North America Surgical Navigation Systems Market Overview and Growth by 2030

The surgical navigation systems market size is projected to grow from US$ 493.02 million in 2022 to US$ 1,048.26 million by 2030; it is estimated to register a CAGR of 9.89% from 2022 to 2030.

Analyst’s ViewPoint

The North America surgical navigation systems market analysis explains driving factors such as the rising cases of musculoskeletal and neurological disorders, and the integration of advanced technologies with surgical navigation systems. Further, robotic navigation is expected to introduce new trends into the market during 2022–2030. Based on technology, the electromagnetic segment accounted for a larger market share in 2022. Based on application, the orthopedic segment dominated the market by accounting maximum share in 2022. By end user segment, the hospitals segment is likely to account for a considerable share of the surgical navigation systems market during the forecast period.

Surgical navigation systems allow surgeons to precisely track instrument position and assist  while performing surgeries. A surgical navigation system comprises a computer workstation and a hardware setup for tracking the position of instruments.

Market Insights

Rising Cases of Musculoskeletal and Neurological Disorders

According to the United States Bone and Joint Initiative 2023 report, musculoskeletal diseases affect more than 50% of people aged 18 and above in the US. Trauma, back pain, and arthritis are the three most common musculoskeletal conditions reported in the country. Also, with the aging of the population, musculoskeletal diseases are becoming a greater burden annually. Osteoarthritis and inflammatory arthritis, including rheumatoid arthritis (RA), gout, psoriatic arthritis, and other conditions, are the most common types of arthritis. As per the United States Bone and Joint Initiative 2023 report, more than 25% of adults have doctor-diagnosed arthritis, and 78 million Americans are estimated to have this disease by 2040. Therefore, there is a high demand for surgical navigation systems intended for orthopedic surgeries. These systems are among the most powerful and enabling tools for surgeons. Surgical navigation systems analyze pre- and post-operative data in multiple versions using augmented reality (AR) to improve clinical outcomes of orthopedic surgeries. For example, visualization systems allow surgeons to take suitable positions during surgeries without excessive exposure to X-ray radiation.

The Information Technology & Innovation Foundation report states mental and neurological disorders, and associated diseases account for the cost burden of more than US$ 1.5 trillion annually to the US government, totaling 8.8% of the national GDP. Additionally, the report reveals that more than 50 million American adults, accounting for 21.8% of the adult population, have experienced events associated with brain disease in the past. Navigation systems for neurological procedures assist in a range of procedures, from intracranial tumor resections to frameless biopsies and from pedicle screw placement to spinal stabilization. For example, in skull openings (small craniotomies), neuronavigation systems display anatomical structures and track the virtual axis of surgical instruments.

Medtronic provides innovative surgical navigation systems and related products for neurosurgery, spinal surgery, and cranial surgery. Its StealthStation S8 Surgical Navigation System comprises an intuitive interface that aids advanced visualization to navigate neurosurgery procedures. The system provides optical and electromagnetic (EM) tracking capabilities with the help of external devices such as microscopes and ultrasound, thus acting as a powerful tool for neurosurgical procedures. Thus, the need for effective surgical treatments for orthopedic and neurosurgery with the rising cases of musculoskeletal and neurological disorders, coupled with innovative product launches by top companies, propels the adoption of surgical navigation systems in North America.

Future Trend

Robotic Navigation 

Surgical robotic navigation benefits surgeons by assisting them through the alignment of surgical instruments and screws precisely. The real-time visualization of instrument positioning and imaging compatibility enables great accuracy for surgeons while performing procedures by using navigation systems. Several top companies plan to launch innovative robotic surgical navigation platforms. Globus Medical offers a Multifunctional Robotics+Navigation platform designed to improve surgical accuracy and optimize patient care with the use of robotics and navigation. Axis Spine Center's surgical navigation robot is connected to a camera; the robot can process the view captured by the camera using CT images in real time. The robot can also change position upon patients’ movement to ensure a precise placement of a surgical instrument. Despite developments in robotic surgical navigation, further studies are necessary to determine the efficacy, efficiency, and safety of new combined surgical robotic navigation systems/platforms.

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North America Surgical Navigation Systems Market: Strategic Insights

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Report Segmentation and Scope

Technology-Based Insights

Based on technology, the surgical navigation systems market is segmented into optical, electromagnetic, and others. The electromagnetic segment held the largest market share in 2022, and the same segment is expected to record a significant CAGR during 2022–2030. In electromagnetic tracking systems (EMTs), magnetic fields are generated, sensors are used to detect them, and finally, software is used to process them. In an electromagnetic field of known geometry, the coordinates of the pre-interventional patient scan and the coordinates of the tracking system are registered.

EMTs are used widely in neurosurgery, interventional bronchoscopy, urology, cardiology, and sinonasal cavity surgeries. EMTs utilize fluoroscopy to screen the patient without using ionizing radiation, and it does not expose the patient to any energy fields that are more harmful than ultrasounds.

In July 2021, TT Electronics—a provider of engineered electronics for performance-critical applications—partnered with US-based Radwave Technologies to develop advanced electromagnetic tracking technologies. These companies, in partnership, would focus on introducing a customizable electromagnetic tracking platform with minimally invasive diagnostic and therapeutic devices for use during surgical procedures.

Application-Based Insights

Based on application, the surgical navigation systems market is segmented as orthopedic, ENT, neurology, dental, and other applications. The orthopedic segment held the largest market share in 2022, and the neurology segment is anticipated to register the highest CAGR during 2022–2030. Orthopedic surgery navigation systems or orthopedic surgical robots use a patient's preoperative/intraoperative imaging data to plan the surgical path and then guide doctors through the planned surgical path using the robotic arm's guiding function. The navigation system also captures a joint range of motion, laxity, and kinematics intraoperatively. HipNav is an image-guided surgical navigation system used in hip replacement surgery. With this system, prosthetic components can be measured and guided during total hip replacement surgery (THR). The system consists of a 3-dimensional preoperative planner, a simulator, and an intraoperative surgical navigator. The orthopedic segment is further classified into knee replacement and hip replacement.

According to the American Academy of Orthopaedic Surgeons, nearly 1 million knee and hip replacements are performed every year. An aging population, and an increase in obesity and osteoarthritis would cause that number to rise to 4 million by 2050.

DePuy Synthes offers a technology-assisted VELYS Hip Navigation platform for hip replacement. The surgeons use real-time data to help improve surgical outcomes. Thus, the growing advancement in orthopedic surgery navigation systems boosts the growth of the orthopedic segment of the North America surgical navigation systems market.

End User-Based Insights

In terms of end user, the surgical navigation systems market is categorized into hospitals and ambulatory surgical centers (ASCs). The hospital segment held a larger share of the market in 2022 and is anticipated to register a higher CAGR during 2022–2030.

Surgical navigation systems are routinely used in orthopedic, neurology, and other surgeries to reach the target body site with greater precision. Hospitals are a vital part of the development of health systems. They play an important role in offering support to other healthcare providers. An increasingly large number of hospitals in North America are attaining expertise to use surgical navigation systems for surgeries. With the rising number of surgeries, the use of surgical navigation is expected to rise in hospital settings. Moreover, the rising number of hospitals is expected to continue the dominance of the hospitals segment in the North America surgical navigation market during the forecast period.

Surgical Navigation Systems Market, by Technology – 2022 and 2030

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Regional Analysis

The North America surgical navigation systems market is segmented into the US, Canada, and Mexico. The growing number of surgeries in the US drives the surgical navigation systems market. For instance, the American Academy of Ophthalmology states that ~4 million cataract surgeries are performed each year in the US. Further, at least one cataract develops among half of the US population by the age of 80. Cataract causes vision problems, and it is removed only through the surgery. Similarly, according to the American Academy of Orthopedic Surgeons, ~720,000 knee replacements and 330,000 hip replacements are performed every year in the US.

As per the Canadian Institute for Health Information (CIHI), ~36,000 knee replacements and 12,000 hip replacements were performed in Canada between 2020 and 2022. In June 2022, ClaroNav Inc, a Canadian company, received USFDA approval for Navident, a navigation tool for dental implant surgeries. Thus, an upsurge in the number of surgeries and product approvals in Canada promotes the growth of the North America surgical navigation market.

The Mexican healthcare sector is evolving with a growing focus on offering technologically advanced medical services, the surging incidence of spinal disorders, the rising number of spinal surgeries, and developments in the country's healthcare infrastructure. The cost of spinal surgeries is approximately one-third of that in the US and Canada; as a result, patients in the US and Canada opt to travel to Mexico for treatments. For instance, as per the Medical Tourism Association, the cost of hip replacement in the US is US$ 40,000, whereas in Mexico, it is US$ 12,500. Similarly, the knee replacement cost in the US is US$ 35,000, and in Mexico, it is US$ 10,500. Moreover, a surge in the geriatric population suffering from spinal problems contributes to the growth of the surgical navigation market due to the increasing number of surgeries in Mexico.

Leading North America surgical navigation systems market players profiled in this market study include B. Braun SE; DePuy Synthes Inc; Medtronic Plc; Siemens Healthineers AG; Stryker Corp; Zimmer Biomet Holdings Inc; Brainlab AG; CASCINATION; HEMOSTASIS, LLC; and Corin Group.

• In July 2023, Stryker announced the launch of the "Ortho Q Guidance System" that enables advanced surgical planning, and guidance for hip and knee procedures. The system combines new optical tracking options through a designed, state-of-the-art camera with sophisticated algorithms of the newly launched Ortho Guidance software that delivers surgical planning and guidance capabilities. 
• In May 2022, Zimmer Biomet Holdings, Inc received FDA approval clearance for the "Persona OsseoTi Keel Tibia" for cementless knee replacement. The product is the latest addition to the clinically proven Persona Knee System, with a porous version of the Persona anatomic tibia featuring OsseoTi Porous Metal Technology of Zimmer Biomet. This technology uses anatomical data in combination with 3D printing technology to create a structure that directly mimics the architecture of human cancellous or spongy bone.
• In September 2022, Stryker launched the "Q Guidance System" intended for spine applications. This system combines new optical tracking options along with a redesigned, state-of-the-art camera, a sophisticated algorithm, and the newly launched Spine Guidance Software, which together deliver improved surgical planning and navigation capabilities than before.
• In September 2022, B. Braun Medical Inc. (B. Braun) announced the acquisition of the Clik-FIX catheter securement device portfolio from Starboard Medical, Inc. for building a strong and innovative product and program to improve the overall patient experience and outcomes with the peripheral intravenous (IV) therapy.
• In March 2022, Johnson & Johnson MedTech announced that DePuy Synthes announced the acquisition of CUPTIMIZE Hip-Spine Analysis, giving surgeons an easy-to-use tool to understand better and address the impact of abnormal motion between the spine and pelvis for some patients seeking total hip arthroplasty (THA).

Company Profiles

• B. Braun SE           
• DePuy Synthes Inc            
• Medtronic Plc          
• Siemens Healthineers AG    
• Stryker Corp          
• Zimmer Biomet Holdings Inc         
• Brainlab AG            
• CASCINATION        
• HEMOSTASIS, LLC        
• Corin Group

North America Surgical Navigation Systems Report Scope