OT light and table is one of the most crucial equipments a surgeon requires to ensure highest quality of surgery, patient safety, and innovation in operating procedures and standards. Operating rooms are becoming more commodious with new and advanced operating equipments that have become an essential part of modern hybrid operating rooms. The global OT equipment market is anticipated to grow from USD 4,100 million in 2016 to USD 10,346 million by 2022, at a CAGR of 16.85 percent, states MarketsandMarkets.
The growing popularity of hybrid OT tables is one of the upcoming trends that is expected to bolster this market's growth prospects over the next 4 years, and is expected to generate revenues of over USD 1.1 billion by 2020. The adoption of manual OT tables is dwindling outside of emerging markets. On the other hand, the use of powered OT tables continues to expand across the globe. Novel technologies, such as modular and integrated operating tables, are on the rise.
By 2020, the global OT lights market is estimated to reach USD 729 million, with a 4.6 percent CAGR from USD 607 million in 2016. Technological advancements have eminently transformed the global OT lights market over the years, and will continue to do so through 2020. Demand for healthcare facilities such as surgeries and invasive procedures is the primary driver for growth in the global market. Likewise, technologies that enable cost-effective production of surgical lights have also fuelled the global market expansion. Nevertheless, the radiation or heat emitted by such lamps has distressed the manufacturers for a while. High costs of CFLs and LEDs and complications caused from their extensive exposure are also hampering the product proliferation among consumers of surgical lamps.
Currently, the global market is driven by technological advancement in the healthcare sector, increase in the number of surgery procedures around the globe, increase in the number of ambulatory surgical centers, rise in the aging population, and increase in the prevalence of chronic diseases. However, high costs associated with latest technology devices act as a major barrier for the global OT equipment market.
Indian Market Dynamics
The growing popularity of modern hybrid operating rooms is expected to prop up the OT tables and lights market over the next 5 years.
OT tables. In 2015, the Indian OT tables market was valued at 240 crore with sales at 3,000 units. The quality of Indian tables has improved over the last couple of years, resulting in better unit realization, albeit cost of manufacturing has also increased. However, compared to imported tables, they remain competitive on pricing.
Cosmetic surgery and bariatric high-load-bearing tables continue to see an increase in demand. Other high-end tables for neurology and cardiac surgery are also gaining share.
The newly set up private hospitals have provided impetus to this market with major investments. For instance, Aster DM Healthcare, with six hospitals at Kochi, Calicut, Bangalore, Hyderabad, Pune, and Kolhapur expanded operations in 2015–2016. It invested 550 crore in Aster Medicity at Kochi, and 230 crore in its Greenfield hospital project at Bangalore. Medanta spread to Tier-II cities, with new hospitals and operation theaters, as many as 30 in each facility at Lucknow, Indore, and Jabalpur. Government buying too was good in 2015, with new hospitals being set up across the country. Schmitz, Famed, and Surgdent had some success with bids invited by government hospitals.
Continued demand was exhibited as when customs duty was hiked by 7.3 percent for other items, OT tables continued to enjoy 22-percent duty.
Under the current scenario, this segment is poised to grow over the next few years, with Indian brands gaining traction.
OT lights. In 2015, the Indian OT lights market was valued at 185 crore with sales at 4,300 units. This was an increase in the number of lights as compared to 2014, and yet a declining market in value terms. Overall unit prices have decreased, resulting in a smaller price differential between imported and Indian brands; the market is thus seeing a major increase in imported lights.
The imported lights have been classified as premium lights and regular ones. About 200 units of top-of-the-line lights, including camera systems are procured from Maquet, Steris, and Martin.
It is roughly estimated that the replacement market would account for about 33 percent of the total market. On a similar note, it is estimated that the government procurement, a discerning buyer, would account for 30 percent of the market.
Till last year, variable color temperature was a sought-after feature. However, now almost all lights are equipped with this feature. Color differentiation helps the surgeon to determine where and what to cut. Lower-color-temperature lights, which appear yellow, have more of their energy toward the red end of the color spectrum, overshadowing the blue and purple tones, producing a washed-out appearance. High color temperatures, which appear white or blue, are more balanced, mimicking the true white light of the noon-day sun, giving surgeons the subtle contrasts they need to distinguish one structure from another.
There has been a distinct shift from SD cameras to HD cameras.
Although LED lights have become the norm, there is a distinctly casual attitude observed in Indian vendors and buyers, both. Applications as for cardio, neuro, and cosmetic surgery could have 25 separate LEDs, as against the desired 100 separate LEDs.
The Indian lights continue to have a glare and shadow, which can contribute to the surgeon's eye fatigue. Surgeons' eyes need to see structures and look deep into cavities. In surgical sites, light is absorbed because tissues are dark and nonreflective. Quality surgical lighting delivers high-intensity lighting to the surgical site without glare or shadow, to assist surgeons to best see and interpret tissue, vessels, etc., with the highest degree of accuracy. Visualization is of critical importance to the surgeon and surgical team. Next to the surgeon's eyes, no other surgical tool is more important than lighting. Many surgeons will do two or three cases a day under high-intensity illumination. Highly intense but soft illumination without glare allows surgeons to get optimal light to the surgical site for long periods without associated eye fatigue.
Indian manufacturers do not spend money on R&D to assist heat sinking. Thermal management of the light must, by design, minimize beam temperature and radiant energy toward the surgical field. A combination of low energy consumption together with proper heat dissipation guards against tissue desiccation, and just as importantly, provides optimal comfort for the surgeon and surgical team working under the surgical lights.
Given the constant technological advancements and many unknowns related to the OR environment, emerging solutions need to be rapidly adaptable and flexible in order to remain relevant. Although not always feasible, healthcare organizations should be targeting universal solutions that will accommodate interventional procedures for multiple specialties, encourage collaboration between specialties, eliminate the limitations and inefficiencies associated with using an OR solely for one service line or procedure type, and provide flexibility to future clinical innovation.
The shift toward modern hybrid ORs has been slow and not without barriers. If planned correctly, the modern hybrid ORs offer a solution to space constraints while achieving an ability to perform complex surgical and minimally invasive procedures. It is ultimately the goal that healthcare organizations across the country need to be moving toward.