Global Intraoperative Neuromonitoring Market Report and Forecast 2024-2032

Global Intraoperative Neuromonitoring Market Report and Forecast 2024-2032


Global Intraoperative Neuromonitoring Market Report and Forecast 2024-2032

The global intraoperative neuromonitoring market size was valued at USD 3.4 billion in 2023. It is expected to grow at a CAGR of 4.8% during the forecast period of 2024-2032, driven by growing prevalence of neurological disorders such as epilepsy and Alzheimer's, among others. The market is experiencing robust growth and is expected to reach USD 5.1 billion by 2032.

Global Intraoperative Neuromonitoring Market Analysis

The Global Intraoperative Neuromonitoring (IONM) market is experiencing significant growth, driven by the increasing demand for safer surgical procedures and the rising awareness of neurological disorders. Intraoperative Neuromonitoring is a vital technique used during surgical procedures to monitor the functional integrity of neural structures, including nerves, the spinal cord, and parts of the brain, to prevent postoperative neurological deficits. This analysis provides an overview of the current trends, market drivers, challenges, and future prospects of the IONM market.

Market Drivers

1. Rising Incidence of Neurological Disorders: The growing global prevalence of neurological disorders such as epilepsy, Alzheimer's, and Parkinson's disease is driving the demand for more precise and safer surgical interventions, where IONM plays a crucial role.

2. Technological Advancements: Innovations in IONM equipment and methodologies, including real-time data monitoring and minimally invasive techniques, have significantly improved the outcomes of neurosurgeries and other complex surgeries, fueling market growth.

3. Increased Healthcare Expenditure: The expansion of healthcare infrastructure across emerging economies and increased spending on healthcare in developed countries are facilitating the wider adoption of IONM services.

Market Challenges

1. High Cost of Procedures: The high cost associated with IONM procedures, including the cost of advanced technologies and skilled professionals, remains a significant barrier to market growth, particularly in low- and middle-income countries.

2. Lack of Skilled Professionals: There is a notable shortage of skilled professionals trained in intraoperative neuromonitoring, which can limit the availability and quality of IONM services.

Global Intraoperative Neuromonitoring Market Trends

The global intraoperative neuromonitoring (IONM) market is witnessing significant growth, propelled by various trends that reflect the evolving landscape of surgical procedures and healthcare priorities. This market analysis highlights the key trends influencing the IONM sector, providing insights into the forces driving market dynamics and future growth opportunities.
  • Technological Advancements
A major trend in the IONM market is the continuous advancement in technology. Cutting-edge innovations in neuromonitoring systems, such as enhanced signal acquisition, machine learning algorithms for data analysis, and the integration of wireless technologies, are improving the accuracy and reliability of neuromonitoring. These advancements facilitate real-time monitoring and decision-making during complex surgical procedures, thereby reducing the risk of postoperative neurological deficits.
  • Regulatory and Reimbursement Changes
The IONM market is also shaped by evolving regulatory and reimbursement landscapes. Regulatory bodies in various countries are implementing stricter guidelines to ensure the safety and efficacy of neuromonitoring techniques. Concurrently, changes in reimbursement policies, especially in the United States, are influencing the adoption of IONM services. These policy shifts are prompting healthcare providers to adopt neuromonitoring practices that align with reimbursement criteria, thus affecting market growth.
  • Expansion of Application Areas
Traditionally focused on neurosurgery and orthopedic procedures, the use of IONM is expanding into other surgical specialties such as cardiovascular, ENT (ear, nose, and throat), and abdominal surgeries. This expansion is driven by the growing recognition of the benefits of IONM in reducing surgical risks and improving patient outcomes across a broader range of procedures. As a result, the demand for IONM services is increasing, contributing to market growth.
  • Increase in Surgical Volumes
Globally, the volume of surgeries performed is on the rise, driven by an aging population and an increase in the prevalence of chronic conditions that require surgical intervention. This increase in surgical volumes is directly impacting the demand for IONM services, as healthcare providers seek to enhance patient safety and surgical outcomes. The growing need for complex surgeries, which pose a higher risk of neurological complications, further underscores the importance of intraoperative monitoring.
  • Market Consolidation and Strategic Partnerships
The IONM market is experiencing consolidation, with mergers and acquisitions among key players aiming to expand their product portfolios and geographic reach. This consolidation trend is accompanied by strategic partnerships between device manufacturers and service providers. Such collaborations are aimed at innovation, improving service offerings, and meeting the increasing demand for neuromonitoring services. These partnerships and consolidations are shaping the competitive landscape of the IONM market.

The global intraoperative neuromonitoring market is characterized by rapid growth, driven by technological innovations, regulatory changes, expansion of application areas, increasing surgical volumes, and strategic industry movements. As the market continues to evolve, stakeholders must navigate these trends to capitalize on the emerging opportunities. The ongoing emphasis on patient safety, coupled with advancements in medical technology, positions the IONM market for sustained growth and expansion into new territories and surgical disciplines.

Global Intraoperative Neuromonitoring Market Segmentation

Market Breakup by Type
  • EEG
  • EMG
  • Evoked Potential
  • Others
The global intraoperative neuromonitoring (IONM) market is segmented by type into EEG, EMG, Evoked Potential, and others, each playing a crucial role in driving market growth. EEG segment dominance is attributed to its critical application in monitoring brain activity during neurosurgeries, fueled by rising neurological disorder incidences. The EMG segment is vital for surgeries involving the nervous system and muscles, with advancements in technology propelling its demand. The Evoked Potential segment is gaining traction for its ability to assess neural pathways, essential in complex surgeries. The "others" category includes innovative neuromonitoring techniques, contributing to the market's diversity. Collectively, these segments are propelled by technological innovations, increasing surgical volumes, and a heightened focus on patient safety, positioning the IONM market for substantial growth in the forecast period.

Market Breakup by Methods
  • Invasive
  • Non-Invasive
  • Minimally Invasive
  • Others
The global intraoperative neuromonitoring (IONM) market is diversified by methods into invasive, non-invasive, minimally invasive, and others, each uniquely contributing to the market's growth trajectory. The invasive method, though critical for certain complex procedures, is being complemented by rising preferences for non-invasive and minimally invasive techniques, driven by advancements in technology and a growing emphasis on patient safety and recovery times. Non-invasive methods are particularly appealing due to their lower risk and ease of application, making them increasingly popular in various surgical procedures.

Minimally invasive techniques, offering a balance between invasiveness and precision, are gaining traction for their reduced postoperative recovery time and complications. The "others" category encapsulates emerging IONM methodologies that are expected to address specific clinical needs. These segments, propelled by technological innovations, a shifting regulatory landscape, and an increasing number of surgeries, are poised to significantly contribute to the market's expansion in the forecast period, with non-invasive and minimally invasive methods leading the growth due to their patient-centric advantages.

Market Breakup by Source
  • In-house
  • Outsource and Tele-Health
  • Others
The intraoperative neuromonitoring (IONM) market, segmented by source into in-house, outsource and tele-health, and others, reflects a diversified approach to delivering neuromonitoring services. The in-house segment currently leads, driven by hospitals' preference to have direct control over neuromonitoring procedures, ensuring immediate availability and integrated patient care.

However, the outsource and tele-health segment is experiencing rapid growth, fueled by the healthcare industry's increasing reliance on specialized service providers and the expanding capabilities of tele-health technologies. This growth is attributed to cost-efficiency, access to expert neuromonitoring professionals, and the ability to serve remote locations.

The "others" category encompasses emerging service delivery models, adapting to evolving healthcare needs. Collectively, these segments indicate a dynamic shift towards more flexible, efficient, and technologically advanced IONM solutions, poised to significantly influence market growth in the forecast period through enhanced accessibility and specialization.

Market Breakup by Procedure
  • Spinal
  • Neurovascular
  • Orthopedic
  • Otolaryngology
  • Surgery
  • Urology
  • Others
The intraoperative neuromonitoring (IONM) market, when analyzed by procedure, encompasses spinal, neurovascular, orthopedic, otolaryngology, surgery, urology, and others. The spinal segment is a major driver, owing to the high risk associated with spinal surgeries and the critical need for neuromonitoring to prevent post-operative complications. Neurovascular procedures are increasingly adopting IONM to monitor brain functions during surgeries, given the complexity and high stakes of interventions. Orthopedic surgeries, especially those involving intricate nerve pathways, rely on IONM for safeguarding patient outcomes. The otolaryngology segment benefits from IONM in surgeries that risk nerve damage in sensitive areas. Urology and other specialized surgeries are progressively recognizing the value of IONM in enhancing surgical precision and patient safety.

These diverse applications underscore the market's growth potential, driven by the expanding scope of IONM across various surgical disciplines. This trend is facilitated by technological advancements, the growing emphasis on patient safety, and the increasing volume of complex surgeries. As healthcare providers continue to acknowledge the indispensable role of IONM in minimizing surgical risks, this market segment is poised for significant expansion in the forecast period, contributing to the overall growth of the IONM market.

Market Breakup by End User
  • Hospitals and Ambulatory Surgical Centers (ASCs)
  • Services (Systems Accessories and Service)
  • Others
The intraoperative neuromonitoring (IONM) market is segmented by end-users into hospitals and ambulatory surgical centers (ASCs), services (including systems, accessories, and service providers), and others. The largest market share belongs to hospitals and ASCs, driven by an increasing number of complex surgeries necessitating neuromonitoring for enhanced patient safety and outcomes.

The services segment is rapidly expanding, fueled by the growing trend of outsourcing neuromonitoring services and the need for advanced IONM technologies. Other end-users, such as research institutions, contribute through innovation and development in neuromonitoring practices. Collectively, these segments underscore the market's dynamic growth, with each playing a pivotal role in advancing the adoption and sophistication of IONM solutions, setting the stage for significant market expansion in the coming years.

Market Breakup by Region
  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East and Africa
The global intraoperative neuromonitoring (IONM) market is segmented into key regions including North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa. North America dominates the market due to its advanced healthcare systems and high adoption of IONM technologies. Europe maintains a strong market presence with its focus on patient safety and healthcare spending. The Asia Pacific region is experiencing the fastest growth, driven by increasing healthcare awareness and investments in healthcare infrastructure. Latin America and the Middle East and Africa are emerging markets, showing growth potential as healthcare systems evolve and surgical volumes increase. This geographical segmentation reflects a blend of mature and emerging markets, each contributing to the global expansion of the IONM market based on regional healthcare developments and adoption rates.

Global Intraoperative Neuromonitoring Market Competitive Landscape

The competitive landscape of the global intraoperative neuromonitoring (IONM) market is diverse, featuring a mix of specialized companies and global healthcare giants. Key players include Computational Diagnostics Inc., EMOTIV, B. Braun Melsungen AG, Inomed Medizintechnik GmbH, and IntraNerve Neuroscience Holdings, LLC, IONM technologies, Medsurant Holdings, Neuro Alert, and NeuroSentinel LLC, UPMC Procirca, ProPep Surgical, SpecialtyCare, Sentient Medical Systems, NuVasive, Inc., Medtronic, NeuroMonitoring Technologies, Inc., and Accurate Monitoring, among others. These companies are at the forefront of innovation, offering advanced and services that enhance surgical safety and outcomes. which collectively push the envelope in neuromonitoring solutions. This competitive environment is characterized by strategic partnerships, technological advancements, and an expanding global footprint, underscoring the market's dynamic growth and innovation-driven nature.

Key Questions Answered in This Report
  • What is the current and future performance of the global intraoperative neuromonitoring market?
  • What key trends are driving the growth and evolution of the global intraoperative neuromonitoring (IONM) market?
  • How are mergers, acquisitions, and strategic partnerships influencing the competitive landscape and growth of the market?
  • How are advancements in non-invasive and minimally invasive methods driving growth in the market?
  • How are evolving service delivery models impacting the growth of the intraoperative neuromonitoring (IONM) market?
  • How do different end-user segments influence the growth and expansion of the market?
  • What factors contribute to the varying growth rates of the intraoperative neuromonitoring market across global regions?
  • Who are the key players shaping the competitive landscape of the global market?
  • What are the main players/companies in the market?
Key Benefits for Stakeholders
  • The industry report offers a comprehensive quantitative analysis of various market segments, historical and current market trends, market forecasts, and dynamics of the global intraoperative neuromonitoring market from 2017-2032.
  • The research report provides the latest information on the market drivers, challenges, and opportunities in the global intraoperative neuromonitoring market.
  • The study maps the leading, as well as the fastest-growing, regional markets. It further enables stakeholders to identify the key country-level markets within each region.
  • Porter's five forces analysis assists stakeholders in assessing the impact of new entrants, competitive rivalry, supplier power, buyer power, and the threat of substitution. It helps stakeholders to analyze the level of competition within the global intraoperative neuromonitoring industry and its attractiveness.
  • The competitive landscape allows stakeholders to understand their competitive environment and provides insight into the current positions of key players in the market.
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1 Preface
1.1 Objectives of the Study
1.2 Key Assumptions
1.3 Report Coverage – Key Segmentation and Scope
1.4 Research Methodology
2 Executive Summary
3 Global Intraoperative Neuromonitoring Market Overview
3.1 Global Intraoperative Neuromonitoring Market Historical Value (2017-2023)
3.2 Global Intraoperative Neuromonitoring Market Forecast Value (2024-2032)
4 Global Intraoperative Neuromonitoring Market Landscape*
4.1 Global Intraoperative Neuromonitoring: Developers Landscape
4.1.1 Analysis by Year of Establishment
4.1.2 Analysis by Company Size
4.1.3 Analysis by Region
4.2 Global Intraoperative Neuromonitoring: Product Landscape
4.2.1 Analysis by Product
4.2.2 Analysis by Applications
5 Global Intraoperative Neuromonitoring Market Dynamics
5.1 Market Drivers and Constraints
5.2 SWOT Analysis
5.2.1 Strengths
5.2.2 Weaknesses
5.2.3 Opportunities
5.2.4 Threats
5.3 Porter’s Five Forces Model
5.3.1 Bargaining Power of Suppliers
5.3.2 Bargaining Power of Buyers
5.3.3 Threat of New Entrants
5.3.4 Threat of Substitutes
5.3.5 Degree of Rivalry
5.4 Key Demand Indicators
5.5 Key Price Indicators
5.6 Industry Events, Initiatives, and Trends
5.7 Value Chain Analysis
6 Global Intraoperative Neuromonitoring Market Segmentation (2017-2032)
6.1 Global Intraoperative Neuromonitoring Market (2017-2032) by Type
6.1.1 Market Overview
6.1.2 EEG
6.1.3 EMG
6.1.4 Evoked Potential
6.1.5 Others
6.2 Global Intraoperative Neuromonitoring Market (2017-2032) by Methods
6.2.1 Market Overview
6.2.2 Invasive
6.2.3 Non-Invasive
6.2.4 Minimally Invasive
6.2.5 Others
6.3 Global Intraoperative Neuromonitoring Market (2017-2032) by Source
6.3.1 Market Overview
6.3.2 In-house
6.3.3 Outsource and Tele-Health
6.3.4 Others
6.4 Global Intraoperative Neuromonitoring Market (2017-2032) by Procedure
6.4.1 Market Overview
6.4.2 Spinal
6.4.3 Neurovascular
6.4.4 Orthopedic
6.4.5 Otolaryngology
6.4.6 Surgery
6.4.7 Urology
6.4.8 Others
6.5 Global Intraoperative Neuromonitoring Market (2017-2032) by End User
6.5.1 Market Overview
6.5.2 Hospitals and Ambulatory Surgical Centers (ASCs)
6.5.3 Services (Systems Accessories and Service)
6.5.4 Others
6.6 Global Intraoperative Neuromonitoring Market (2017-2032) by Region
6.6.1 Market Overview
6.6.2 North America
6.6.3 Europe
6.6.4 Asia Pacific
6.6.5 Latin America
6.6.6 Middle East and Africa
7 North America Intraoperative Neuromonitoring Market (2017-2032)
7.1 North America Intraoperative Neuromonitoring Market (2017-2032) by Type
7.1.1 Market Overview
7.1.2 EEG
7.1.3 EMG
7.1.4 Evoked Potential
7.1.5 Others
7.2 North America Intraoperative Neuromonitoring Market (2017-2032) by Methods
7.2.1 Market Overview
7.2.2 Invasive
7.2.3 Non-Invasive
7.2.4 Minimally Invasive
7.2.5 Others
7.3 North America Intraoperative Neuromonitoring Market (2017-2032) by Country
7.3.1 United States of America
7.3.2 Canada
8 Europe Intraoperative Neuromonitoring Market (2017-2032)
8.1 Europe Intraoperative Neuromonitoring Market (2017-2032) by Type
8.1.1 Market Overview
8.1.2 EEG
8.1.3 EMG
8.1.4 Evoked Potential
8.1.5 Others
8.2 Europe Intraoperative Neuromonitoring Market (2017-2032) by Methods
8.2.1 Market Overview
8.2.2 Invasive
8.2.3 Non-Invasive
8.2.4 Minimally Invasive
8.2.5 Others
8.3 Europe Intraoperative Neuromonitoring Market (2017-2032) by Country
8.3.1 United Kingdom
8.3.2 Germany
8.3.3 France
8.3.4 Italy
8.3.5 Others
9 Asia Pacific Intraoperative Neuromonitoring Market (2017-2032)
9.1 Asia Pacific Intraoperative Neuromonitoring Market (2017-2032) by Type
9.1.1 Market Overview
9.1.2 EEG
9.1.3 EMG
9.1.4 Evoked Potential
9.1.5 Others
9.2 Asia Pacific Intraoperative Neuromonitoring Market (2017-2032) by Methods
9.2.1 Market Overview
9.2.2 Invasive
9.2.3 Non-Invasive
9.2.4 Minimally Invasive
9.2.5 Others
9.3 Asia Pacific Intraoperative Neuromonitoring Market (2017-2032) by Country
9.3.1 China
9.3.2 Japan
9.3.3 India
9.3.4 ASEAN
9.3.5 Australia
9.3.6 Others
10 Latin America Intraoperative Neuromonitoring Market (2017-2032)
10.1 Latin America Intraoperative Neuromonitoring Market (2017-2032) by Type
10.1.1 Market Overview
10.1.2 EEG
10.1.3 EMG
10.1.4 Evoked Potential
10.1.5 Others
10.2 Latin America Intraoperative Neuromonitoring Market (2017-2032) by Methods
10.2.1 Market Overview
10.2.2 Invasive
10.2.3 Non-Invasive
10.2.4 Minimally Invasive
10.2.5 Others
10.3 Latin America Intraoperative Neuromonitoring Market (2017-2032) by Country
10.3.1 Brazil
10.3.2 Argentina
10.3.3 Mexico
10.3.4 Others
11 Middle East and Africa Intraoperative Neuromonitoring Market (2017-2032)
11.1 Middle East and Africa Intraoperative Neuromonitoring Market (2017-2032) by Type
11.1.1 Market Overview
11.1.2 EEG
11.1.3 EMG
11.1.4 Evoked Potential
11.1.5 Others
11.2 Middle East and Africa Intraoperative Neuromonitoring Market (2017-2032) by Methods
11.2.1 Market Overview
11.2.2 Invasive
11.2.3 Non-Invasive
11.2.4 Minimally Invasive
11.2.5 Others
11.3 Middle East and Africa Intraoperative Neuromonitoring Market (2017-2032) by Country
11.3.1 Saudi Arabia
11.3.2 United Arab Emirates
11.3.3 Nigeria
11.3.4 South Africa
11.3.5 Others
12 Regulatory Framework
12.1 Regulatory Overview
12.1.1 US FDA
12.1.2 EU EMA
12.1.3 INDIA CDSCO
12.1.4 JAPAN PMDA
12.1.5 Others
13 Patent Analysis
13.1 Analysis by Type of Patent
13.2 Analysis by Publication year
13.3 Analysis by Issuing Authority
13.4 Analysis by Patent Age
13.5 Analysis by CPC Analysis
13.6 Analysis by Patent Valuation
13.7 Analysis by Key Players
14 Grants Analysis
14.1 Analysis by Year
14.2 Analysis by Amount Awarded
14.3 Analysis by Issuing Authority
14.4 Analysis by Grant Application
14.5 Analysis by Funding Institute
14.6 Analysis by Departments
14.7 Analysis by Recipient Organization
15 Funding and Investment Analysis
15.1 Analysis by Funding Instances
15.2 Analysis by Type of Funding
15.3 Analysis by Funding Amount
15.4 Analysis by Leading Players
15.5 Analysis by Leading Investors
15.6 Analysis by Geography
16 Partnership and Collaborations Analysis
16.1 Analysis by Partnership Instances
16.2 Analysis by Type of Partnership
16.3 Analysis by Leading Players
16.4 Analysis by Geography
17 Supplier Landscape
17.1 Computational Diagnostics Inc
17.1.1 Financial Analysis
17.1.2 Product Portfolio
17.1.3 Demographic Reach and Achievements
17.1.4 Mergers and Acquisitions
17.1.5 Certifications
17.2 EMOTIV
17.2.1 Financial Analysis
17.2.2 Product Portfolio
17.2.3 Demographic Reach and Achievements
17.2.4 Mergers and Acquisitions
17.2.5 Certifications
17.2.6 B. Braun Melsungen AG
17.3 Inomed Medizintechnik GmbH
17.3.1 Product Portfolio
17.3.2 Demographic Reach and Achievements
17.3.3 Mergers and Acquisitions
17.3.4 Certifications
17.4 IntraNerve Neuroscience Holdings, LLC
17.4.1 Financial Analysis
17.4.2 Product Portfolio
17.4.3 Demographic Reach and Achievements
17.4.4 Mergers and Acquisitions
17.4.5 Certifications
17.5 Medsurant Holdings
17.5.1 Financial Analysis
17.5.2 Product Portfolio
17.5.3 Demographic Reach and Achievements
17.5.4 Mergers and Acquisitions
17.5.5 Certifications
17.6 Neuro Alert
17.6.1 Financial Analysis
17.6.2 Product Portfolio
17.6.3 Demographic Reach and Achievements
17.6.4 Mergers and Acquisitions
17.6.5 Certifications
17.7 NeuroSentinel LLC
17.7.1 Product Portfolio
17.7.2 Demographic Reach and Achievements
17.7.3 Mergers and Acquisitions
17.7.4 Certifications
17.8 UPMC Procirca
17.8.1 Financial Analysis
17.8.2 Product Portfolio
17.8.3 Demographic Reach and Achievements
17.8.4 Mergers and Acquisitions
17.8.5 Certifications
17.9 ProPep Surgical
17.9.1 Financial Analysis
17.9.2 Product Portfolio
17.9.3 Demographic Reach and Achievements
17.9.4 Mergers and Acquisitions
17.9.5 Certifications
17.10 SpecialtyCare
17.10.1 Financial Analysis
17.10.2 Product Portfolio
17.10.3 Demographic Reach and Achievements
17.10.4 Mergers and Acquisitions
17.10.5 Certifications
17.11 Sentient Medical Systems
17.11.1 Financial Analysis
17.11.2 Product Portfolio
17.11.3 Demographic Reach and Achievements
17.11.4 Mergers and Acquisitions
17.11.5 Certifications
17.12 NuVasive, Inc
17.12.1 Financial Analysis
17.12.2 Product Portfolio
17.12.3 Demographic Reach and Achievements
17.12.4 Mergers and Acquisitions
17.12.5 Certifications
17.13 Medtronic
17.13.1 Financial Analysis
17.13.2 Product Portfolio
17.13.3 Demographic Reach and Achievements
17.13.4 Mergers and Acquisitions
17.13.5 Certifications
17.14 NeuroMonitoring Technologies,Inc.
17.14.1 Financial Analysis
17.14.2 Product Portfolio
17.14.3 Demographic Reach and Achievements
17.14.4 Mergers and Acquisitions
17.14.5 Certifications
17.15 Accurate Monitoring
17.15.1 Financial Analysis
17.15.2 Product Portfolio
17.15.3 Demographic Reach and Achievements
17.15.4 Mergers and Acquisitions
17.15.5 Certifications
List not exhaustive
18 Global Intraoperative Neuromonitoring Market – Distribution Model (Additional Insight)
18.1 Overview
18.2 Potential Distributors
18.3 Key Parameters for Distribution Partner Assessment
19 Key Opinion Leaders (KOL) Insights (Additional Insight)
20 Company Competitiveness Analysis (Additional Insight)
20.1 Very Small Companies
20.2 Small Companies
20.3 Mid-Sized Companies
20.4 Large Companies
20.5 Very Large Companies
21 Payment Methods (Additional Insight)
21.1 Government Funded
21.2 Private Insurance
21.3 Out-of-Pocket
*Additional insights provided are customisable as per client requirements.
* The coverage of the Market Landscape section depends on the data availability and may cover a minimum of 80% of the total market. The EMR team strives to make this section as comprehensive as possible.

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