused on developing minimally disruptive surgical products and procedurally integrated solutions for spine surgery. The company focuses on the development of minimally disruptive surgical products and integrated solutions for the spinal cord and provides neuro-monitoring solutions in the North America IONM market. The company’s product portfolio includes implants and fixation products, and the recent acquisition of Ellipse Technologies will include more product portfolios such as MAGEC- EOS spinal bracing and lengthening system and the PRECICE limb lengthening system.

Key News: Nuvasive in December 2016, had over 820 issued and pending patents, including over 360 US issued patents in North America IONM market.

5.    Medtronic Plc

Medtronic manufactures, designs, and markets medical devices worldwide through its wide distribution network. The company provides its products through its four divisions that consist of a cardiac and vascular group, minimally invasive therapies group, restorative therapies group, and diabetes group in the North America IONM market. Medtronic’s product portfolio in the North American IONM market include acute care ventilators, capsule endoscopy products, electrosurgical products, ablation products, coronary stents, catheters, insulin infusion systems, continuous glucose monitoring systems, endoscopic ultrasound products, powered surgical instruments, surgical navigation and imaging systems, critical care products, deep brain stimulators, urology products, surgical instruments and many others.

Key News: In November 2015, Medtronic announced the acquisition of Aircraft Medical for a cash consideration of $110 million.

6.    inomed Medizintechnik GmbH

inomed focuses on the development of nerve protection instruments and systems, which enable precise, targeted treatment in the North America IONM market. The company’s product portfolio in the North America  includes innovative products and treatments in the fields of intraoperative neuromonitoring (IONM), functional neurosurgery, pain therapy, and neurological diagnostics. inomed has a wide distribution network with direct sales in a global medical technology company with direct sales in Germany, France, Norway, Sweden, Denmark, Switzerland, and Iceland.

Key News: inomed is working on four medical projects that include ZIM RF Generator Development, NeuroPhos, Optical CI, and INTAKT.

Other prominent players in North America IONM market are Accurate Monitoring, Computational Diagnostics, Bromedicon Neuromonitoring, Clinical Neurodiagnostics, CNS Neuromonitoring, Dr. Langer Medical GmbH, IntraNerve, Medsurant Health, Neuro Alert, Neuromonitoring Technology (NMT) and Nihon Kohden Corp.

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