The growing popularity of modern hybrid operating rooms is expected to prop up the OT tables, and lights market over the next 5 years.

Rapid technological advancement has brought a lot of changes in the way surgical procedures are carried out. Operating rooms are now more commodious with new and advanced operating equipment that have become an essential part of the modern hybrid facilities. The market is primarily characterized by growing demand for technically advanced operating room equipment as healthcare providers are increasingly adopting the concept of hybrid operating rooms.

With rapid technological advancement, increase in the number of ambulatory surgical centers, rise in the aging population, increasing demand for operational efficiency, increase in the prevalence of chronic diseases, and increase in the number of surgery procedures, the operating room equipment market is expected to have a steady growth rate over the next 5 years.

Operating Tables

ot-tablesAn increase in the adoption of innovative and advanced operating tables has facilitated effective management of surgeries. Integrated operating tables reduce the complexity of surgeries. A hybrid surgical table may be integrated with free-floating table top with tilt and cradle capabilities, making them well suited for surgeries. It has several advanced features including adjustable height, floating table tops, and a non-breakable carbon fiber table top for medical imaging purposes. These tables are more popular with cardiac, orthopedic, and neuro surgeons as they allow for seamless and precise movement of patients during surgical procedures.

The vendors are holding their market position by developing higher quality and technologically advanced operating tables, electro-hydraulic and electric operating tables, and by providing end-to-end service. As the global players are increasing their footprint and offering competitive prices, local vendors are finding it difficult to compete with them, especially in terms of quality, features, and supply.

Indian Market Dynamics

In 2015-16, the Indian OT tables market was valued at 240 crore with sales at 3000 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, with major investments have provided impetus to this market. For instance, Aster DM Healthcare, with six hospitals at Kochi, Calicut, Bangalore, Hyderabad, Pune, and Kolhapur expanded operations in 2015-16. 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 2015-16, 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.

With the current scenario, this segment is poised to grow over the next few years, with Indian brands gaining traction.

Global Market

The global surgical tables market was valued at USD 762.6 million in 2015-16 and it is expected to reach USD 886.7 million by 2020. The market in general surgery tables is forecast up to remain relatively stable over the period to 2016; however, this will be balanced by an increasing demand for specialty surgery tables, according to Global Industry Analysts.

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USA dominates the global market in operating tables, with the Asia-Pacific region representing the fastest-growing market in this area. By 2016, the combined US market for surgical tables is expected to reach over USD 197 million.

Vendors continue to make innovations that challenge the operating room market and drive demand among hospitals to upgrade their existing tables. Some of the major trends that have been observed in the global market for operating tables include companies involved in R&D for new innovative products for better efficiency. Increasing applications of operating tables are expected to offer good opportunities to the market.

The market for operating tables is expected to be driven by the increasing number of operating rooms, cost effectiveness, and new and advanced technology involved. Some of the other drivers include increasing hospital-going population, rising government initiatives for enhancing healthcare infrastructure, and specifically, reduced surgery timings and ease to surgeons. General economic slowdown may be a deterrent.

OT Lights

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Since the early days of surgical practice, there have been continuous advancements in surgical lighting systems. In particular, these improvements have included the ability to control light positioning, illumination intensity, pattern size, and other features. Some of these changes have been relatively minor, while others have provided dramatic improvements and significant progress toward optimal lighting. No longer are surgical lights simply an on/off phenomenon. From the first clusters of incandescent lights that were suspended over a patient in the early 1900s, the purpose of surgical lighting has been to precisely illuminate the operative site. In the beginning, surgical lighting was relatively simple. The surgical team turned the lights on, aimed the beam at the target and focused the spot on the operative site. Attention was directed toward surgical technique, surgical tools, and patient monitoring. Even though surgical lights were simple and dependable, they presented a challenge with many unmet needs. As surgical lighting technology evolved and matured, these unmet needs were addressed and now have become an important support while performing a surgery.

Indian Market Dynamics

In 2015, the Indian OT lights market was valued at 185 crore with sales at 4300 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 ones.

The imported lights have gradually emerged 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 temp 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 in the red end of the color spectrum, overwhelming 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 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 distinctly a 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 deep into cavities. In surgical sites, light is absorbed because tissues are dark and non-reflective. 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, just as importantly, provides optimal comfort for the surgeon and surgical team working under the surgical lights.

Indian Market Dynamics is based on market research conducted by Medical Buyer in September 2016.


 

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