US Market Report for Stone Management Devices 2016 - MedCore
|出版商||iData Research Inc.||商品編碼||362126|
|美國的結石管理設備的市場分析 US Market Report for Stone Management Devices 2016 - MedCore|
|出版日期: 2016年07月01日||內容資訊: 英文||
現在，開發、上市了膽囊結石、尿結石的治療、除去的各種設備和手法。代表性的是ESWL (體外震波碎石術) ，近幾年微創性的手法ISWL (體內衝擊波碎石術) 也開始普及。
本報告提供美國的結石管理用設備的市場相關分析，整體市場規模的成果值、預測值，及各產品種類 (體外震波碎石術 (ESWL)，鈥雷射 (Er:YAG雷射)，尿道支架等)的詳細趨勢等調查、估計，主要的推動及阻礙市場要素，近幾年的企業間競爭、市場佔有率的變化的資訊彙整，為您概述為以下內容。
There are numerous methods for treating and removing kidney and urinary stones. Treatments can be classified as either extracorporeal or endoscopic stone management procedures.
Extracorporeal shock wave lithotripsy (ESWL) treatment uses an ultrasound device to fragment the stone until it is small enough to be passed through the urethra. This is a non-invasive outpatient procedure that generally takes one hour to complete and is performed under local anesthesia. Typically, ESWL is used for small to medium-sized stones between 1/6 inch and one inch in size. On average, stones re-form in 20% of ESWL patients because fragments are not completely excreted. Complications associated with ESWL include blocked urine flow from fragments in the urinary tract, bleeding and urinary tract infection. In addition, ESWL is rarely used on cystine kidney stones because these do not break up easily.
Alternatively, urinary tract stones can be removed or managed using endoscopic procedures commonly known as ureteroscopies or cystourethroscopies. A transurethral endoscope carries instruments through the urethra, bladder and ureters in order to fragment or, if the stones are small enough, remove the stones entirely. Stone fragmentation is known as lithotripsy. At the present time, intracorporeal lithotripsy is frequently conducted using Holmium lasers and devices that deliver kinetic or mechanical energy or intracorporeal shock wave lithotripsy (ISWL) devices. ISWL is a minimally invasive procedure and can be performed on patients for whom ultrasound has been deemed ineffective or insufficient to treat the stones. For urinary tract stones, a ureteroscope is inserted into the ureters through the urethra and bladder, where shock waves are delivered to fragment the stones. This report suite discusses pneumatic, ultrasonic, combination and electrohydraulic lithotripsy.
This report suite defines intracorporeal non-lithotripsy procedures as endoscopic removal of stones without fragmenting them first with ISWL. These procedures use retrieval devices such as alligator forceps or grasping forceps to crush the stone and remove the fragments or remove the stones whole. In addition, stone retrieval devices can be used to clinch the stone while treatment is being applied. The size, shape and location of the stone as well as the lithotripter being used are the primary determinants of which devices will be used. Stone retrieval devices can be segmented into two varieties based on their material. In the past, stainless-steel stone removal baskets were the standard. However, the emergence of the nitinol basket has shifted the market despite the cost premium.