The report “Fluid Management Systems Market is projected to reach USD 16.1 billion by 2025, at a CAGR of 13.6% during the forecast period. The growth of this market is majorly driven by the increasing number of minimally invasive surgeries, technological advancements in fluid management systems, an increase in government funds and grants worldwide for endosurgical procedures, increasing ESRD patient base, and rising number of hospitals and investments in endoscopy and laparoscopy facilities. Emerging markets and single-use disposable devices and accessoires are expected to provide significant opportunities for providers of fluid management systems and accessories. On the other hand, the high cost of endosurgical procedures, a lack of awareness, and the dearth of sufficient surgeons may affect market growth negatively during the forecast period.

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Drivers: Rising number of minimally invasive surgeries

Compared to open surgeries, minimally invasive surgeries are associated with a wide range of advantages—fewer postoperative complications, shorter recovery periods (shorter hospital stay), and lower risks of surgical site infections. Many minimally invasive surgeries are considered outpatient surgeries in which the patient does not need to stay overnight in a medical facility. According to a blog published in Surgical Solutions, hospitals in the US could collectively prevent thousands of post-surgical complications and save around USD 280–340 million every year by opting for minimally invasive surgeries instead of open surgery for routine operations of the appendix, colon, and lungs.

Minimally invasive surgeries are also increasingly being covered by health insurance providers in various countries across the globe. Due to their advantages, many patients and physicians opt for minimally invasive surgeries over other surgical procedures. More than 7.5 million surgical and minimally invasive cosmetic procedures were performed in the US as of 2017; this is projected to rise by 2% per year (Source: American Association of Pharmaceutical Scientists).

The growing number of minimally invasive cancer treatment procedures can also be expected to contribute to the demand for fluid management systems and accessories.

Restraints: High cost of endosurgical procedures

The cost of minimally invasive surgeries is higher than that of open surgeries due to the extensive use of specialized equipment and increased surgical time. The investment costs for endoscopic equipment are extremely high for most hospitals in developing countries. An HD colonoscopy system’s average price ranges between USD 100,000 and USD 120,000—an exceptionally high investment for healthcare providers in developing nations such as India, Brazil, and Mexico, who have lower financial resources to invest in sophisticated technologies. Also, personnel must be trained to handle and maintain endoscopy systems and equipment, adding to the operational cost for any endoscopy system acquired by the healthcare provider.

Owing to the high capital, training, and maintenance costs, endoscopy procedures are generally expensive. For instance, the average cost of a colonoscopy procedure ranges from USD 2,000–3,000 in many developing countries. Also, in most Asian countries, there is limited or no reimbursement for endoscopy procedures. The higher costs of endoscopic procedures typically prompt physicians and patients to opt for alternative, lower-priced methods, thereby limiting the adoption of endoscopic procedures across the world and affecting the growth of dependent industries such as fluid management systems and accessories.

Opportunities: Untapped potential in emerging markets

Emerging countries (such as China, India, South Korea, Brazil, and Mexico) offer significant growth opportunities to players operating in the global fluid management systems and accessories market. This can be attributed to the increasing public and private initiatives undertaken by market stakeholders across these countries, low regulatory barriers for trade, continuous improvements in healthcare infrastructure, growing patient population, rising healthcare expenditure, strengthening distribution networks of market leaders in these regions, and the rising medical tourism in these countries. The availability of high-quality surgical treatments at lower costs than developed markets has attracted many medical tourists.

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The fluid management systems segment accounts for the largest share of the market, by product, in 2019

By product, the fluid management systems and accessories fluid management systems market is segmented into systems and disposables and accessories. The systems segment accounted for the largest market share in 2019. The dominant share this segment can be attributed to the high cost of fluid management systems compared to accessories & consumables.

The laparoscopy application segment is expected to grow at the highest CAGR during the forecast period

Based on application, the fluid management systems market is categorized into urology and nephrology, gastroenterology, gynecology/obstetrics, laparoscopy, bronchoscopy, cardiology, arthroscopy, otoscopy, dentistry, neurology, and other applications. The laparoscopy application segment is expected to grow at the highest CAGR during the forecast period. Growth in this application segment is mainly due to the growing shift towards minimally invasive procedures, which, in turn, boosts the number of laparoscopic surgeries performed worldwide.

Hospitals end-user segment is expected to grow at the highest CAGR in the fluid management systems and accessories market during the forecast period

Based on end user, the global fluid management systems market is broadly segmented into hospitals, dialysis centers, ambulatory surgical centers, and other end users. The hospitals segment accounted for the largest market share in 2019 and is projected to register the highest CAGR during the forecast period.

The large share and high growth rate of this end-user segment can mainly be attributed to the large number of surgical procedures performed in these facilities.

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North America is expected to account for the largest share of the fluid management systems and accessories market in 2019

North America accounted for the largest share of the fluid management systems market, followed by Europe, the Asia Pacific, Latin America, and the Middle East & Africa. North America is a lucrative and well-established market for fluid management systems and accessories. The growth in this market is majorly attributed to technological advancements, the presence of a favorable reimbursement scenario, rising incidence of diseases such as ESRD, cancer, and the greater adoption of advanced technologies in North America are the key factors driving the growth of the fluid management systems and accessories market in North America. The presence of a large number of global players in this region is another key factor contributing to the large share of this market segment.

Key Market Players

The prominent players in this market are Fresenius Medical Care AG & Co. KGaA (Germany), Baxter International Inc. (US), Cardinal Health, Inc. (US), Stryker Corporation (US), Olympus Corporation (Japan), B. Braun Melsungen AG (Germany), Medline Industries, Inc. (US), KARL STORZ GmbH & Co. KG (Germany), Ecolab Inc. (US), Smiths Medical (UK), Zimmer Biomet Holdings Inc. (US), Medtronic plc (Ireland), FUJIFILM Holdings Corporation (Japan), CONMED Corporation (US), Hologic, Inc. (US), Arthrex, Inc. (US), Thermedx, LLC. (US), COMEG Medical Technologies (Germany), and EndoMed Systems GmbH (Germany).

Recent Developments :

• In December 2020, Medtronic (Ireland) launched the Carpediem System, a pediatric and neonatal acute dialysis machine (including dialyzer) in the US.
• In June 2020, Fresenius Medical Care (Germany)  is planning to open more than 100 new transitional care units (TCU) centers in the US. These units will help people recently diagnosed with kidney failure to learn about the treatment options available to them (including home dialysis) and become more empowered in managing their own care.
• In February 2019, Fresenius Medical Care (Germany) acquired NxStage Medical, Inc. (a US-based home dialysis leader). With this acquisition, the company aims to expand its presence in the dialysis market.
• In February 2019, Fresenius Medical Care (Germany) launched the 2008T BlueStar hemodialysis machine in the US.

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