Advances in design and technology have increased the role of surgical tables and lights as a functional and central part of any procedure.
Across the world, operating theatres (OT) form the backbone of all surgical interventions in hospitals. Today an OT is an amalgamation of medical devices, trained operation room (OR) team, and amazing cutting edge technology. Advances in design and technology have increased the importance and role of surgical tables and lights as a functional and central part of any procedure. State-of-the-art and latest technology LED surgical lights and fully flexible OT tables with various attachments have together contributed toward digitization of OR. Specialized surgical tables and lights such as orthopedic tables, gynecology tables, and radiolucent C-arm compatible tables, and LED and halogen surgical lights are offered by manufacturers, depending on specifications of the procedure and requirement of the OR. There are many options in the market to choose from and advancements in technology bring significant improvements that help the surgeon and surgical team to operate.
In terms of revenue, the global surgical tables and lights market is anticipated to exceed value of USD 1800 million by 2026, expanding at a CAGR of more than 3 percent from 2018 to 2026, according to Transparency Market Research. Integration of hybrid operating rooms in existing hospitals and developing healthcare infrastructure are factors likely to fuel the global market. Key players are focusing on the development of surgical tables and lights with better efficacy.
Surgical tables comprise one of the first requirements of a modern healthcare system and thus are likely to be in constant demand over the near future. There has been a gradual shift from manual operating tables to more sophisticated operating tables incorporating the latest technologies such as hydraulic and electro-hydraulic powered tables with battery systems and locking drawers to allow skilled operating theater staff to access the operating table drawers. The development of more advanced powered as well as hybrid operating equipment that can auto-adjust is likely to create new opportunities for manufacturers of operating tables in the global market. Newer and more advanced operating tables serve to increase the efficiency of the surgical process and are being increasingly preferred by surgeons across the world. The development of pressure distribution mattresses will prevent unintentional injuries to patients during operations and these are also witnessing a growing demand among the global surgeon community. Highly advanced operating tables powered by the latest technologies improve the working ergonomics of the surgical team and demand for this equipment is expected to increase considerably in the coming years.
Of the three types of technologies implemented in operating tables, the non-powered/manual operating tables segment is globally anticipated to be in higher demand in the years to come while the non-powered/manual operating tables is projected to be the most attractive in the global market. The growing demand for bariatric surgeries is one of the key factors likely to drive the adoption of operating tables. Also, with the worldwide prevalence of obesity constantly rising, it has led to physicians adopting minimally invasive techniques to carry out various weight loss surgical procedures and thus it is expected that this factor will further contribute to the growth of the market in the next few years.
Indian market dynamics
In 2017, the Indian OT tables market is estimated at Rs 230.75 crore with sales at 4550 units. The indigenous segment with 3800 units constitutes 83.5 percent of the total market, in volume terms, and is estimated as Rs 87.25 crore in value. This is a major change in trend, with indigenous brands offering excellent quality and gaining market share. The Indian segment is dominated by Cognate and Staan, closely followed by Magnatek Enterprises, Galaxy, and Palakkad Surgical. Other aggressive players include Surgdent and Midmark.
The market for imported OT tables in 2017 is estimated at 750 tables, estimated at Rs 143.5 crore. This market is catered to by BenQ (Bet Medical), Steris (including Eschmann), Eiffel (Magnatek), and Maquet. Other brands popular in this segment include Mindray, Stryker, Trumpf, Takeuchi, Mezhuo, Schmitz, Mediland, and Scharer.
A polarization has been observed in the last one year in the Indian market for surgical tables. The leading MNC brands are now also offering Chinese models at extremely competitive prices. And the indigenous manufacturers have improved the quality and features of the surgery tables. Features such as patient-centered transfer system, extreme-positioning possibilities, lifting range from 535 to 1235 mm, patient weight capability up to 250kg, and carbon fiber tabletops are not uncommon.
Evolution of novel and technologically superior surgical lighting systems, increase in number of surgical procedures performed in various therapeutic fields, favorable reimbursement scenario, surge in incidence and prevalence of lifestyle diseases demanding surgical interventions, and rise in the healthcare spending capacity globally are the factors anticipated to boost the growth of the global surgical lighting systems market. However, high cost of LED surgical lighting systems and risk of burns associated with use of high lux light sources is restraining demand.
The global surgical lights market is expected to grow at a CAGR of 4.53 percent during 2018–2023, estimates Market Research Future. The global market is driven by the extensive use of surgical lights for minor and major surgical procedures and increasing demand for new technologies in surgical lighting. Further, technological advancement in medical devices and increasing number of surgical light manufacturers also fuel the growth of the market.
North America dominates the global surgical lighting systems market owing to high healthcare spending capacity, adoption of technologically advanced products, and rise in demand for minimally invasive surgical procedures. Europe is expected to be the second largest market for surgical lighting systems, attributable to the increase in geriatric population, rise in incidence of lifestyle diseases, high healthcare awareness among the population, and presence of large number of leading manufacturers of surgical lighting systems.
Asia-Pacific’s surgical lights are driven by an increasing number of surgical procedures, and government initiatives have had a synergistic effect on the market. Additionally, focus on the quality of surgical lights, increasing demand for a LED lighting system in ORs, and rising demand for LED lighting systems also fuel the growth of the market. Additionally, the increase in traffic of medical tourism, especially in cardiology, is the largest contributor to the growth of the market. The market is mainly driven by increasing demand for cost-effective surgical lighting solutions and increasing number of patients with chronic diseases requiring surgical procedures.
In the Middle East and Africa, the growth of the surgical lights market is attributed to increasing availability of specialty care services in countries such as the United Arab Emirates and Saudi Arabia. Africa exhibits steady growth with demand for primary care services in the region.
Indian market dynamics
In 2017, the Indian OT lights market is estimated at Rs 208.5 crore, with 5200 units, with imported lights at 2100 units and indigenous brands at 3100 units. Value-wise the imported segment is estimated at Rs 168 crore and Indian Rs 40.5 crore.
The imported segment is dominated by Dr. Mach, Maquet, Steris, and Magnatek, closely followed by BenQ (Bet Medical), and KLS Martin. Other brands also aggressive in this segment are Siemon, Trumpf, Stryker, Draeger, and Mindray. The indigenous OT lights segment is dominated by Bharat Surgical and United Surgical. Aggressive presence is displayed by Cognate, Matrix, Galaxy, and Chinese brands. The unorganized regional manufacturers continue to cater to this market, located primarily in Delhi, Bhiwani, and Southern States of India.
The year 2017 was when halogen lights showed a complete exit, with the result that the replacement market almost no longer exists. A handful of government hospitals might still be in the process of transitioning from halogen to LED lights, with double dome being the preferred category.
The field of surgery has changed immensely as technology has advanced and imaging has improved. As medical science progresses, it is imperative that surgical equipment requirements and specifications constantly evolve as well. Some avenues being explored in the field of surgical lighting include cold-mirror technologies that separate infrared from non-infrared radiation, creating a more cost-effective surgical lighting solution. LED lighting can also be integrated with a video management system – having an HD camera with latest features so that its brilliant reproduction and better recognition of detail can be of immense help to surgeons and with a recording system that captures and transmits action live to the console outside or it can be sent to a remote center as required.
The OT table is where all the action happens. A very important part of the theatre, a carefully chosen range is the OT table, which should be extremely flexible so that it can be maneuvered and changed to suit all possible procedures during surgery. It can be easily operated by the entire team and caters to all weights and surgical applications. In the future, OT tables can control OR imaging systems to provide faster, more accurate 3-dimensional imaging of the body. The C-arm, computed tomography, or iMRI (interventional magnetic resonance imaging) will provide real-time or semi—real-time data during the procedure despite movement that may occur during a surgical procedure. This may require several imaging systems, as well as a sophisticated surgical table that moves patients between stations.