© Copyright 2003 Frost & Sullivan. All Rights Reserved. U.S. Minimally Invasive Surgical Instruments and Laparoscopes Market New Procedures Uphold Demand for Minimally Invasive Surgical Instruments and Laparoscopes Medical Devices Group “Medical device companies in the U.S. are banking on new procedures to sustain growth in the minimally invasive surgical instruments and laparoscopes market, which is affected by product maturity and price erosion.”

© Copyright 2003 Frost & Sullivan. All Rights Reserved. Industry Trends Minimally invasive surgical instruments market is witnessing advancements in the area of procedures, instrumentation, and marketing strategies In terms of procedures, bariatric surgery has seen promising growth. Urological laparoscopic and pediatric minimally invasive surgery (MIS) are other areas that are likely to witness growth Instruments required in new procedures such as bariatric MIS are different - longer laparoscopes and hand instruments. Medical devices companies are trying to develop equipment specifically for bariatric surgeries

© Copyright 2003 Frost & Sullivan. All Rights Reserved. Industry Trends (Cont’d) Smaller companies are coming up with specialty instruments. For instance, Encision’s sheathed insulated instruments with active electrode monitoring (AEM), which prevent stray burns in MIS surgery Payment on ‘per use’ basis - A new marketing strategy is being implemented by companies. Under this arrangement, companies keep the MIS instruments required by a surgical center, sterilize and get them back to OR, and charge on ‘per use’ basis

© Copyright 2003 Frost & Sullivan. All Rights Reserved. Key Features Frost & Sullivan Provides: Detailed insights into recent developments and trends Drivers, restraints, challenges, and strategic recommendations Analyst insights on ‘emerging technologies’ Market forecasts and opportunity analysis Growth opportunities and emerging instruments SWOT analysis for companies and products

© Copyright 2003 Frost & Sullivan. All Rights Reserved. What We Offer Coverage: United States Proven methodology encompassing extensive primary and secondary data and research Focused information and strategies that cover business and technology issues Credible data and analysis highlighting industry dynamics Winning strategies to help you create precise business plans

© Copyright 2003 Frost & Sullivan. All Rights Reserved. Who Will Benefit? Current Market Participants Find out how you compare to the competition Assess current and future drivers and restraints Determine and exploit new market share opportunities New Entrants Analyze challenges associated with the industry Calculate time scales for strategy implementation Position yourself to capitalize on the market’s unmet needs Investment Community Analyse long-term strategies of market participants Determine which participants will outperform the competition Assess attractiveness of investing in the surgical instruments and laparoscopes market

© Copyright 2003 Frost & Sullivan. All Rights Reserved. ACMI Circon Aesculap, Inc. Davol, Inc. Encision, Inc. Ethicon Endo-Surgery, Inc. JARIT Karl Storz Endoscopy-American, Inc. Olympus Corp. of America Smith and Nephew Stryker Endoscopy Key Market Participants

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