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市場調查報告書

美國的微創 (MIS) 脊椎移植市場

Minimally Invasive Spinal Implant Market Report Suite for US - 2017-2023 - MedSuite (Includes 9 Reports)

出版商 iData Research Inc. 商品編碼 601882
出版日期 內容資訊 英文 821 Pages
商品交期: 最快1-2個工作天內
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美國的微創 (MIS) 脊椎移植市場 Minimally Invasive Spinal Implant Market Report Suite for US - 2017-2023 - MedSuite (Includes 9 Reports)
出版日期: 2017年04月01日 內容資訊: 英文 821 Pages
簡介

本報告提供美國的微創 (MIS) 脊椎移植市場相關調查分析,市場分析 (銷售台數,ASP,市場金額、成長率趨勢) 、推動市場要素與阻礙要素,競爭分析,最近的M&A等系統性資訊。

摘要整理

美國的微創 (MIS) 脊椎移植市場概要

競爭分析

市場趨勢

市場發展

治療數量

對象的醫療編碼

對象市場

主要的調查更新

版本履歷

第1章 調查手法

第2章 美國的微創 (MIS) 脊椎移植市場概要

  • 簡介
  • 市場概要
  • 趨勢分析:各市場區隔
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第3章 治療數量

  • 簡介
  • 治療數量

第4章 微創 (MIS) 椎間設備市場

  • 簡介
  • 市場概要
  • 市場分析與預測
    • 綜合市場
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第5章 微創 (MIS) 椎弓骨釘市場

  • 簡介
  • 市場概要
  • 市場分析與預測
    • 綜合市場
    • 經皮插入的椎弓骨釘市場
    • 牽開部的插入的椎弓骨釘市場
    • 牽開部的非插入的椎弓骨釘市場
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第6章 脊椎突起固定市場

  • 簡介
  • 市場概要
  • 市場分析與預測
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第7章 椎間關節固定市場

  • 簡介
  • 市場分析與預測
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第8章 微創 (MIS) 薦腸關節固定市場

  • 簡介
  • 市場分析與預測
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第9章 脊椎內視鏡市場

  • 簡介
  • 市場分析與預測
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

第10章 微創 (MIS) 儀器市場

  • 簡介
  • 市場分析與預測
  • 促進因素、阻礙因素
    • 推動市場要素
    • 市場阻礙因素
  • 競爭市場佔有率分析

簡稱

目錄
Product Code: iDATA_USMIS17_MS

The full report suite on the U.S. market for minimally invasive spinal implants includes segments for MIS interbody devices, MIS pedicle screws, spinous process fixation, facet fixation, MIS sacroiliac joint fusion, spine endoscope, and MIS spine instrumentation. Despite multiple challenges, growth is expected in many market segments, as patient demographics in the U.S. maintain a steady demand for such procedures. Growth has increased across all segments as regulations become better adapted to MIS procedures.

General Report Contents

  • Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
  • Market Drivers & Limiters for each chapter segment
  • Competitive Analysis for each chapter segment
  • Section on recent mergers & acquisitions

The spinal implant market is considered by many to be the most exciting and controversial segment of the orthopedics industry. This market has traditionally been a segment of the orthopedics market, but due to rapid growth and a large market size, many manufacturers view spine as a key business division separate from traditional orthopedics.

Historically, the majority of spinal implants were implanted in open surgical procedures through large incisions. However, open surgery can cause considerable tissue damage and lead to a large number of complications. Minimally invasive techniques, which require only small puncture wounds, have been developed for the implantation of a number of spinal implant types. Minimally invasive surgery (MIS) methods are frequently used for implanting traditional spinal implant devices, such as interbody devices and pedicle screws. However, new technologies such as facet fixation and spinous process fixation have also been developed using MIS techniques.

For the purposes of this report, the U.S. minimally invasive spinal implant market is segmented into spinous process fixation, facet fixation, MIS interbody fusion, MIS pedicle screws and MIS sacroiliac joint fusion.

Rapid growth is expected in all segments of the U.S. minimally invasive spinal implant market as a result of the physiological and surgical advantages of MIS procedures over open procedures.

One of the key drivers for the MIS spinal device market is the increase in the target population, which is composed of aging baby boomers. The majority of procedures are performed on those individuals in the final third and quarter of their lifespan, usually over the age of 60. This age group is the fastest growing demographic cohort in the United States. The biggest limiting factor for the MIS spinal device market is the complexity of the procedures and the skill required to master them. In particular, percutaneous techniques, and, to a lesser extent, retractor techniques, are considered by many to be considerably more difficult to master than traditional open surgical methods. Older generations of doctors and surgeons are especially reluctant to switch to MIS, as it takes a considerable time investment to master the procedure. The MIS interbody market continues to see a shift toward OLIF and LLIF devices and away from MIPLIF and MITLIF devices. The oblique and lateral lumbar approaches are expected to see more growth than their posterior and transforaminal lumbar counterparts, although positive growth is expected across segments.

Table of Contents

LIST OF FIGURES VI

LIST OF CHARTS IX

EXECUTIVE SUMMARY 1

U.S. MINIMALLY INVASIVE SPINAL IMPLANT MARKET OVERVIEW 1

COMPETITIVE ANALYSIS 3

MARKET TRENDS 6

MARKET DEVELOPMENTS 8

PROCEDURE NUMBERS 9

PROCEDURE CODES INVESTIGATED 10

MARKETS INCLUDED 11

KEY REPORT UPDATES 12

VERSION HISTORY 12

RESEARCH METHODOLOGY 13

  • 1.1 RESEARCH SCOPE 13
  • 1.2 IDATA'S 9-STEP METHODOLOGY 13
    • Step 1: Project Initiation & Team Selection 13
    • Step 2: Prepare Data Systems and Perform Secondary Research 15
    • Step 3: Preparation for Interviews & Questionnaire Design 16
    • Step 4: Performing Primary Research 17
    • Step 5: Research Analysis: Establishing Baseline Estimates 19
    • Step 6: Market Forecast and Analysis 20
    • Step 7: Identify Strategic Opportunities 22
    • Step 8: Final Review and Market Release 23
    • Step 9: Customer Feedback and Market Monitoring 24

U.S. MINIMALLY INVASIVE SPINAL IMPLANT MARKET OVERVIEW 25

  • 2.1 INTRODUCTION 25
    • 2.1.1 Spinous Process Fixation 25
    • 2.1.2 Facet Fixation 25
    • 2.1.3 Minimally Invasive Interbody Fusion 25
      • 2.1.3.1 Minimally Invasive Transforaminal Lumbar Interbody Fusion 25
      • 2.1.3.2 Minimally Invasive Posterior Lumbar Interbody Fusion 25
      • 2.1.3.3 Lateral Lumbar Interbody Fusion 25
    • 2.1.4 Minimally Invasive Surgery Pedicle Screws 26
      • 2.1.4.1 Percutaneous MIS Systems 26
      • 2.1.4.2 Retractor-Based MIS Systems 26
    • 2.1.5 MIS Sacroiliac Joint Fusion 26
  • 2.2 MARKET OVERVIEW 27
  • 2.3 TREND ANALYSIS BY SEGMENT 31
  • 2.4 DRIVERS AND LIMITERS 34
    • 2.4.1 Market Drivers 34
    • 2.4.2 Market Limiters 34
  • 2.5 COMPETITIVE MARKET SHARE ANALYSIS 36

PROCEDURE NUMBERS 39

  • 3.1 INTRODUCTION 39
  • 3.2 PROCEDURES 41
    • 3.2.1 MIS Interbody Device Procedures 42
      • 3.2.1.1 Total MIS Interbody Device Levels Treated 45
      • 3.2.1.2 MIPLIF Procedures 48
      • 3.2.1.3 MITLIF Procedures 49
      • 3.2.1.4 LLIF Procedures 50
      • 3.2.1.5 OLIF Procedures 51
    • 3.2.2 MIS Pedicle Screw Procedures 52
      • 3.2.2.1 Total MIS Pedicle Screw Levels Treated 55
      • 3.2.2.2 Percutaneous Cannulated Pedicle Screw Procedures 58
      • 3.2.2.3 Retractor Cannulated Pedicle Screw Procedures 59
      • 3.2.2.4 Retractor Non-Cannulated Pedicle Screw Procedures 60
    • 3.2.3 Spinous Process Fixation Procedures 61
    • 3.2.4 Facet Fixation Procedures 63
    • 3.2.5 MIS Sacroiliac Joint Fusion Procedures 65
    • 3.2.6 Spine Endoscope Procedures 67

MIS INTERBODY DEVICE MARKET 69

  • 4.1 INTRODUCTION 69
    • 4.1.1 Approach Types 69
      • 4.1.1.1 Minimally Invasive Posterior Lumbar Interbody Fusion 69
      • 4.1.1.2 Minimally Invasive Transforaminal Lumbar Interbody Fusion 69
      • 4.1.1.3 Lateral Lumbar Interbody Fusion 69
      • 4.1.1.4 Direct Lateral Interbody Fusion 69
      • 4.1.1.5 eXtreme Lateral Interbody Fusion 69
      • 4.1.1.6 Guided Lateral Interbody Fusion 69
  • 4.2 MARKET OVERVIEW 70
  • 4.3 MARKET ANALYSIS AND FORECAST 74
    • 4.3.1 Total MIS Interbody Device Market 74
      • 4.3.1.1 MIPLIF Market 76
      • 4.3.1.2 MITLIF Market 78
      • 4.3.1.3 LLIF Market 80
      • 4.3.1.4 OLIF Market 82
  • 4.4 DRIVERS AND LIMITERS 84
    • 4.4.1 Market Drivers 84
    • 4.4.2 Market Limiters 84
  • 4.5 COMPETITIVE MARKET SHARE ANALYSIS 85

MIS PEDICLE SCREW MARKET 87

  • 5.1 INTRODUCTION 87
    • 5.1.1 Percutaneous MIS Systems 87
    • 5.1.2 Retractor-Based MIS Systems 87
  • 5.2 MARKET OVERVIEW 88
  • 5.3 MARKET ANALYSIS AND FORECAST 92
    • 5.3.1 Total MIS Pedicle Screw Market 92
    • 5.3.2 Percutaneous Cannulated Pedicle Screw Market 94
    • 5.3.3 Retractor Cannulated Pedicle Screw Market 96
    • 5.3.4 Retractor Non-Cannulated Pedicle Screw Market 98
  • 5.4 DRIVERS AND LIMITERS 100
    • 5.4.1 Market Drivers 100
    • 5.4.2 Market Limiters 100
  • 5.5 COMPETITIVE MARKET SHARE ANALYSIS 101

SPINOUS PROCESS FIXATION MARKET 103

  • 6.1 INTRODUCTION 103
  • 6.2 MARKET ANALYSIS AND FORECAST 104
  • 6.3 DRIVERS AND LIMITERS 106
    • 6.3.1 Market Drivers 106
    • 6.3.2 Market Limiters 106
  • 6.4 COMPETITIVE MARKET SHARE ANALYSIS 107

FACET FIXATION MARKET 109

  • 7.1 INTRODUCTION 109
  • 7.2 MARKET ANALYSIS AND FORECAST 110
  • 7.3 DRIVERS AND LIMITERS 112
    • 7.3.1 Market Drivers 112
    • 7.3.2 Market Limiters 112
  • 7.4 COMPETITIVE MARKET SHARE ANALYSIS 113

MIS SACROILIAC JOINT FUSION MARKET 115

  • 8.1 INTRODUCTION 115
  • 8.2 MARKET ANALYSIS AND FORECAST 116
  • 8.3 DRIVERS AND LIMITERS 118
    • 8.3.1 Market Drivers 118
    • 8.3.2 Market Limiters 118
  • 8.4 COMPETITIVE MARKET SHARE ANALYSIS 119

SPINAL ENDOSCOPY MARKET 121

  • 9.1 INTRODUCTION 121
  • 9.2 MARKET OVERVIEW 122
  • 9.3 MARKET ANALYSIS AND FORECAST 126
    • 9.3.1 Total Spine Endoscope Market 126
    • 9.3.2 Spine Endoscope Market 128
    • 9.3.3 Instrumentation Market 130
  • 9.4 DRIVERS AND LIMITERS 132
    • 9.4.1 Market Drivers 132
    • 9.4.2 Market Limiters 132
  • 9.5 COMPETITIVE MARKET SHARE ANALYSIS 133

MIS INSTRUMENTATION MARKET 135

  • 10.1 INTRODUCTION 135
  • 10.2 MARKET ANALYSIS AND FORECAST 136
  • 10.3 DRIVERS AND LIMITERS 138
    • 10.3.1 Market Drivers 138
    • 10.3.2 Market Limiters 138
  • 10.4 COMPETITIVE MARKET SHARE ANALYSIS 139

ABBREVIATIONS 141

LIST OF CHARTS

  • Chart 1 1: Minimally Invasive Spinal Implants Market by Segment, U.S., 2013 - 2023 2
  • Chart 1 2: Minimally Invasive Spinal Implants Market Overview, U.S., 2013 &2023 2
  • Chart 2 1: Minimally Invasive Spinal Implant Market by Segment, U.S., 2013 - 2023 29
  • Chart 2 2: Minimally Invasive Spinal Implant Market Breakdown, U.S., 2016 30
  • Chart 2 3: Minimally Invasive Spinal Implant Market Breakdown, U.S., 2023 30
  • Chart 2 4: Growth Rates by Segment, Minimally Invasive Spinal Implant Market, U.S., 2013 - 2023 33
  • Chart 2 5: Leading Competitors, Minimally Invasive Spinal Implant Market, U.S., 2016 38
  • Chart 3 1: Total MIS Interbody Device Procedures by Segment, U.S., 2013 - 2023 44
  • Chart 3 2: Total MIS Interbody Device Levels Treated, U.S., 2013 - 2023 47
  • Chart 3 3: Total MIS Pedicle Screw Procedures by Segment, U.S., 2013 - 2023 54
  • Chart 3 4: Total MIS Pedicle Screw Levels Treated by Segment, U.S., 2013 - 2023 57
  • Chart 3 5: Total Spinous Process Fixation Procedures, U.S., 2013 - 2023 62
  • Chart 3 6: Facet Fixation Procedures, U.S., 2013 - 2023 64
  • Chart 3 7: MIS Sacroiliac Joint Fusion Procedures, U.S., 2013 - 2023 66
  • Chart 3 8: Spine Endoscope Procedures, U.S., 2013 - 2023 68
  • Chart 4 1: MIS Interbody Device Market by Segment, U.S., 2013 - 2023 72
  • Chart 4 2: MIS Interbody Device Market Breakdown, U.S., 2016 73
  • Chart 4 3: MIS Interbody Device Market Breakdown, U.S., 2023 73
  • Chart 4 4: Total MIS Interbody Device Market, U.S., 2013 - 2023 75
  • Chart 4 5: MIPLIF Market, U.S., 2013 - 2023 77
  • Chart 4 6: MITLIF Market, U.S., 2013 - 2023 79
  • Chart 4 7: LLIF Market, U.S., 2013 - 2023 81
  • Chart 4 8: OLIF Market, U.S., 2013 - 2023 83
  • Chart 4 9: Leading Competitors, Total Cervical Fixation Market, U.S., 2016 86
  • Chart 5 1: MIS Pedicle Screw Market by Segment, U.S., 2013 - 2023 90
  • Chart 5 2: MIS Pedicle Screw Market Breakdown, U.S., 2016 91
  • Chart 5 3: MIS Pedicle Screw Market Breakdown, U.S., 2023 91
  • Chart 5 4: Total MIS Pedicle Screw Market, U.S., 2013 - 2023 93
  • Chart 5 5: Percutaneous Cannulated Pedicle Screw Market, U.S., 2013 - 2023 95
  • Chart 5 6: Retractor Cannulated Pedicle Screw Market, U.S., 2013 - 2023 97
  • Chart 5 7: Retractor Non-Cannulated Pedicle Screw Market, U.S., 2013 - 2023 99
  • Chart 5 8: Leading Competitors, MIS Pedicle Screw Market, U.S., 2016 102
  • Chart 6 1: Spinous Process Fixation Market, U.S., 2013 - 2023 105
  • Chart 6 2: Leading Competitors, Spinous Process Fixation Market, U.S., 2016 108
  • Chart 7 1: Facet Fixation Market, U.S., 2013 - 2023 111
  • Chart 7 2: Leading Competitors, Facet Fixation Market, U.S., 2016 114
  • Chart 8 1: MIS Sacroiliac Joint Fusion Market, U.S., 2013 - 2023 117
  • Chart 8 2: Leading Competitors, MIS Sacroiliac Joint Fusion Market, U.S., 2016 120
  • Chart 9 1: Spine Endoscope Market by Segment, U.S., 2013 - 2023 124
  • Chart 9 2: Spine Endoscope Market Breakdown, U.S., 2016 125
  • Chart 9 3: Spine Endoscope Market Breakdown, U.S., 2023 125
  • Chart 9 4: Total Spine Endoscope Market, U.S., 2013 - 2023 127
  • Chart 9 5: Spine Endoscope Market, U.S., 2013 - 2023 129
  • Chart 9 6: Instrumentation Market, U.S., 2013 - 2023 131
  • Chart 9 7: Leading Competitors, Spine Endoscope Market, U.S., 2016 134
  • Chart 10 1: MIS Instrumentation Market, U.S., 2013 - 2023 137
  • Chart 10 2: Leading Competitors, MIS Instrumentation Market, U.S., 2016 140

LIST OF FIGURES

  • Figure 1 1: Minimally Invasive Spinal Implants Market Share Ranking by Segment, U.S., 2016 (1 of 2) 4
  • Figure 1 2: Minimally Invasive Spinal Implants Market Share Ranking by Segment, U.S., 2016 (2 of 2) 4
  • Figure 1 3: Companies Researched in this Report, U.S., 2016 5
  • Figure 1 4: Factors Impacting the Minimally Invasive Spinal Implants Market by Segment, U.S. (1 of 2) 6
  • Figure 1 5: Factors Impacting the Minimally Invasive Spinal Implants Market by Segment, U.S. (2 of 2) 7
  • Figure 1 6: Recent Events in the Minimally Invasive Spinal Implants Market, U.S., 2013 - 2016 8
  • Figure 1 7: Minimally Invasive Spinal Implants Markets Covered, U.S., 2016 9
  • Figure 1 8: Procedure Codes Investigated, U.S., 2016 10
  • Figure 1 9: Minimally Invasive Spinal Implants Markets Covered, U.S., 2016 11
  • Figure 1 10: Key Report Updates 12
  • Figure 1 11: Version History 12
  • Figure 2 1: Total Minimally Invasive Spinal Implant Market, U.S., 2013 - 2023 (US$M) 27
  • Figure 2 2: Minimally Invasive Spinal Implant Market by Segment, U.S., 2013 - 2023 (US$M) 28
  • Figure 2 3: Minimally Invasive Spinal Implant Market Growth by Segment, U.S., 2013 - 2023 32
  • Figure 2 4: Drivers and Limiters, Minimally Invasive Spinal Implant Market, U.S., 2016 35
  • Figure 2 5: Leading Competitors, Minimally Invasive Spinal Implant Market, U.S., 2016 37
  • Figure 3 1: Minimally Invasive Spinal Implant Procedures by Segment, U.S., 2013 - 2023 40
  • Figure 3 2: Total MIS Interbody Device Procedures by Segment, U.S., 2013 - 2023 43
  • Figure 3 3: Total MIS Interbody Device Levels Treated, U.S., 2013 - 2023 46
  • Figure 3 4: MIPLIF Procedures, U.S., 2013 - 2023 48
  • Figure 3 5: MITLIF Procedures, U.S., 2013 - 2023 49
  • Figure 3 6: LLIF Procedures, U.S., 2013 - 2023 50
  • Figure 3 7: OLIF Procedures, U.S., 2013 - 2023 51
  • Figure 3 8: Total MIS Pedicle Screw Procedures by Segment, U.S., 2013 - 2023 53
  • Figure 3 9: Total MIS Pedicle Screw Levels Treated, U.S., 2013 - 2023 56
  • Figure 3 10: Percutaneous Cannulated Pedicle Screw Procedures, U.S., 2013 - 2023 58
  • Figure 3 11: Retractor Cannulated Pedicle Screw Procedures, U.S., 2013 - 2023 59
  • Figure 3 12: Retractor Non-Cannulated Pedicle Screw Procedures, U.S., 2013 - 2023 60
  • Figure 3 13: Total Spinous Process Fixation Device Procedures, U.S., 2013 - 2023 61
  • Figure 3 14: Facet Fixation Procedures, U.S., 2013 - 2023 63
  • Figure 3 15: MIS Sacroiliac Joint Fusion Procedures, U.S., 2013 - 2023 65
  • Figure 3 16: Spine Endoscope Procedures, U.S., 2013 - 2023 67
  • Figure 4 1: MIS Interbody Device Market by Segment, U.S., 2013 - 2023 (US$M) 71
  • Figure 4 2: Total MIS Interbody Device Market, U.S., 2013 - 2023 74
  • Figure 4 3: MIPLIF Market, U.S., 2013 - 2023 76
  • Figure 4 4: MITLIF Market, U.S., 2013 - 2023 78
  • Figure 4 5: LLIF Market, U.S., 2013 - 2023 80
  • Figure 4 6: OLIF Market, U.S., 2013 - 2023 82
  • Figure 4 7: Drivers and Limiters, Dental Cement Market, U.S., 2016 84
  • Figure 4 8: Leading Competitors, MIS Interbody Device Market, U.S., 2016 85
  • Figure 5 1: MIS Pedicle Screw Market by Segment, U.S., 2013 - 2023 (US$M) 89
  • Figure 5 2: Total MIS Pedicle Screw Market, U.S., 2013 - 2023 92
  • Figure 5 3: Percutaneous Cannulated Pedicle Screw Market, U.S., 2013 - 2023 94
  • Figure 5 4: Retractor Cannulated Pedicle Screw Market, U.S., 2013 - 2023 96
  • Figure 5 5: Retractor Non-Cannulated Pedicle Screw Market, U.S., 2013 - 2023 98
  • Figure 5 6: Drivers and Limiters, MIS Pedicle Screw Market, U.S., 2016 100
  • Figure 5 7: Leading Competitors, MIS Pedicle Screw Market, U.S., 2016 101
  • Figure 6 1: Spinous Process Fixation Market, U.S., 2013 - 2023 104
  • Figure 6 2: Drivers and Limiters, Spinous Process Fixation Market, U.S., 2016 106
  • Figure 6 3: Leading Competitors, Spinous Process Fixation Market, U.S., 2016 107
  • Figure 7 1: Facet Fixation Market, U.S., 2013 - 2023 110
  • Figure 7 2: Drivers and Limiters, Facet Fixation Market, U.S., 2016 112
  • Figure 7 3: Leading Competitors, Facet Fixation Market, U.S., 2016 113
  • Figure 8 1: MIS Sacroiliac Joint Fusion Market, U.S., 2013 - 2023 116
  • Figure 8 2: Drivers and Limiters, MIS Sacroiliac Joint Fusion Market, U.S., 2016 118
  • Figure 8 3: Leading Competitors, MIS Sacroiliac Joint Fusion Market, U.S., 2016 119
  • Figure 9 1: Spine Endoscope Market by Segment, U.S., 2013 - 2023 (US$M) 123
  • Figure 9 2: Total Spine Endoscope Market, U.S., 2013 - 2023 126
  • Figure 9 3: Spine Endoscope Market, U.S., 2013 - 2023 128
  • Figure 9 4: Instrumentation Market, U.S., 2013 - 2023 130
  • Figure 9 5: Drivers and Limiters, Spine Endoscope Market, U.S., 2016 132
  • Figure 9 6: Leading Competitors, Spine Endoscope Market, U.S., 2016 133
  • Figure 10 1: MIS Instrumentation Market, U.S., 2013 - 2023 136
  • Figure 10 2: Drivers and Limiters, MIS Instrumentation Market, U.S., 2016 138
  • Figure 10 3: Leading Competitors, MIS Instrumentation Market, U.S., 2016 139
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