Intraoperative Neuromonitoring Market - Forecast(2024 - 2030)

Report Code: HCR 43762 Report Format: PDF + Excel

Intraoperative Neuromonitoring Market Overview 

Intraoperative Neuromonitoring Market size is valued at $1098.23M by 2019, and is estimated to reach $1,489.12M by 2025, growing at CAGR of 5.3% during the forecast period of 2020-2025. The Intraoperative Neuromonitoring Market growth rate is attributed to the increasing emphasis on patient safety during complicated surgeries which can be co-related to the growing prevalence of various lifestyles associated chronic diseases such as neurological and cardiovascular conditions that demands ultimate patient safety during the performance of these complicated surgeries thereby, fostering the market growth. Intraoperative monitoring is becoming a crucial factor in neurosurgery as it offers an early warning concerning motor & sensory functions during surgery thus yielding better results and avoiding post-operative neurophysiological deficits thus reducing risks of debilitating deficits such as muscle weakness, paralysis, hearing loss, and other normal body functions. Safer surgery translates to reduced intervention time and risk. An IONM system uses recordings of potentials (such as EEG, EMG, and evoked potentials) from the nervous system during a surgical procedure. These benefits have made it mandatory in neurosurgeries. From technological advancements in neuromonitoring have helped the surgeons to minimize the risks during surgery, when the central nervous system (CNS) is at risk to increased R&D investments by governmental bodies to overcome limitations of high cost thereby launching advanced products in the field of neuromonitoring is anticipated to propel the Intraoperative Neuromonitoring Market during the forecast period 2020-2025.

Report Coverage

The report: “Intraoperative Neuromonitoring Market Forecast (2020-2025)”, by Industry ARC, covers an in-depth analysis of the following segments of the Intraoperative Neuromonitoring Market: 

By Source Type: Outsource Monitoring and Insource Monitoring.
By Modality: Electroencephalography(EEG), Electromyography(EMG) and Electrophysiology(EP).
By Application: Spinal Surgery, ENT Surgery, Neurosurgery, Vascular Surgery, Orthopedic Surgery and Others.
By End-Use: Hospitals, Ambulatory Surgical Centers, Specialty Clinics and Others.
By Geography: North America, Europe, Asia-Pacific and RoW.

Key Takeaways
  • North America dominated the Intraoperative Neuromonitoring Market with a share of 4.7% in the year 2019.
  • The factors such as huge burden of healthcare costs and patients’ desire to avoid readmission to hospitals, favorable reimbursement scenario are amongst the major factor projected to impel growth of Intraoperative Neuromonitoring Market.
  • Ageing population, increase in prevalence of chronic disorders, applications of IONM in different surgeries and risk management through IONM during complex surgeries are the key factors owing to the growth in the segment during forecast period 2020-2025.

Source Type - Segment Analysis

Insource IONM segment held the largest share in the market owing rising number of surgeries and compulsory monitoring of vital stats during every procedure. Also, Hospitals have adopted IONM systems and have trained technologists, who are supervised by neurologists and physiologists during the procedures. Moreover, there are no defined guidelines for the use of these neuromodulation devices but growing demand and usage of the same is anticipated to trigger the segmental growth.
However, Outsource IONM is gaining popularity and is anticipated to be the fastest-growing segment in the forecast period 2020-2025; this can be attributed to the fact that outsourcing devices eliminates the need for hospitals to incur capital expenditure for the purchase of the equipment’s and bear its maintenance cost. Apart from this, now-a-days, hospitals generally do not prefer insourced monitoring as they have to appoint a full-time employee with the required skill set and they cannot offer the training standardization that is required to improve the quality of service. Thus, outsourced monitoring is in demand among hospitals and ASCs. In addition, IONM professionals also prefer to work for an outsourcing provider as they can work simultaneously for more than one hospital by working in an outsourcing IONM provider.

Application Type- Segment Analysis

Based on Application type, spinal surgery segment held the major share of the market in terms of revenue and is set to grow with a CAGR of 6.0%. The reason is set to be attributed to the fact that spinal surgery is widely used to treat spinal pathologies, and is the gold standard for correcting spinal deformities, but despite improvements in surgical techniques, the risk of neurological complications remains. Moreover, IONM is also utilized for other spine surgery indications: tethered cord, injured spinal cord, intramedullary tumors, extra medullary tumors, minimally-invasive surgery, cervical myelopathy, as well in other fields of surgery: cranial, vascular, cardiothoracic, etc. and is helpful in preventing perioperative peripheral nerve injury (PPNI) owing to excess mechanical pressure and torsion of the limbs and neck, which is anticipated to further expand the market over the projection period of 2020-2025. As per a report published by NCBI, it states that during CEA up to 15% of patients experience cerebral hypoperfusion after carotid cross clamping. This hypoperfusion leads to changes in electrophysiological signals in the brain, such as a decrease in fast EEG activities and a decrease in the amplitude or increase in the latencies of SSEP. Thus, IOM can help detect patients who is set to eventually require a selective shunt during the CEA procedure.

By Geography - Segment Analysis

North America is the major region dominating the Intraoperative Neuromonitoring market with revenue of $570.42M in 2019 and is estimated to grow at a CAGR of 4.7% during the forecast period of 2020-2025 to generate revenue of $ 745.23M in 2025. There is a rise in the usage the region has surged cases of chronic ailments, emergence of exceptionally refined medicinal services framework, high selection rate of intraoperative neuromonitoring, and expanded patient awareness in regard to the procedure. Moreover, the region is anticipated to increase its market share in the future, owing to the favorable and constantly improving reimbursement scenario. Significant investment is done on R&D activities in U.S. Many neurological centers in the U.S. strongly recommend the use of IONM thereby, trying to fulfill the manpower gap to meet the demand. Hospitals encourage physicians and doctorate-level IONM providers to get certified from organizations such as the American Board of Nuclear Medicine. The healthcare system is also trying to encourage underemployed neuroscience PhDs to pursue a career in IONM and become full-time professionals.
Moreover, the intraoperative neuromonitoring in Asia Pacific is likely to observe the fastest growth over the forecast period 2020-2025 growing at a CAGR of 6.6% owing to the growing awareness in regards to intraoperative neuromonitoring in patients during complicated surgeries and development in medical tourism sector in the rising nations in the area, for example, India and China.

Drivers – Intraoperative Neuromonitoring Market

Growing Requirement of Tele-Neuromonitoring 

With leading manufacturers leveraging advanced technology to launch compact and portable IONM devices, which are capable of getting configured with any laptop or desktop in the global market. Tele-neuromonitoring enabled qualified and certified IONM professionals to monitor patients from remote locations effectively are the growing requirement of the era. Through remote-neuromonitoring, the certified technologist or the physician can continuously monitor all the vital data, including action potential amplitude value, blood pressure data, and the degree of muscle relaxation. Remote monitoring also helps doctors reach small communities and rural areas and provide superior healthcare services from remote locations. Several hospitals and clinics also rely on tele-neuromonitoring, where a certified medical professional can provide high-quality monitoring service from any distant location and help save lives in the global market hence, can be considered as an Intraoperative Neuromonitoring key driver of the market during the forecast period 2020-2025. 

Challenges – Intraoperative Neuromonitoring Market

High capital and Dearth of skilled professionals 

The major challenge for the market is the high initial capital investment required for new production plant, R&D cost required adds additional cost for production of various intraoperative neuromonitoring devices and compliance of these products in a vast and heterogeneous market. The poor compliance is attributed to stringent government regulations which are anticipated to hamper growth of the global intraoperative neuromonitoring market as the devices undergo rigorous clinical trials prior to a PMA (premarket approval), which causes a significant rise in the costs incurred by the manufacturers; the main obstacle being the dearth of skilled professionals. 

Intraoperative Neuromonitoring Industry Outlook

Product launches, mergers and acquisitions, joint ventures and geographical expansions are key strategies adopted by players in the Intraoperative Neuromonitoring Market. In 2019, Intraoperative Neuromonitoring Market share is fragmented by the top ten players present in the market. Intraoperative Neuromonitoring Market top 10 companies are Accurate Monitoring LLC, Medtronic PLC, NuVasive Inc., Computational Diagnostics Inc., SpecialtyCare, Natus Medical Incorporated., IntraNerve LLC, AXIS Neuromonitoring, LLC, Synaptic Resources LLC, Bromedicon, Inc., Inomed Medizintechnik GmbH and others.

Acquisitions/Product Launches

  • In February 2019, Alphatec Holdings Inc. received clearance from the FDA for its automated SafeOp neuromonitoring system offering real-time intraoperative nerve location and health assessment. The SafeOp technology has been used in over 1,000 surgeries to identify nerve injury and has proved reliability in monitoring peripheral nerves in spine surgery.
  • In February 2018, the Centers of Medicare & Medicaid Services approved SpineTRACK Registry by NuVasive Inc. this device allows surgeons to use real-time data reports to make on-time medical decisions during surgeries.
  • In October 2016, SpecialityCare acquired Sentient Medical Systems and this acquisition was made to strengthen the company’s Intraoperative Neuromonitoring devices product portfolio.

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1. Intraoperative Neuromonitoring Market Overview
    1.1 Definitions and Scope
2. Intraoperative Neuromonitoring Market - Executive Summary
    2.1 Market Revenue and Key Trends by Company
    2.2 Key trends by Source Type
    2.3 Key trends by Application
    2.4 Key trends by Geography
3. Intraoperative Neuromonitoring Market – Comparative Analysis
    3.1 Product Benchmarking – Key Companies
    3.2 Financial Analysis – Key Companies
    3.3 Market Value Split by Key Companies
    3.4 Patent Analysis – Key Companies
    3.5 Pricing Analysis
4. Intraoperative Neuromonitoring Market - Startup Companies Scenario (Premium)
    4.1 Key Startup Company Analysis by
        4.1.1 Investment
        4.1.2 Revenue
        4.1.3 Venture Capital and Funding Scenario
5. Intraoperative Neuromonitoring Market – Industry Market Entry Scenario Premium (Premium)
    5.1 Regulatory Framework Overview
    5.2 New Business and Ease of Doing business index
    5.3 Case Studies of Successful Ventures
6. Intraoperative Neuromonitoring Market Forces
    6.1 Market Drivers
    6.2 Market Constraints/Challenges
    6.3 Porters five force model
        6.3.1 Bargaining power of suppliers
        6.3.2 Bargaining powers of customers
        6.3.3 Threat of new entrants
        6.3.4 Rivalry among existing players
        6.3.5 Threat of substitutes 
7. Intraoperative Neuromonitoring Market – Strategic Analysis
    7.1 Value Chain Analysis
    7.2 Opportunities Analysis
    7.3 Market Life Cycle
8. Intraoperative Neuromonitoring Market – By Source Type (Market Size –$Million/$Billion)
    8.1 Outsource Monitoring
    8.2 Insource Monitoring 
9. Intraoperative Neuromonitoring Market – By Modality (Market Size –$Million/$Billion)
    9.1 Electroencephalography(EEG)
    9.2 Electromyography(EMG)
    9.3 Electrophysiology(EP)
        9.3.1 Somatosensory Evoked Potentials Monitoring (SEP)
        9.3.2 Transcranial Motor Evoked Potentials Monitoring (TCMEP)
        9.3.3 Brainstem Auditory Evoked Potentials Monitoring (BAEP)
        9.3.4 Visual Evoked Potentials Monitoring (VEP)
10. Intraoperative Neuromonitoring Market – By Application (Market Size –$Million/$Billion)
    10.1 Spinal Surgery
    10.2 ENT Surgery
    10.3 Neurosurgery
    10.4 Vascular Surgery
    10.5 Orthopedic Surgery
    10.6 Others
11. Intraoperative Neuromonitoring Market – By End-Use (Market Size –$Million/$Billion)
    11.1 Hospitals
    11.2 Ambulatory Surgical Centers
    11.3 Specialty Clinics
    11.4 Others
12. Intraoperative Neuromonitoring Market - By Geography (Market Size –$Million/$Billion)
    12.1 North America
        12.1.1 U.S.
        12.1.2 Canada
        12.1.3 Mexico
    12.2 Europe
        12.2.1 U.K.
        12.2.2 Germany
        12.2.3 France
        12.2.4 Italy
        12.2.5 Spain
        12.2.6 Rest of Europe
    12.3 Asia-Pacific
        12.3.1 China
        12.3.2 India
        12.3.3 Japan
        12.3.4 South Korea
        12.3.5 Australia & New Zealand
        12.3.6 Rest of Asia-Pacific
    12.4 Rest of the World
        12.4.1 Middle East
        12.4.2 Africa
        12.4.3 South America
13. Intraoperative Neuromonitoring Market - Entropy
14. Intraoperative Neuromonitoring Market – Industry/Segment Competition Landscape   (Premium)
    14.1 Market Share Analysis
        14.1.1 Global Market Share – Key Companies
        14.1.2 Market Share by Region – Key companies
        14.1.3 Market Share by Countries – Key Companies
        14.1.4 Best Practices for Companies
15. Intraoperative Neuromonitoring Market – Key Company List by Country Premium (Premium)
16. Intraoperative Neuromonitoring Market Company Analysis
    16.1 Company 1
    16.2 Company 2
    16.3 Company 3
    16.4 Company 4
    16.5 Company 5
    16.6 Company 6
    16.7 Company 7
    16.8 Company 8
    16.9 Company 9
    16.10 Company 10 and more
"*Financials for private companies would be provided on a best efforts basis”.



1.US Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
2.Canada Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
3.Mexico Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
4.Brazil Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
5.Argentina Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
6.Peru Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
7.Colombia Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
8.Chile Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
9.Rest of South America Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
10.UK Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
11.Germany Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
12.France Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
13.Italy Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
14.Spain Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
15.Rest of Europe Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
16.China Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
17.India Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
18.Japan Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
19.South Korea Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
20.South Africa Intraoperative Neuromonitoring Market Revenue, 2019-2024 ($M)
21.North America Intraoperative Neuromonitoring By Application
22.South America Intraoperative Neuromonitoring By Application
23.Europe Intraoperative Neuromonitoring By Application
24.APAC Intraoperative Neuromonitoring By Application
25.MENA Intraoperative Neuromonitoring By Application