NORTH AMERICA IONM MARKET SIZE WILL REACH USD 2.1 BILLION BY 2023, GROWING AT A CAGR OF AROUND 8% DURING 2016-2022

North America IONM Market Size, Share, & Trends Analysis Report By Pet Source Types (In-sourced and Outsourced), By Methodology Types (Evoked Potential (EP), Electromyography (EMG), and Electroencephalography (EEG)), By Application Types (Neurosurgery, Orthopedic surgery, ENT surgery, and Cardiovascular surgery), and by Geography (US and Canada) Industry Analysis Report, Regional Outlook, Market Trends, Competitive Landscape, Share, Growth Potential & Forecast, 2016 – 2022

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NORTH AMERICA IONM MARKET

Report Attribute Details
Market Size (Revenue) USD 2.1 BILLION (2022)
CAGR 8% (2016-2022)
Base Year 2016
Forecast Year 2022
Market Segments By Pet Source Types (In-sourced and Outsourced), By Methodology Types (Evoked Potential (EP), Electromyography (EMG), and Electroencephalography (EEG)), By Application Types (Neurosurgery, Orthopedic surgery, ENT surgery, and Cardiovascular surgery)
Geographic Analysis North America
Countries Covered US and Canada

INDUSTRY INSIGHTS 

Intraoperative neuromonitoring (IONM) involves the application of a wide variety of electrophysiological methods to examine the functional aspect of the nervous system during surgical procedures. The primary purpose of these neuromonitoring devices is to limit the incidence of iatrogenic and randomly induced neurological injuries to patients during surgical procedures.

The IONM market in North America is expected to cross $2.1 billion, growing at a CAGR more than 8% during the period 2016–2022. The out-sourced intraoperative neuromonitoring market will dominate the IONM market in North America. The number of establishments providing outsourced intraoperative neuromonitoring has also increased considerably in recent years in the US. Thus, opportunities witnessed by the IONM market in US are highly lucrative.

The report provides a holistic view of the IONM market in North America, the companies involved in the market, and the factors driving its growth. It also provides information on some of the latest trends that have started to surface and are likely to become strong market driving forces over the next five years. This report also provides the Porter’s Five Forces analysis along with a description of each force and its impact on the market. Further, the report also provides complete value chain analysis of the market.

NORTH AMERICA IONM MARKET: KEY VENDOR ANALYSIS

IONM equipment manufacturers dominate the market

Although the IONM market in North America is dominated by the equipment manufacturers, the number of establishments manufacturing intraoperative neuromonitoring equipment is limited. Major vendors in the market are Cadwell Industries, SpecialtyCare, Natus, NuVasive, Medtronic, inomed Medizintechnik GmbH.

Other emerging vendors 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.

NORTH AMERICA IONM MARKET: DYNAMICS 

Increase in demand for out-sourced intraoperative neuromonitoring to drive the market growth

Increase in aging population and chronic diseases, sizeable increase in surgical procedures, considerable increase in hospitals recommending intraoperative neuromonitoring for varied surgeries are the factors that are going to enhance the market growth.      Increased demand for remote neuromonitoring, advent of portable and multi-modality devices, integration of MI surgeries with intraoperative neuromonitoring devices are the latest trends that are going to shape the market during the forecast period.

NORTH AMERICA IONM MARKET: SEGMENTAL OVERVIEW 

Neurosurgery segment is going to dominate the market during the forecast period

The in-sourced market is forecasted to increase at a minimal pace in the foreseeable future as it is being replaced by out-sourced services. The out-sourced intraoperative neuromonitoring services market in North America accounted for 45.10% in 2016. It is anticipated to grow at a rapid CAGR of 14.00% during 2016–2022. The out-sourced services market will dominate the IONM market in this region by the end of 2022.

In terms of modality, the growth rate of these EEG and EMG modality types are anticipated to be almost equal during 2016–2022. The primary driver for all intraoperative neuromonitoring modalities is increased in their utilization rate across varied surgical interventions. In terms of the growth rate, orthopedic surgeries are likely to grow at a higher CAGR than other surgical types. However, neurosurgery will remain the major revenue contributor during the forecast period in the application segment.

NORTH AMERICA IONM MARKET: COUNTRY ANALYSIS

The market for IONM in Canada is anticipated to experience a notable surge

The primary factor for the high share of North America in the global intraoperative neuromonitoring market is the existence of the favorable and constantly improving reimbursement scenario in the region. The penetration of intraoperative neuromonitoring devices is significantly higher in the US than other developed or developing countries. Their demand in this region is also rapidly growing increased in rate of utilization of intraoperative neuromonitoring for varied surgeries and due to increase in demand for out-sourced services. A high adoption of tele-health services, including remote neuromonitoring, is likely to be one of the key growth influencers for IONM market in Canada.

The North America IONM market research report includes in-depth coverage of the industry analysis with revenue and forecast insights for the following segments:

Source Types

  • In-sourced
  • Outsourced

Methodology Types

  • Evoked Potential (EP)
  • Electromyography (EMG)
  • Electroencephalography (EEG)

Application Types

  • Neurosurgery
  • Orthopedic surgery
  • ENT surgery
  • Cardiovascular surgery

Major Countries

  • US
  • Canada

Frequently Asked Questions

What is the North America IONM market size and growth forecast?

The North America IONM market size to reach revenues of $2.1 billion, growing at a CAGR of over 8% during 2016-2022.

What are the factors impacting the growth of the North America IONM market?

Increased demand for remote neuromonitoring, advent of portable and multi-modality devices, integration of MI surgeries with intraoperative neuromonitoring devices are the latest trends that are going to shape the market during the forecast period.

Who are the key players in the North America IONM market?

The leading players in the North America IONM market include Cadwell Industries, SpecialtyCare, Natus, NuVasive, Medtronic, and inomed Medizintechnik GmbH.

Which segment is contributing to the North America IONM market growth?

The out-sourced intraoperative neuromonitoring services market in North America accounted for 45.10% in 2016.

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Cadwell Industries, SpecialtyCare,  Natus, NuVasive , Medtronic , inomed Medizintechnik GmbH  are going to lead the IONM market in North America. The IONM market in North America will cross $ 2.1 billion by 2022, growing at a impressible CAGR of 8.14% during the forecast period 2016 – 2022.  The US accounted for the largest share of the global IONM market in 2016, and it is expected to rise at a slightly higher growth rate than the North American average during the forecast period.

IONM Market in North America Segmentation by Application

Report Timeline

  • Base Year:                  2016  
  • Forecast Year:            2017–2022  

Major vendors profiled in the report are as following:

  • Cadwell Industries
  • SpecialtyCare
  •  Natus
  • NuVasive
  • Medtronic
  • inomed Medizintechnik GmbH

Other emerging vendors are   Accurate Monitoring, Computational Diagnostics, Bromedicon Neuromonitoring, Clinical Neurodiagnostics, CNS Neuromonitoring, Dr. Langer Medical GmbH, IntraNerve, Medsurant Health, Neuro Alert, Neuromonitoring Technology (NMT),  Nihon Kohden Corporation.

Scope of the Report

The study considers the present scenario of the North America IONM Market and its market dynamics for the period 2016−2022. The study covers a detailed overview of various market growth enablers, restraints, and trends. It covers both the demand and supply sides of the market. The study also profiles and analysis the leading five companies and 15 other prominent companies operating in the market.

Segmental revenues were calculated through the bottom approach, which involves the analysis of segment-wise financials of key players in the market.

The report provides the analysis of the key segments of the market by source types, methodology type, application type, key countries, and vendors. It provides a detailed analysis of revenue from various segments:

Source Types

  • In-sourced
  • Outsourced

Methodology Types

  • Evoked Potential (EP)
  • Electromyography (EMG)
  • Electroencephalography (EEG)

Application Types

  • Neurosurgery
  • Orthopedic surgery
  • ENT surgery
  • Cardiovascular surgery

Major Countries

  • US
  • Canada

 

1              Research Methodology

2              Research objectives

3              Research Process

4              Report Coverage

4.1          Market Definition

4.2          Base Year

4.3          Scope of Study

4.3.1       Market Segmentation by Source Type

4.3.2       Market Segmentation by Methodology

4.3.3       Market Segmentation by Application

4.3.4       Market Segmentation by Geography

 

5              Report Assumptions & Caveats

5.1.1       Inclusions

5.1.2       Exclusions

5.2          Currency Conversion rate

5.3          Market Derivation

 

6              Market at a Glance

7              Introduction

7.1          Overview Of Nervous System and Neurophysiology

7.2          Introduction to IONM

7.3          Evolution of IONM

7.4          Standard Steps in IONM

7.4.1       Pre-operative Preparation

7.4.2       Baseline IONM Recording

7.4.3       Perioperative IONM Recording

7.4.4       IONM Documentation

7.4.5       Interpretive Report Preparation

7.5          Key Advantages of IONM

 

8              Reimbursement Scenario

8.1          Reimbursement Scenario in US

8.1.1       Overview of IONM Reimbursement

8.2          Reimbursement Scenario in Canada

8.2.1       Overview of IONM Reimbursement

 

9              Market Dynamics

9.1          Market Growth Enablers

9.1.1       Increase in Aging Population and Chronic Diseases

9.1.2       Sizeable Increase in Surgical Procedures

9.1.3       Considerable Increase in Hospitals Recommending IONM for Varied Surgeries

9.1.4       Advent of Technologically Advanced IONM Equipment

9.1.5       Increase in Demand for Out-sourced IONM

9.1.6       YOY Impact of Market Enablers

9.2          Market Growth Restraint

9.2.1       Dearth of Skilled IONM Professionals

9.2.2       Lack of Stringent Regulations

9.2.3       High Cost of IONM Utilized Surgeries

9.2.4       Limitations and Complications Associated with IONM

9.2.5       YOY Impact of Market Restraints

9.3          Market Opportunities & Trends

9.3.1       Increased Demand for Remote Neuromonitoring

9.3.2       Advent of Portable and Multi-modality IONM Devices

9.3.3       Increase in Strategic Consolidation

9.3.4       Integration of MI Surgeries with IONM

9.3.5       YOY Impact of Trends and Opportunities

 

10           Neuromonitoring Market In North America

10.1        Market Overview

10.2        Market Size & Forecast

 

11           Porter’s Five Forces Analysis

11.1        Threat of New Entrants

11.2        Bargaining Power of Suppliers

11.3        Bargaining Power of Buyers

11.4        Threat of Substitutes

11.5        Competitive Rivalry

 

12           IONM Market In North America - By Source Type

12.1        Market Overview

12.2        In-Sourced IONM

12.2.1     Market Size & Forecast

12.3        Outsourced IONM

12.3.1     Market Size & Forecast

 

13           IONM Market in North America by Modality

13.1        Segment Overview

13.2        Evoked Potential

13.2.1     Market Size & Forecast

13.3        Detailed Description of EP Types

13.3.1     Somatosensory Evoked Potentials (SSEP)

13.3.2     Motor Evoked Potentials (MEP)

13.3.3     Visual Evoked Potential

13.3.4     Brainstem Auditory Evoked Potential (BAEPs)

13.4        Electromyography (EMG)

13.4.1     Market Size & Forecast

13.4.2     Free-running EMG

13.4.3     Stimulated EMG

13.5        Electroencephalogram (EEG) Market

 

14           IONM Market in North America By Application

14.1        Segment Overview

14.2        Neural Surgeries

14.2.1     Market Size & Forecast

14.3        ORthopedic Surgeries

14.4        ENT Surgeries

14.5        CARDIOVasular Surgeries

 

15           IONM Market in North America By Country

15.1        Segment Overview

15.2        US

15.2.1     Market Size & Forecast

15.3        Leading Trends, Enablers, and Restraints

15.4        Canada

15.4.1     Market Size & Forecast

15.5        Leading Trends, Enablers, and Restraints

 

16           Competitive Landscape

16.1        market overview

 

17           Key Company Profiles

17.1        Cadwell Industries INC.

17.1.1     Strength Assessment

17.1.2     Strategy Assessment

17.1.3     Opportunity Assessment

17.2        SpecialtyCare

17.2.1     Key Highlights

17.2.2     Strength Assessment

17.2.3     Strategy Assessment

17.2.4     Opportunity Assessment

17.3        Natus Medical Incorporated (Natus)

17.3.1     Key Highlights

17.3.2     Strength Assessment

17.3.3     Strategy Assessment

17.3.4     Opportunity Assessment

17.4        NuVasive Inc.

17.4.1     Key Highlights

17.4.2     Strength Assessment

17.4.3     Strategy Assessment

17.4.4     Opportunity Assessment

17.5        Medtronic plc

17.5.1     Key Highlights

17.5.2     Strength Assessment

17.5.3     Strategy Assessment

17.5.4     Opportunity Assessment

17.6        inomed Medizintechnik GmbH

17.6.1     Key Highlights

17.6.2     Strength Assessment

17.6.3     Opportunity Assessment

17.6.4     Strategy Assessment

 

18           Other Prominent Companies

18.1        Accurate Monitoring LLC

18.1.1     Strength Assessment

18.1.2     Strategy Assessment

18.1.3     Opportunity Assessment

18.2        Computational Diagnostics iNC. (CDI)

18.2.1     Strength Assessment

18.2.2     Strategy Assessment

18.2.3     Opportunity Assessment

18.3        Bromedicon Neuromonitoring LLC

18.3.1     Strength Assessment

18.3.2     Strategy Assessment

18.3.3     Opportunity Assessment

18.4        Clinical Neurodiagnostics LLC

18.4.1     Strength Assessment

18.4.2     Strategy Assessment

18.4.3     Opportunity Assessment

18.5        CNS Neuromonitoring

18.5.1     Strength Assessment

18.5.2     Strategy Assessment

18.5.3     Opportunity Assessment

18.6        Dr. Langer Medical GmBH

18.6.1     Strength Assessment

18.6.2     Strategy Assessment

18.6.3     Opportunity Assessment

18.7        IntraNerve LLC

18.7.1     Strength Assessment

18.7.2     Strategy Assessment

18.7.3     Opportunity Assessment

18.8        MEDSURANT HEALTH LLC

18.8.1     Strength Assessment

18.8.2     Strategy Assessment

18.8.3     Opportunity Assessment

18.9        Neuro Alert

18.9.1     Strength Assessment

18.9.2     Strategy Assessment

18.9.3     Opportunity Assessment

18.10      Neuromonitoring Technologies (NMT) INC

18.10.1  Strength Assessment

18.10.2  Strategy Assessment

18.10.3  Opportunity Assessment

18.11      Nihon Kohden CORP.

18.11.1  Strength Assessment

18.11.2  Strategy Assessment

18.11.3  Opportunity Assessment

 

19           Report Summary

19.1        Key Takeaways

19.2        Qualitative Summary of IONM Market in North Amemrica

19.3        Quantitative Summary of IONM Market in North America 2016–2022

 

20           Appendix

20.1        List of Abbreviations

               

               

               

 

               

 

               

List of Exhibits        

Exhibit 1         Segmentation of IONM Market in North America

Exhibit 2         Market Size Calculation Approach 2016

Exhibit 3         Schematic Representation of Neurotransmission

Exhibit 4         Mechanism of IONM

Exhibit 5         Common IONM Modalities

Exhibit 6         Evolution of IONM

Exhibit 7         Standard Steps Followed in IONM

Exhibit 8         Key Advantages of IONM

Exhibit 9         Projection of Aging Population in US (in million)

Exhibit 10       Projection of Canada’s Aging Population (in million)

Exhibit 11       Common Chronic Conditions in 65+ Population in US

Exhibit 12       Increase in Volume of Hip Replacements in US and Canada

Exhibit 13       Number of Hospitals Utilizing IONM in the US 2008 and 2012

Exhibit 14       Varied Surgeries Specialties Utilizing IONM Techniques

Exhibit 15       Snapshot of Out-sourced IONM Over In-sourced IONM

Exhibit 16       CNIM Certifications Per Year in the US 2001–2006

Exhibit 17       Additional Costs of IONM Utilized MIS-TLIF Surgery

Exhibit 18       Demand for Remote IONM in US

Exhibit 19       List of Key Portable and Multi-Modal IONM Devices

Exhibit 20       Factors Contributing to Increased Demand for IONM in North America

Exhibit 21       IONM Market in North America ($ million)

Exhibit 22       Five Forces Analysis 2016

Exhibit 23       IONM Market in North America by Source Type

Exhibit 24       Percentage Share of In-sourced and Out-sourced IONM

Exhibit 25       IONM Market in North America by Source Type ($ million)

Exhibit 26       Key Beneficial Aspects and Drawbacks of In-sourced IONM

Exhibit 27       In-sourced IONM Market in North America: Size and Forecast ($ million)

Exhibit 28       End-users of Out-Sourced IONM Service Providers

Exhibit 29       Key Benefits of Outsourced IONM Services

Exhibit 30       Out-sourced IONM Market in North America: Size and Forecast ($ million)

Exhibit 31       North America IONM Market by Modality

Exhibit 32       Percentage Share of EP, EMG, and EEG

Exhibit 33       North America IONM Market Lucrativeness by Modality 2022

Exhibit 34       IONM Market in North America by Modality ($ million)

Exhibit 35       Comparison of Growth Rates for EP, EMG, and EEG

Exhibit 36       Types of Evoked Potentials Used as IONM Modalities

Exhibit 37       Evoked Potential Market in North America: Size and Forecast ($ million)

Exhibit 38       Common MEP Indicated Surgeries

Exhibit 39       Common VEP Indicated Surgeries

Exhibit 40       Common BAEP Indicated Surgeries

Exhibit 41       Snapshot of Basic EMG Techniques

Exhibit 42       Key EMG Indicated Surgeries

Exhibit 43       EMG Market in North America: Size and Forecast ($ million)

Exhibit 44       Key EEG Indicated Surgeries

Exhibit 45       EEG Market in North America: Size and Forecast ($ million)

Exhibit 46       IONM Market in North America by Application

Exhibit 47       Percentage Share of Surgical Specialties

Exhibit 48       IONM Market North America Lucrativeness by Application 2022

Exhibit 49       Incidence of Brain and Nervous System Tumors in US and Canada 2012–2025

Exhibit 50       Increase in IONM Utilization Rates for Depression and Simple Fusion in US

Exhibit 51       Common IONM Procedures Recommended for Specific Neural Procedures

Exhibit 52       IONM Market in North America: Size for Neural Surgeries ($ million)

Exhibit 53       Surgical Volume of Common Orthopedic Surgeries in US (in’000)

Exhibit 54       Surgical Volume of Common Orthopedic Surgeries in Canada

Exhibit 55       Common IONM Procedures Recommended for Specific Orthopedic Procedures

Exhibit 56       IONM Market in North America: Size for Orthopedic Surgeries ($ million)

Exhibit 57       Incidence of Thyroid Cancer in US and Canada

Exhibit 58       Common IONM Procedures Recommended for ENT- Specific Procedures

Exhibit 59       IONM Market in North America: Size for ENT Surgeries ($ million)

Exhibit 60       Decrease in Volume of PTCA Surgeries in US 2006–2014

Exhibit 61       North America IONM Market Size for Cardiovascular Surgeries ($ million)

Exhibit 62       IONM Market in North America By Country 2016

Exhibit 63       Market Revenue Growth Rates Comparison by Country 2017–2022

Exhibit 64       IONM Market in North America Lucrativeness by Country 2022

Exhibit 65       Volume of Common In-patient Surgical Procedures in US (in '000s)

Exhibit 66       IONM Market in US ($ million)

Exhibit 67       Key IONM Market Dynamics in US

Exhibit 68       IONM Market in Canada 2016–2022 ($ million)

Exhibit 69       Key IONM Market Dynamics in Canada

Exhibit 70       Snapshot of IONM Competitive Scenario

 

List of Tables

Table 1            Key Caveats

Table 2            Currency Conversion 2013−2016

Table 3            Federally Funded Key Health Insurance Programs in US

Table 4            IONM Related Primary CPT Codes (2017)

Table 5            IONM Add-on Reimbursement Codes Description, 2017

Table 6            IONM Add-on Reimbursement Codes, Key Considerations

Table 7            Key Features of Advanced IONM Equipment

Table 8            YOY Impact of Market Enablers

Table 9            Complications/Limitations of Selected IONM Modalities

Table 10         YOY Impact of Market Restraints 2016–2022

Table 11         Key Mergers and Acquisitions in IONM Market

Table 12         YOY Impact of Trends and Opportunities

Table 13         IONM Market in North America by Source-Type, 2016 – 2022 ($ million)

Table 14         IONM Market in North America by Modality, 2016 – 2022 ($ million)

Table 15         Key Surgeries Monitored through SSEP

Table 16         IONM Market in North America by Application, 2016 – 2022 ($ million)

Table 17         Key Hospitals Offering IONM in Canada

Table 18         Natus Medical, IONM Product Portfolio 2017

Table 19         Medtronic IONM Product Portfolio

Table 20         inomed's IONM product portfolio 2017

Table 21         Qualitative Summary of IONM Market in North America

Table 22         Quantitative Summary of IONM Market in North America by Country ($ million)

Table 23         Quantitative Summary of IONM Market in North America by Source Type ($ million)

Table 24         Quantitative Summary of IONM Market in North America by Modality ($ million)

Table 25         Quantitative Summary of IONM Market in North American by Application ($ million)

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