Tag Archives: microwave

Growth of Ablation Technologies, Applications, Worldwide

The growth in sales of a medical technology is dictated by a unique combination of a specific technology in a specific clinical application in a specific geographic market.

In the Smithers Apex report, The Future of Tissue Ablation Products to 2020, the markets for the different ablation technology types were assessed per application in each of the major world geographies. See the groupings, below:

Ablation Types and Clinical Applications:

  • Electrosurgical/radiofrequency
    • Cardiac
    • Surgical
  • Microwave
    • Oncologic
    • Urologic
  • Laser
    • Aesthetic
    • Ophthalmic
    • Surgical
  • External Beam Radiation Therapy (EBRT)
    • LINAC Systems
    • Cobalt-60
  • Cryoablation
    • Cardiac & Vascular
    • Oncologic Surgery
    • GYN Surgery
    • Dermal/Cutaneous Surgical
  • Ultrasound
    • Ophthalmic (Cataract) Surgical
    • Multipurpose Surgical
    • Urologic Surgical
    • Multipurpose High Intensity Focused Ultrasound (HIFU)

Geographic Areas:

  • United States & Other Americas
  • Largest Western & European States
  • Major Asian States
  • Rest of World

The Smithers Apex report contains the detailed assessment of ablation technology sales in each combination of technology, geography and clinical application. Below is illustrated graphically, sorted by compound annual growth rate in sales, each of the combinations.

Growth of Ablation Technologies by Clinical Application and Geography, 2014-2020

image001

Source: Smithers Apex

 

Growth of modalities in tissue ablation

An examination of the future markets for technologies used in therapeutic ablation has support for a general and sustained growth in ablation technology revenues:

Ablation-modality-growth-revenues

Source: Report #A145

However, when considering the relative growth of each of the modalities in tissue ablation, it is clear that some modalities are growing more aggressively than others:

Ablation-modality-growth-shares

Source: Report #A145

The “traditional” types of tissue ablation — electrosurgery and radiation therapy — are losing relative share as new modalities are able to penetrate caseload of other modalities, or even tap previously untreated patients and increase the aggregate caseload. In particular, radiofrequency and cryotherapy will demonstrate the highest growth over the 2011 to 2019 period.

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Ablation technology markets

Ablation technologies are used to destroy ("ablate") diseased or traumatized tissue for therapeutic benefit.  This includes destruction of cancerous tumors, ablation of endometrial tissue associated with endometriosis or abnormal uterine bleeding, creation of myocardial lesions to block the errant electrical signals in arrhythmia, and numerous others.

The largest share of the market for energy-based ablation devices is used in cancer therapy, primarily using the radiation therapy modality. Following that is general surgery with its use of electrocautery and electrosurgical devices, RF ablation, cryotherapy, etc. Cardiovascular applications are growing, particularly for cryoablation and radiofrequency ablation for arrhythmia, and now represent hold the third largest clinical area of ablation. The remaining applications are relatively small and fall in line behind the three leading sectors.

In the aggregate (i.e., for each modality worldwide), the largest segment is radiation-based ablation technologies, based to a large degree on the cost of the systems and their well-established use in clinical practice. 

Below is a chart of the 2011 markets for ablation technologies by modality, with their projected compound annual growth rates (CAGRs) from 2011 to 2019.

Source: "Ablation Technologies Worldwide Market, 2009-2019: Products, Technologies, Markets, Companies and Opportunities" (MedMarket Diligence Report #A145)

Ablation technologies proliferate from their many clinical benefits

Surgical management of soft tissues via "ablation" therapies, in which alternative energy types (radiation, electrosurgcal, ultrasound, etc.) are applied to excise, destroy, or otherwise produce a therapeutic effect at the tissue level has undergone a proliferation in development with all of these alternatives vying for caseload in clinical applications as diverse as tumor ablation, arrhythmia ablation, endometrial ablation for treatment of endometriosis, ophthalmic procedures for vision and disease treatment, cosmetic, and many others.

The alternatives run the gamut from well established, high volume, low growth procedures like conventional x-ray to emerging, relatively low volume, high growth procedures like microwave ablation in cancer and arrhythmia ablation, and every other type of procedure in between.

Below illustrates the growth versus market size distribution of ablation technology alternatives.

ablation-bubbles

Source:  MedMarket Diligence, LLC; Report #A125, "Ablation Technologies Worldwide:  Products, Technologies, Markets, Companies and Opportunities."

 

Select technologies in ablation are among the most dynamic growth markets in the entire medtech sector.  The therapeutic and other benefits with these technologies included that they are typically less invasive than traditional surgery and are generally employed without the need for an implant. The therapies can be precisely metered and can be repeated. Emerging energy modalities therefore have the potential to grow at significant, double-digit rates over the next decade as delivery systems evolve.

High Growth Markets in Ablation Technologies

A cursory review of data in the recent MedMarket Dilgence report #A125 reveals the countries with the highest expected growth rates in markets for ablation technologies.

Based on the growth in the ablation modality segments (e.g., radiofrequency, microwave, cryosurgery, thermal, ultrasound, etc.)  that comprise each country’s total ablation market, the countries with the highest ablation market growth are India and China.  The high growth in these countries ensues from how nascent these markets are, since potential application of ablation in these countires have yet to be tapped to any significant extent (the current market for ablation in India is $190 million compared to the U.S. market at $12.9 billion).

 

Ablation Technologies Market by Country
Compound Growth Rate 2008 to 2017

 

 
Country/Region
CAGR 2008-2017
India
23.2%
China
22.6%
BeNeLux
22.2%
Mexico
19.6%
Spain
19.3%
Australia
18.5%
Italy
17.6%
France
16.5%
Brazil
15.9%
United Kingdom
15.9%
Japan
15.1%
Germany
14.7%
Canada
14.6%
U.S.A.
12.5%
Rest of World
12.1%
 
Source: Report #A125, Worldwide Ablation Technologies
 
 

 

 

 

Ablation and Other Medtech Developments: How to Do Things Differently, Sometimes Better

 [Insight:  One of the more fascinating aspects of medical technology development is the penchant in the industry for finding different ways to accomplish traditional tasks in medical and surgical care.  While certainly some technologies can be oversold for their putative clinical benefits — driving up healthcare costs and giving the industry a bad rap — some medtech advances indeed provide clinically better outcomes that few can legitimately argue, IMHO, as not being cost effective.  These include major technology paradigm shifts like laparoscopic surgery.  Another area that has shown a progressive set of changes to medical and, especially, surgical care, has been ablation technologies, the use of energy-based and other technologies to accomplish the dissection of tissue, the destruction of cancerous and other lesions and other functional alternation of tissue (e.g., in arrhythmia ablation) that was in most cases previously accomplished by, for the most part, a scalpel only (OK, a little simplified, but you get the idea).  These ablation technologies now represent a pretty strong market or collection of market segments that are changing the way surgeons manipulate tissue.  Below are some highlights of how the market breaks down by different modality.  We also present some of the recent M&A activity in this industry.  For additional details on ablation technologies, see the tag or category of  "ablation" (or any of the separate modalities) in this blog. – Patrick Driscoll, Founder, MedMarket Diligence]


The worldwide high energy therapies market represents a $25 billion opportunity in 2008. The category consists of therapeutic devices and equipment that deliver the controlled application of one or more modalities of energy to tissue. 

Global Ablation and Other Energy-Based Therapies 
Market Share and Compound Annual Growth Rate by Modality

 

Energy Modality
% Total Market
CAGR
2003-2013
Electrical
42%
12%
Radiation
24%
7%
Light
10%
11%
RadioFrequency
 9%
18%
Ultrasonic
 7.5%
16%
Cryogenic
 5%
18%
Thermal
 1.25%
18%
Microwave
 0.75%
22%
Hydromechanical
 0.5%
12%
 Total
100%
11%

Source:  MedMarket Diligence report #A125, "Worldwide Ablation Technologies 

The field of energy-based companies is well populated, partly because there are several different categories of energy application in clincial medicine, and because companies tend to be focused on single or tightly-focused energy applications. Thus there are companies specialising in cryoablation, thermal ablation, electrosurgery, brachytherapy and so on. Many companies have entered this field offering a new technology in one particular form of energy application.

A growing tendency in recent years has been the acquisition by larger, multifunctional medical device companies of smaller and often newer energy-based companies, as a means of adding a new technology to their portfolio. The past five years have seen many mergers and acquisitions of this kind involving energy-based companies. Exhibit 4-1 shows some examples of M&A activity from the past three years. 

M&A Activity Among Energy-based Companies
 
Acquirer
Target
Year
Technology
Cytyc
Proxima Therapeutics
2005
Radiation Therapy
Angiodynamics
RITA
2007
RFA
Hologic
Cytyc
2007
Endometrial ablation
St Jude
EP Medical Systems
2008
Cardiac electrophysiology
Boston Scientific
Guidant
2006
Pacemakers, defibrillators, etc
Olympus
Gyrus
2007
Radiofrequency
HealthTronics
Advanced Medical
Partners
2008
Cryotherapy
American Medical Systems
Laserscope
2006
Laser therapy
Galil Medical
Oncura
2006
Cryoablation
Guidant
AFx
2004
Microwave
Warburg Pincus
Bausch & Lomb
2007
Excimer laser
Valleylab (Covidien)
Vivant
2005
Microwave
Olympus
Celon
2004
Radiofrequency thermotherapy
TheraGenics
Galt Medical
2006
 
Gyrus
ACMI
2005
Thermal therapy
Guidant
AFx
2004
Microwave
Boston Scientific
Cryocor
2008
Cryoablation
HealthTronics
Endocare
2008 (pending)
Cryoablation

Source:  MedMarket Diligence report #A125, "Worldwide Ablation Technologies 

European Ablation Markets, by Segment and Country

The major national markets in Western Europe for ablation technologies account for almost 12% of the global ablation market. Their share of the total medical device market is around 30%. Healthcare spending per capita is broadly similar across all the countries for which an example forecast (France) is provided below, ranging from approximately one-quarter to half of the equivalent expenditure in the USA. Apart from this variance, the inter-country differences in ablation market size are mainly a factor of different population sizes.

Source: MedMarket Diligence Report #A125

Source: MedMarket Diligence Report #A125

Below is a description of the MedMarket Diligence report #A125:

This report is a detailed market and technology assessment and forecast of the products and technologies in the ablation market for treatment of soft tissues via energy-based modalities, including electrosurgery, radiosurgery, gamma knife, brachytherapy, cryogenic therapy, fluidjet therapy (hydrotherapy), microwave ablation, radiofrequency ablation, laser, thermal ablation, and ultrasonic ablation.

The report describes alternative energy-based technologies and the nature of their effect on soft tissue, the underlying basis of the technology, the requisite systems for their use (including capital equipment, devices and disposables), and their strengths and weaknesses for specific clinical applications. The report details current and anticipated target applications and assesses the current and forecast caseload for each energy-based therapeutic considering competition from any and all alternative energy-based or other therapeutics, with current and worldwide market forecasts (2008-2017) segmented by technology type and specific clinical segment. The report provides segmentation of the worldwide ablation market by both ablation technology and region/country: Americas (USA, Canada, Mexico, Brazil), Europe (Germany, United Kingdom, France, Italy, Spain, BeNeLux), Asia/Pacific (Japan, China, India, Australia) and Rest of World. The report details the current and emerging products, technologies and markets for each energy-based therapy. The report profiles over 60 key companies in this industry detailing their current products, current market position and products under development.


The Report #A125, “Ablation Technologies Worldwide Market, 2008-2017: Products, Technologies, Markets, Companies and Opportunities,” is described in full at link. The report may be order for immediate download online or my be purchased via Google Checkout below.


























Radiofrequency Ablation Products Available and in Development

 
From Report #A125, “Ablation Technologies Worldwide, 2008-2017″, published September 2008. See link.

Below are selected radiofrequency ablation products, their applications and their status of regulatory approval.
 

[Table=11]

 


For additional information on Report #A125, see link. The report may be purchased online or via Google Checkout, below.
 

Energy-Based Technologies (Ablation, Other), 2007-2017, Worldwide

Ablation Worldwide Market, 2007 to 2017

Ablation Worldwide Market, 2007 to 2017

Technologies for ablation and other energy-based treatments in medical/surgical markets are currently dominated by electrosurgical-type therapies, but a growing array of other modalities are creating new applications or penetrating existing ones.

At right is shown the forecast, by modality type, of ablation and other energy-based therapies through 2017. The most significant growth is expected to come from microwave, thermal, hydromechanical and cryotherapy, each of which will demonstrate compound growth rates in excess of 15% annually.


Excerpt from report #A125, “Ablation Technologies Worldwide Market,” (August 2008).  See link.  Report #A125, “Ablation Technologies Worldwide”, may be purchased online.

Ablation: An Energized Market

The post below has been superceded by the 2010 analysis, "Ablation Technologies Worldwide Market 2009-2019".  See link for details.  See also "Japanese Ablation Market", "Cryotherapy and Cryosurgery", and "Radiofrequency ablation devices".

(See July 2010 report #A145, "Ablation Technologies Worldwide Market, 2009-2019," from MedMarket Diligence, LLC.  May be purchased online.)

Energy-based therapies generate sales of $13 billion in the United States alone, with probably another $12 billion in other developed markets worldwide. This represents around 13% of the total medical device market, and it is growing at 11% per annum—twice the growth rate for medical devices overall.

Several kinds of energy are used for medical purposes, including electrical energy, radiation, thermal and light (see chart, “Energy-Based Therapies by Modality”). When the market is analyzed by function, it emerges that the fastest-growing area within this dynamic sector is ablation therapies: a segment that includes devices using electrical, radiofrequency, thermal and other forms of energy. A Market of $25 Bln and Growing The total market for energy-based therapies is estimated at $25 billion, of which 60% is in the United States and the rest mainly concentrated in developed economies around the world. Ablation therapies consist of several market segments. Arrhythmia ablation generates sales estimated at $60 million in the United States and $50 million internationally; ablation products for cancer therapy are valued at $225 million, of which $125 million are generated in the United States. Thus ablation therapies for these two leading indications—almost all consisting of RF devices and consumables—generated sales around $335 million in 2007. In fact, total RF ablation therapy sales are estimated at $1.5 billion worldwide. Also, this sector is growing much faster than the energy sector overall—annual rates are in the range 25%–30%. Demographic Factors—Growth of the market for ablation therapies is based partly on dynamic changes in demographics. The baby boomer generation (i.e., the 78 million Americans born between 1946 and 1964) represents about one-third of the U.S. population and a similar proportion of the population of other developed countries. These maturing citizens have both the economic means and the demand for therapies that can extend their active lives and delay the visible signs of aging. Pushing the growth of energy therapies beyond basic changes in demographics are the unique benefits that they offer. They are typically less invasive and are generally employed without the need for an implant. The therapies can be precisely metered and can be repeated. Emerging energy modalities have the potential to grow at significant, double-digit rates over the next decade as delivery systems evolve. Technological Change—The ablation market is also driven by technological innovation. First-generation ablation devices and catheters have been supplanted by more sophisticated newcomers. Some of the improvements are incremental, other represent more fundamental innovation. Typical is the recent introduction by VNUS Medical Technologies of the ClosureFAST catheter, an endovenous radio frequency (RF) ablation catheter that is designed to heat, shrink and close diseased saphenous veins (large leg veins) in three to five minutes. VNUS claims treatment is as fast as laser ablation devices and causes minimal pain and bruising. The entire procedure, from insertion of the catheter to removal, can be completed in approximately 16 minutes—less than half the time required for previous RF-based procedures. The ClosureFAST catheter received FDA clearance in August 2006, and is now in general distribution.

A Handful of Companies Dominate

The energy-based medical device industry is led by a small group of companies: Medtronic, which has 30% share; St. Jude Medical, with 12%, and Varian Medical Systems, with 10%. A fourth strong presence was, until a few months ago, Boston Scientific, which had acquired Guidant, one of the pioneers in the field. However, Boston’s cardiac and vascular surgery business has been absorbed by the Swedish group Getinge (see MedMarkets, January 2008, “MedTech Companies Refine Therapies for Cardiac Ablation“) and is being marketed under the Maquet Cardiovascular name. Boston Scientific has retained its Blazer, Chilli, Steerocath and Maestro ablation systems for cardiac applications. In terms of ablation therapies, different market contenders make their appearance. Valleylab, a division of Covidien, is a leader in the field of RF ablation for general surgery. In the arrhythmia ablation segment, the Johnson & Johnson company Biosense Webster has a significant share, competing with CryoCath Technologies, AtriCure, Getinge and St. Jude Medical.

Ablation Therapy in Cardiology

Ablation therapy using RF waves is used to cure or treat a variety of cardiac arrhythmias such as supraventricular tachycardia, Wolff-Parkinson-White syndrome, ventricular tachycardia and especially atrial fibrillation. The term laser ablation is a process by which the molecular bonds of a material are dissolved by a laser; the technique is used as a part of percutaneous transluminal coronary angioplasty (PTCA) to dissolve plaque and restore patency in stenosed coronary vessels. Rotoablation, also used in PTCA, consists of inserting a tiny, diamond-tipped, drill-like device into the affected artery to remove fatty deposits or plaque. The major and fastest-growing use of ablation in cardiology is in the management of atrial fibrillation. Fibrillation is a disorder in which the orderly sequential propagation of an electrical impulse throughout the heart (which controls the heartbeat), is disrupted by multiple impulses so that the heart’s rhythm is disrupted. Atrial fibrillation involves ablating select areas of the heart’s upper chambers, which receive blood from the systemic and pulmonary circulations and pass it on to the ventricles. Before the development of ablation therapy, treatment of atrial fibrillation consisted of drugs to control the heart rhythm, and surgery in selected cases. The object of surgery was to cut away tissues in the heart that were transmitting the errant electrical impulses. This was an open-heart procedure with all the attendant risks, and recovery usually took eight weeks or more. Ablation therapy, like PTCA, is essentially noninvasive; a special ablation catheter is inserted into a peripheral vein and threaded up to the heart, where it is carefully positioned. RF pulses are then generated at the catheter tip to destroy tissue in the immediate vicinity. A series of such pulses is required to disrupt the abnormal electrical pathways.

Ablation Therapy in Cancer

A major and growing use of ablation is in the treatment of solid tumors, especially in the liver, lung, kidney and prostate. RF ablation is a minimally invasive, FDA-approved treatment for cancer. Physicians worldwide have used RF ablation to treat thousands of patients for liver/kidney tumors, and bone cancer pain. RF ablation is an image-guided technique that kills cancer cells by heating and destroying them. It is an alternative when surgery is not likely to be successful or has failed, or when other medical conditions increase the risk of surgery. In these cases, RF ablation can offer an effective treatment for small cancers; it is minimally invasive with no skin incision and there is minimal risk to the patient (who typically suffers little or no pain). The technique is cost-effective, with minimal hospital stay, and the procedure can be repeated if a new cancer appears. Liver—RF ablation has achieved excellent results in treating primary liver tumors such as hepatoma or hepatocellular carcinoma. These tumors tend to grow slowly and are usually encapsulated. The technique is especially useful for patients who are not ideal surgical candidates, who cannot undergo surgery, who have recurrent tumors or who do not respond to conventional therapies. Liver cancers most likely to be good candidates for RF ablation include tumors 4 cm diameter or smaller; cases with no more than three tumors per patient; and patients waiting for a liver transplantation who have a hepatoma. The most common metastatic disease in the liver treated by RF ablation has been colon cancer. As with primary liver cancers, results are good if the tumors are small and few, and if there is no evidence of metastatic disease elsewhere, RF ablation can also be combined with surgery to treat patients who have several tumors in different locations. Reports indicate that RF ablation results in complete cell death in the majority of hepatomas 3 cm–4 cm in size. Patients who have residual tumors can be re-treated if necessary. In patients who have metastatic colon cancer, re-treatment results are similar. Lung Cancer—Lung cancers are among the most intractable of malignancies and the mortality rate remains high. Any incremental improvement in therapy is therefore to be welcomed. RF ablation may be an alternative nonsurgical treatment for selected patients who have cancers that are limited in size (less than 3 cm in diameter) and few in number (one or two). Tumors should be separate from vital structures in the body. RF ablation may also help lung cancer patients who are not candidates for traditional surgery due to advanced disease in the lungs, poor cardiac function and/or poor pulmonary function. Kidney Cancer—Experience of RF ablation in kidney tumors is considerably less than with liver tumors. However, early results at the Mayo Clinic indicate that RF ablation is very effective for small tumors. In the Clinic’s experience with more than 70 patients, the tumor was destroyed in more than 95% of patients treated. Surgery is the treatment of choice for most kidney tumors; however, RF ablation might be considered for patients who have only one kidney, or who have other medical conditions that might prevent surgery; also for elderly patients who might have difficulty with surgery or postsurgical recovery, and in cases where the tumor is less than 4 cm in size.

Diverse Factors Drive Market Growth

The ablation device market is a buoyant one supported by a number of significant growth drivers, and its annual growth is almost certain to be in the range of 15%–25% over the next few years. The industry landscape is changing with the introduction of new technologies and the development of new indications for ablation-based therapy. This market will be strongly influenced by a new graying population who knows what it wants in terms of health care and who are intensely cost-conscious.

Company Product Energy Modality Primary Application Market Segment
Accuray Cyberknife Radiation Tumor ablation Cancer
Atricure Coolrail Pen RF Arrhythmias Cardiovascular
Biosense Webster (Johnson & Johnson) Thermocool RF Atrial arrhythmias Cardiovascular
Cryocath Technologies Freezor Cryoablation System Thermal AV tachycardia Cardiovascular
Elekta Gamma Knife Radiation Tumor ablation Cancer
EndoCare Cryocare CS Cryogenic Prostate cancer Cancer
ERBE Erbokryo CA Cryogenic Pulmonary Cardiovascular
  ErbeJet 2 Hydro Soft tissue ablation General surgery
Ethicon EndoSurgery (Johnson & Johnson) Harmonic Scalpel Ultrasonic Soft tissue ablation General surgery
Focus Surgery Sonablate 500 Ultrasonic Prostate cancer Cancer
Galil Medical Presice Cryogenic Prostate, kidney cancer Cancer
Gynecare (Johnson & Johnson) ThermaChoice Thermal Gynecological General surgery
Gyrus (Olympus) PK Tissue Management System RF Gynecological General surgery, urology, gynecology
Healthtronics Ossatron Ultrasonic Chronic proximal plantar fasciitis Orthopedic
Hologic MammoSite Radiation Breast cancer Cancer
Imagyn isoStar Radiation Prostate cancer Cancer
Insightec ExAblate 2000 Ultrasonic Uterine fibroids Cancer
Integra LifeSciences Sonotom Ultrasonic Soft tissue ablation General surgery
Irvine Biomedical (St. Jude Medical) Therapy RF Atrial arrhythmias Cardiovascular
Maquet Critical Care (Medical Systems division of Getinge) RF 3000 RF Hepatic cancer Cancer
Medical Technologies OrthoWave Ultrasonic Chronic pain Orthopedic
Medtronic Cardioblate RF Atrial arrhythmias Cardiovascular
Mentor Best Palladium-103 Radiation Prostate cancer Cancer
Microsulis MEA Microwave Menorrhagia Gynecology
Mitek (Johnson & Johnson) VAPR II RF Arthroscopic Orthopedic
Olympus Sonosurg Ultrasonic Soft tissue ablation General surgery
OmniSonics Resolution 360 Microwave Vascular disease Cardiovascular
Oncura Rapid Strand Radiation Prostate cancer Cancer
ProSurg RF GEL RF BPH General surgery
Radionics Cool-Tip RF Soft tissue ablation Cancer
Radiotherapeutics RF 3000 RF Tumor ablation Cancer
RITA Medical Rita RF Ablation System RF Tumor ablation Cancer
Sanarus Visica Cryogenic Soft tissue ablation Benign breast tumors
SenoRx Shape Select RF Breast cancer Cancer
Siemens Sonocur Ultrasonic Lateral epicondylitis Orthopedic
Smith & Nephew Versajet Hydro Soft tissue ablation General surgery
  Vulcan RF Capsular shrinkage Orthopedic
Somatex LITT Thermal Tumor ablation Cancer
Spectranetics CVX-300 Light Ischemia Cardiovascular
Spectrasonics HIFU Ultrasonic Atrial fibrillation Cardiovascular
St. Jude Medical Epicor Ultrasonic Atrial fibrillation Cardiovascular
  Current, Promote RF Cardiac arrhythmias Cardiovascular
Theragenics Theraseed Radiation Prostate cancer Cancer
TissueLink DS 3.0 RF Hepatectomy General surgery
U.S. Surgical (Covidien) AutoSonix Ultrasonic Soft tissue ablation General surgery
Urologix Targis Ultrasonic BPH General surgery
  Prostatron Ultrasonic BPH General surgery
Valleylab CoolTip RF Nonresectable liver tumors General surgery
Varian RapidArc linear accelerator Radiation Tumor ablation Cancer
VNUS Medical Technologies ClosureFast RF Saphenous vein closure Vascular

Links Accuray (Sunnyvale, CA; http://www.accuray.com) AngioDynamics (Queensbury, NY; http://www.angiodynamics.com) AtriCure (West Chester, OH; http://www.atricure.com) AutoSuture (See Covidien) Biosense Webster (Diamond Bar, CA; http://www.biosensewebster.com) Boston Scientific (Natick, MA; http://www.bsci.com) Covidien (Mansfield, MA; http://www.covidien.com) CryoCath Technologies (Montreal, Quebec, Canada; http://www.cryocath.com) DePuy Mitek (Westwood, MA; http://www.mitek.com) Elekta (Stockholm, Sweden; http://www.elekta.com) Endocare (Irvine, CA; http://endocare.com) ERBE Elektromedizin (Tubingen, Germany; http://www.erbe-med.com) Ethicon Endo-Surgery (Cincinatti, OH; http://ethiconendo.com) Focus Surgery (Indianapolis, IN; http://www.focus-surgery.com) Galil Medical (Yokneam, Israel; http://www.galilmedical.com) Getinge (Getinge, Sweden; http://www.getinge.com) Gynecare (Somerville, NJ; http://www.gynecare.com) Gyrus Group (Reading, England; http://www.gyrusacmi.com) HealthTronics (Austin, TX; http://www.healthtronics.com) Hologic (Bedford, MA; http://www.hologic.com) InSightec (Tirat Carmel, Israel; http://www.insightec.com) Integra LifeSciences (Plainsboro, NJ; http://www.integra-ls.com) Integra Radionics (Burlington, MA; http://www.radionics.com) Irvine Biomedical (See St. Jude Medical) Johnson & Johnson (New Brunswick, NJ; http://www.jnj.com) Maquet Cardiovascular (Solna, Sweden; http://www.maquet.com) Medtronic (Minneapolis, MN; http://www.medtronic.com) Mentor (Santa Barbara, CA; http://www.mentorcorp.com) Microsulis (Waltham, MA; http://www.microsulis.com) MTS (Konstanz, Germany; http://www.mts-medical.com) Olympus Surgical Orangeburg, NY; http://www.olympussurgical.com) OmniSonics (Wilmington, MA; http://www.omnisonics.com) Oncura (Plymouth Meeting, PA; http://www.oncura.com) ProSurg (San Jose, CA; http://prosurg.com) RITA Medical (See AngioDynamics) Salient Surgical Technologies (Dover, NJ: http://www.tissuelink.com) Sanarus Medical (Pleasanton, CA; http://www.sanarus.com) SenoRx (Aliso Viejo, CA; http://www.senorx.com) Siemens Medical Solutions (Malvern, PA; http://www.smed.com) Smith & Nephew (London, U.K.; http://www.smith-nephew.com) Somatex Medical Technologies (Teltow, Germany; http://www.somatex.com) Spectranetics (Colorado Springs, CO; http://www.spectranetics.com) Spectrasonics (Wayne, PA; http://www.spectrasonics.com) St. Jude Medical (St. Paul, MN; http://www.sjm.com) Theragenics (Buford, GA; http://www.theragenics.com) TissueLink Medical (see Salient Surgical Technologies) U.S. Surgical (See Covidien) Urologix (Minneapolis, MN; http://www.urologix.com) Valleylab (Boulder, CO; http://www.valleylab.com) Varian Medical Systems (Palo Alto, CA; http://www.varian.com) VNUS Medical Technologies (San Jose, CA; http://www.vnus.com)


Report #A125, "Ablation Technologies Worldwide", may be purchased online or via Google Checkout (below).