Electrosurgery is a surgery performed using high-frequency electric current to cut, coagulate, fulgurate, or desiccate tissues. With the use of electrosurgery, operating procedures can be carried out with the minimal loss of blood. Hence, electrosurgery is also known as bloodless surgery. An electrosurgery instrument includes a radiofrequency electrosurgical generator unit (ESU) and a hand piece with one or two electrodes (i.e. monopolar or bipolar instrument). Monopolar instruments comprise only one electrode that passes current from the active electrode to the biological tissue and from the tissue to the return pad (also known as inactive electrode) to complete the electric circuit. However, in bipolar electrosurgery, the current passes through the tissue between the two electrodes. Monopolar electrosurgery is very commonly used, as it is versatile and highly effective. Monopolar electrosurgery utilizes any of the two types of delivery systems: hand-controlled pencil and foot-controlled pencil. A monopolar circuit has four components viz. electrosurgical generator unit (ESU), active electrode, patient, and return pad.
Rising number of patients willing to perform medical and cosmetic surgeries, increase in technological advancements in electrosurgery devices, and increasing demand for minimally invasive surgeries are factors driving the global monopolar electrosurgery market. However, risk of burning, organ damage, stringent health care reforms in the U.S., and frequent product recalls are factors restraining the market.
The global monopolar electrosurgery market can be segmented on the basis of monopolar electrosurgery product type, component of instruments, application, and region. Based on product type, the market can be segmented into electrosurgical pencils, electrosurgical electrodes, suction coagulators, and monopolar forceps. Based on instrument component, the global monopolar electrosurgery market can be divided into electrosurgical units (ESUs), active electrodes, return pads, and electrosurgical accessories. The electrosurgical units segment can be sub-segmented into spark gap generators, solid state generators, grounded ESUs, isolated systems, tissue response technology, and Ag/Ag-enhanced technology. Active electrodes are of two types: cutting electrodes and coagulating electrodes. Current flow for cutting lies within the range of 1,350 to 4,000 volts and that for coagulation lies within the range of 3,000 to 9,000 volts. Based on shape, active electrodes can be classified into monopolar spatula electrodes, monopolar needle electrodes, monopolar laparoscopic hook electrodes, monopolar ball electrodes, monopolar bronchoscopy, and others. Electrosurgical accessories are classified into return electrodes, cords, foot switches, carts, cables, adapters, and tip cleaners. Based on application, the monopolar electrosurgery market can be segmented into general surgery, gynecological surgery, urological surgery, gastroenterological surgery, pneumological surgery, orthopedic surgery, cardiovascular surgery, cosmetic surgery, dermatological surgery, neurosurgery, and ophthalmic surgery. Cosmetic surgery and orthopedic surgery segments are expected to expand significantly during the forecast period. Growing geriatric population and increasing prevalence of bone diseases such as osteogenesis imperfecta, osteoporosis, and osteonecrosis are the major factors driving the monopolar electrosurgery market in the orthopedic surgery segment.
Based on geography, the global monopolar electrosurgery market can be segmented into North America, Latin America, Europe, Asia Pacific, and Middle East & Africa. North America dominates the global surgical equipment market, followed by Europe. Technological advancements, high disposable income, and rising demand for non-invasive surgery techniques are factors driving the monopolar electrosurgery market in North America & Europe. The market in Asia Pacific is expected to expand at a rapid pace during the forecast period. There are lucrative growth opportunities in countries like India and China, due to increasing medical tourism in these countries. However, inadequate quality assurance, lack of proper sterilization techniques, increasing cases of unintentional tissue burns are restraining the monopolar electrosurgery market in APAC.
Key players operating in the global monopolar electrosurgery market are Covidien (Medtronic), Ethicon Inc. (Subsidiary of Johnson & Johnson), Erbe Elektromedizin GmbH, Olympus, B. Braun Melsungen AG, Bovie Medical Corporation, BOWA-electronic GmbH & Co. KG, and CONMED Corporation. Mergers and acquisitions are the key business strategies adopted by leading players in this market to expand their business worldwide.
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