市場調查報告書
商品編碼
1606536
全球腦脊髓液 (CSF) 分流系統市場 - 2024-2031Global Cerebral Spinal Fluid (CSF) Shunt Systems Market - 2024-2031 |
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概述
2023年,全球腦脊髓液分流系統市場達到8.942億美元,預計2031年將達到13.983億美元,2024-2031年預測期間複合年成長率為5.8%。
腦脊髓液(CSF) 分流系統是一種醫療設備,旨在將多餘的腦脊髓液(CSF) 從大腦或脊髓的一個部分轉移到身體的另一個區域,通常是在腦脊髓液異常積聚(一種稱為腦積水的病症)時進行。這些系統主要用於治療腦積水和其他導致大腦積液的疾病,這可能導致顱內壓升高,可能損害腦組織。腦脊髓液分流系統在管理與腦脊髓液異常積聚相關的疾病方面發揮著至關重要的作用,有助於維持正常的大腦功能並防止長期神經損傷。
由於多種因素,全球對腦脊髓液分流系統的需求不斷成長。一個關鍵的促進因素是腦積水、創傷性腦損傷和顱內高壓等神經系統疾病的盛行率不斷增加,特別是在成人和兒童群體中。例如,根據世界衛生組織的數據,到 2021 年,全球有超過 30 億人患有神經系統疾病。醫療技術的進步,包括更有效的分流系統和微創手術,支持了市場的成長。
例如,根據加州大學洛杉磯分校衛生組織的數據,在美國,每 1,000 名新生兒中就有兩人患有腦積水。目前尚不清楚有多少人在出生後患有這種疾病。美國約有 125,000 人使用腦脊髓液 (CSF) 分流系統,每年安裝 33,000 例分流器。
驅動程式和限制
腦積水盛行率上升
腦積水盛行率的上升極大地推動了脊髓液分流系統市場的成長,預計在預測期內將繼續成長。腦積水是一種以腦脊髓液異常積聚為特徵的疾病,會導致顱內壓升高,如果不及時治療,可能會導致腦損傷。
例如,根據Medscape 報告,全球腦積水盛行率估計約為每10 萬人中85 例,不同年齡層之間存在顯著差異,兒科人群中腦積水盛行率為每10 萬人中88例,成人每10 萬人中11 例。此外,根據印度神經病學中心的數據,在低收入和中等收入國家(LMIC),腦積水的發生率為每100,000 名新生兒中123 例,而高收入國家每100,000 名新生兒中腦積水的發生率為79 例。先天性腦積水(從出生起)和後天性腦積水(由於創傷、感染或腫瘤)的盛行率都在增加,直接增加了對腦脊髓液分流系統的需求。
正常壓力腦積水在老年人中常見,是另一個主要因素。全球人口老化,特別是在已開發國家,導致更多人診斷出正常壓力腦積水,這通常需要分流干預。例如,根據阿茲海默症協會的說法,正常壓力腦積水主要影響 60 多歲和 70 多歲的人。腦積水協會估計,近 70 萬名成年人患有正常壓力腦積水
植入後併發症的高風險
植入後併發症的高風險預計將阻礙腦脊髓液分流系統市場。這些併發症不僅影響患者的治療結果,還會導致額外的醫療費用、增加治療時間以及患者和醫療服務提供者對分流技術的信心下降。感染是腦脊髓液分流器植入後最常見的併發症之一。
例如,根據 ScienceDirect,分流器感染率約為 5% 至 15%,其中大多數感染是由傷口污染引起的。幾乎 70% 的感染是由皮膚菌叢葡萄球菌引起的。腦脊髓液分流感染通常發生在植入後 2 個月內。
感染可能導致嚴重的併發症,如腦膜炎或敗血症,需要更換分流管,患者需要接受強化治療,包括抗生素甚至再次手術。重複手術的需要增加了整體醫療成本,並影響分流系統的長期可行性,限制了其市場接受度。
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Overview
The global cerebral spinal fluid shunt systems market reached US$ 894.2 million in 2023 and is expected to reach US$ 1398.3 million by 2031, growing at a CAGR of 5.8% during the forecast period 2024-2031.
Cerebrospinal Fluid (CSF) shunt systems are medical devices designed to divert excess cerebrospinal fluid (CSF) from one part of the brain or spinal cord to another area of the body, typically when there is an abnormal accumulation of CSF, a condition known as hydrocephalus. These systems are primarily used to treat hydrocephalus and other conditions that cause fluid buildup in the brain, which can lead to increased intracranial pressure, potentially damaging brain tissue. CSF shunt systems play a crucial role in managing conditions related to abnormal CSF buildup, helping to maintain normal brain function and prevent long-term neurological damage.
The global demand for cerebral spinal fluid shunt systems is growing due to several factors. A key driver is the increasing prevalence of neurological disorders such as hydrocephalus, traumatic brain injuries and intracranial hypertension, particularly among both the adult and pediatric populations. For instance, according to the WHO, in 2021, more than 3 billion people worldwide were living with a neurological condition. Advances in medical technologies, including more effective shunting systems and less invasive procedures, support market growth.
For instance, according to the UCLA Health Organization, hydrocephalus occurs in two out of every 1,000 births in the United States. It is not known how many people develop it after birth. Approximately 125,000 persons are living with cerebrospinal fluid (CSF) shunt systems and 33,000 shunts are placed annually in the United States.
Market Dynamics: Drivers & Restraints
Rising prevalence of hydrocephalus
The rising prevalence of hydrocephalus is significantly driving the growth of the spinal fluid shunt systems market and is expected to drive over the forecast period. Hydrocephalus, a condition characterized by the abnormal accumulation of cerebrospinal fluid in the brain, leads to increased intracranial pressure, potentially causing brain damage if untreated.
For instance, according to Medscape, the global prevalence of hydrocephalus is estimated at approximately 85 cases per 100,000 individuals, with notable variation across age groups, 88 per 100,000 in the pediatric population and 11 per 100,000 in adults. Additionally, according to Neurology India, the incidence of hydrocephalus is 123 per 100,000 births in low- and middle-income countries (LMICs) compared to 79 per 100,000 births in high-income countries. The prevalence of both congenital hydrocephalus (present from birth) and acquired hydrocephalus (due to trauma, infections, or tumors) is increasing, contributing directly to the demand for CSF shunt systems.
Normal pressure hydrocephalus, common among the elderly, is another major factor. The aging global population, particularly in developed countries, is leading to more diagnoses of normal pressure hydrocephalus, which often requires shunt intervention. For instance, according to the Alzheimer's Association, normal pressure hydrocephalus primarily affects people in their 60s and 70s. The Hydrocephalus Association estimates that nearly 700,000 adults have normal-pressure hydrocephalus
High risk of post-implantation complications
The high risk of post-implantation complications is expected to hamper the cerebral spinal fluid shunt systems market. These complications not only affect patient outcomes but also lead to additional healthcare costs, increased treatment time and a decrease in patient and provider confidence in shunt technologies. Infections are one of the most common complications after CSF shunt implantation.
For instance, according to ScienceDirect, shunt infection rates range from about 5% to 15%, with most infections resulting from wound contamination. Almost 70% of infections are caused by skin flora staphylococcal organisms. CSF shunt infections usually occur within 2 months after implantation.
Infections can lead to serious complications such as meningitis or sepsis, requiring the shunt to be replaced and the patient to undergo intensive treatment, including antibiotics or even re-surgery. The need for repeated surgeries increases the overall healthcare costs and impacts the long-term viability of shunt systems, limiting their market acceptance.
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The global cerebral spinal fluid shunt systems market is segmented based on product type, material, valve type, indication, age group, end-user and region.
The ventriculoperitoneal shunts segment is expected to dominate the global cerebral spinal fluid shunt systems market share
The ventriculoperitoneal shunts segment holds a major portion of the cerebral spinal fluid shunt systems market share and is expected to continue to hold a significant portion of the market share over the forecast period due to their widespread use, effectiveness and cost-efficiency in treating hydrocephalus, particularly in pediatric patients. These shunts are preferred for their ability to effectively redirect excess cerebrospinal fluid from the brain's ventricles to the peritoneal cavity (abdomen), where the fluid can be absorbed into the bloodstream.
Thus, due to the wide advantages offered by ventriculoperitoneal shunts, many major and emerging market players are focussing on these stunts. For instance, in May 2024, CereVasc, Inc. approval from the US Food and Drug Administration (FDA) to initiate its "Pivotal Study to Evaluate the Safety and Effectiveness of the CereVasc eShunt System in the Treatment of Normal Pressure Hydrocephalus" (STRIDE trial). The STRIDE pivotal study compares the safety and efficacy of its novel eShunt System for the treatment of patients with Normal Pressure Hydrocephalus to treatment with the current standard of care, the ventriculoperitoneal (VP) shunt.
Ventriculoperitoneal shunts are considered the gold standard in treating hydrocephalus, especially in congenital cases. This widespread use in both pediatric and adult populations significantly contributes to their market dominance. Ventriculoperitoneal shunts are highly effective in the long-term management of hydrocephalus, with studies showing that they are successful in reducing symptoms and improving patient outcomes, especially when timely intervention is applied.
North America is expected to hold a significant position in the global cerebral spinal fluid shunt systems market
North America region is expected to hold the largest market share over the forecast period. North America, especially the United States has a high prevalence of hydrocephalus, a major condition treated by CSF shunt systems. According to the Hydrocephalus Association, around 1 in 500 to 1,000 live births are affected by congenital hydrocephalus in the United States, leading to a significant demand for shunt devices.
For instance, according to the UCLA Health Organization, hydrocephalus occurs in two out of every 1,000 births in the United States. It is not known how many people develop it after birth. Approximately 125,000 persons are living with cerebrospinal fluid (CSF) shunt systems and 33,000 shunts are placed annually in the United States.
North America is home to the most advanced shunt technologies. Companies in the region have pioneered the development of programmable shunts and anti-siphon devices, which offer better control over cerebrospinal fluid flow and minimize the risk of complications such as infection or over-drainage. These innovations enhance patient outcomes and make CSF shunt systems more effective, leading to greater adoption and market share.
For instance, in August 2024, Aesculap, Inc. (Aesculap), in partnership with Christoph Miethke GmbH & Co. KG (MIETHKE), cleared that the U.S. Food and Drug Administration (FDA) granted Breakthrough Device Designation for the M.scio System. This unique, non-invasive, telemetric pressure measurement system is designed to provide continuous access to long-term, intracranial pressure (ICP) monitoring of cerebrospinal fluid (CSF) for the management of hydrocephalus via a permanent, fully implantable sensor.
Asia Pacific is growing at the fastest pace in the cerebral spinal fluid shunt systems market
The Asia Pacific region is experiencing the fastest growth in the cerebral spinal fluid shunt systems market. The prevalence of hydrocephalus and other neurological disorders is rising in the Asia Pacific region. The incidence of congenital hydrocephalus in countries like India and China is on the rise, partly due to better survival rates among preterm infants and improvements in neonatal care. For example, India has seen an increase in congenital hydrocephalus diagnoses, with studies indicating a prevalence of about 0.6-1.2 per 1,000 live births.
Medical tourism is also contributing to the growth of the CSF shunt market in Asia Pacific. Countries like India, Thailand and Singapore are popular destinations for medical tourists seeking affordable and high-quality hydrocephalus treatment. For instance, according to the Ministry of Tourism, India has been ranked 10th in the Medical Tourism Index (MTI) for 2020-21 out of 46 destinations in the world by the Medical Tourism Association. The increase in medical tourism is partly due to the availability of skilled healthcare professionals and modern surgical facilities at relatively lower costs compared to Western countries.
The major global players in the cerebral spinal fluid shunt systems market include Medtronic plc, Aesculap, Inc., Sophysa, Integra LifeSciences Corporation, Christoph Miethke GmbH & Co. KG, Delta Surgical, Anuncia Inc., Spiegelberg GmbH & Co. KG, HpBio, BIcakcIlar and among others.
The global cerebral spinal fluid shunt systems market report delivers a detailed analysis with 86 key tables, more than 85 visually impactful figures, and 176 pages of expert insights, providing a complete view of the market landscape.