Intraoperative neuromonitoring also called as intraoperative neurophysiological monitoring (IOM), is an integral part of surgical procedures that use electrophysiological techniques such as electromyography (EMG), Electroencephalography (EEG), and evoked potentials to monitor the integrity of the neural structures during various surgical procedures. These neural structures include neurons, spinal cord, and several parts of the brain.

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The IONM helps in the risk reduction from the iatrogenic damage to the nervous system during the surgical procedures by surgeons and anesthesiologists. The intraoperative neuromonitoring techniques help to reduce the mortality and morbidity levels to a significant rate without the new addition of risks. Therefore, intraoperative neuromonitoring techniques have helped to reduce the postoperative complications in a number of surgical procedures.

Market Dynamics

The high risk to nervous system associated with surgeries increases demand for intraoperative neuromonitoring, which is major factor driving growth of the global intraoperative neuromonitoring market. According to the National Centre for Biotechnology Information (NCBI) 2014, iatrogenic nerve injuries accounted for 17.4% of the total traumatic nerve injuries. Moreover, according to World Health Organization (WHO) factsheet of 2015, around 80% disorders in the disabling conditions are neurological. The favorable reimbursement scenario is also responsible to fuel the market growth.

Increasing number of surgical failure leading to iatrogenic damage is one of the prominent factor responsible for the growth of intraoperative neuromonitoring market. For instance, according to a research survey published by Laser Spine Institute LLC 2015, an estimated 400,000 people undergo a spinal surgery in the U.S. annually and 30-40% of patients were reported to be suffering from post-operative complications.

Market players are adopting inorganic growth strategies to maintain leading position in the global intraoperative neuromonitoring market

Key players of the market are focused on acquisition of mid and small sized companies for expansion of manufacturing and distribution capacities to large geographical area. For instance, in December 2017, NuVasive, Inc. acquired SafePassage, a privately held intraoperative neurophysiological monitoring services provider for expanding neuromonitoring business. Moreover, companies are investing into research & development activities for development of better quality systems with improved performance and facilities. For instance, in 2012 Inomed Medizintechnik GmbH introduced a C2 Spine Software that provides automatic control for pharmacological relaxation status and offers effective and efficient neuromonitoring.

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Key players operating the global intraoperative neuromonitoring market include Accurate Monitoring, Inomed Medizintechnik GmbH, Neuromonitoring Technologies, Natus Medical Incorporated, Medtronic, Biotronic NeuroNetwork, NuVasive Inc., Sentient Medical Systems, and SpecialityCare.

North America was the leading region in global intraoperative neuromonitoring market in 2016, owing to the favoring reimbursement scenario in the region and rising adoptions of IONM in surgical department. For instance, Medicare built CPT codes and reimbursement policies regarding to the use of intraoperative neuromonitoring as a part of revised CPT codes and guidelines released in 2017. Another factor boosting growth of the market is the increasing cases in the number of spinal cord surgeries in North America. For instance, according to Pennsylvania Health Care Cost Containment Council, Statewide Statistics and Key Findings 2014, around 21,293 adults underwent spinal fusion surgery in 2014 witnessing a rise of 67.2% since 2004 in the U.S. The same source states that that 3.3% people who underwent spinal fusion in Pennsylvania experienced surgical complication during the fusion process.

Asia Pacific is anticipated to witness a marginal growth in the global intraoperative neuromonitoring market, owing to rising medical tourism and increasing awareness of patient safety during the surgery. For instance, according to Indian Brand Equity Foundation (IBEF) 2015, over 2,000,000 patients visited India in 2015 for medical procedures, which majorly include spinal procedures, liver transplant, and other cosmetic procedures.

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