C-arms Market Size, Share & Industry Analysis, By Type (Fixed and Mobile), By Application (Orthopedics and Trauma, Cardiology, Neurology, Gastroenterology, Oncology, and Others), By Detector (Flat Panel Detectors and Image Intensifier), By End-user (Hospitals, Diagnostic Centers, Specialty Clinics, and Others), and Regional Forecast, 2024-2032

The global c-arms market size was valued at USD 1.95 billion in 2023, and is projected to grow from USD 2.03 billion in 2024 to USD 2.91 billion by 2032, exhibiting a CAGR of 4.6% during the forecast period. North America dominated the global market with a share of 53.33% in 2023.

C-arms are X-ray-based technology devices that connect an X-ray source with a detector. It is a non-invasive diagnostic device mainly used in cardiac and orthopedic procedures. The c-arm system is installed on the patient’s table and tailor-made for conducting real-time X-ray imaging so that surgeons can monitor the progress of the procedure accordingly.

There is a significant number of patients giving preference to minimally invasive procedures over traditional surgeries due to reduced operation time, faster recovery period, and cost-effective outpatient care. Also, rising prevalence of chronic diseases, such as diabetes, cancer, and cardiovascular diseases has boosted the need for the product.

• For instance, according to the data published by the American Society of Anesthesiologists (ASA) in May 2021, nearly 70% of surgical procedures were performed in the outpatient setting. Also, the increasing number of ambulatory surgical centers supports the rising preference for outpatient surgeries.


• According to the statistics published by the Centers for Disease Control and Prevention (CDC) in July 2022, about 805,000 people in the U.S. have a heart attack every year, among which 605,000 have it for the first time.

Therefore, rising prevalence of chronic diseases and introduction of novel products in the market to improve the operational efficiency of hospitals and clinics will further fuel the c-arms market growth during the forecast period.               

The emergence of COVID-19 pandemic impeded the demand for c-arms due to decreased patient visits to hospitals and reduced surgical procedures. Key players in the market recorded a significant decline in their revenues due to the COVID-19 pandemic. The reallocation of healthcare resources, declining number of patient visits to emergency care and outpatient settings, disruptions in supply chains, and other major factors impacted the sales of these systems in the market.

However, during Q3-Q4 of 2020, the number of patient visits to hospitals started increasing as travel restrictions imposed by many countries were relaxed. In 2021, the number of patient visits began returning to normal owing to higher vaccination coverage of the general population, implementation of strong guidelines & COVID-19 protocols in public places, relaxation of restrictions for travel, and others. This led to an increase in demand for medical imaging devices in 2021 and 2022.

C-arms Market Trends

Incorporation of Artificial Intelligence in Radiology to Propel Business Growth Opportunities

Introduction of new technologies and advancements in image recognition with deep learning algorithms can aid healthcare professionals in performing task-specific applications. Artificial Intelligence (AI) has been a valuable tool in many hospital applications. AI can examine medical imaging results to recognize the most effective solution for severe abnormalities across the body.

• For instance, in December 2021, researchers from Boston University developed an AI algorithm that can swiftly and automatically identify positive x-rays for fractures. This system allowed radiologists to focus on viewing x-rays with fractures. It also improved operational efficiency by decreasing the time taken to deliver the results to patients.

Also, the generation of AI-powered imaging significantly improves the patient’s diagnosis and imaging quality. Adopting this new technology brings new opportunities that can give a detailed view of the image with less dosage of radiation per image.

• For instance, in April 2022, Omega Medical Imaging, LLC launched Soteria.AI, a new modality specially designed for cardiology labs. The new product reduces radiation dosage by 84% and provides high-quality images.

Thus, the incorporation of AI in radiology and medical devices is expected to improve operational efficiency and patient outcomes, thereby contributing to the surge in demand for these devices.

In addition, the incorporation of 3D mapping capabilities in these systems is another prominent trend in the market. Key players such as Koninklijke Philips N.V. and Siemens are actively involved in the development and launches of products having 3D mapping capabilities. Advanced AI enabled 3D mapping systems are expected to provide enhanced efficiency along with better outcomes in various procedures such as endovascular procedures.

C-arms Market Growth Factors

Rising Prevalence of Chronic Diseases and Patients’ Preference for Minimal Invasive Procedures to Propel Market Growth

Lack of physical activity, poor diet routine, and consumption of alcohol led to an increase in the prevalence of chronic diseases, such as diabetes, cancer, and cardiovascular diseases.

• For instance, according to the statistics published by the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), in 2022, around six out of ten U.S. adults were suffering from at least one chronic disease.


• According to the statistics published in the U.K. Factsheet in August 2022, 7.6 million people were living with a heart disease or circulatory disease in the country. Also, 2.3 million people in the U.K. lived with Coronary Heart Disease (CHD), among whom around 1.5 million are men and 830,000 are women.

This rising prevalence of chronic diseases has contributed to the increase in the number of surgical procedures. In recent years, it has been observed that the number of patients opting for minimally invasive procedures compared to traditional surgeries is growing significantly. Advantages associated with these procedures include reduced pain, lesser hospital stays, higher accuracy rates, faster healing times, and other benefits which have prominently supported the shift of patients toward the minimally invasive surgeries.

• For instance, according to an article published in Frontiers Media S.A. in May 2022, around 500,000 lumbar & spine fusion procedures are performed in the U.S. each year to improve stability, correct spine deformities, and treat conditions such as degenerative disc disease.

These factors, along with the increase in research and development investments and new product launches by key players, are driving the market growth and contributing to the increase in demand for these systems.

RESTRAINING FACTORS

Refurbished Equipment May Limit Demand for New Shipments and Restrict Market Growth

Advancements in terms of functionality and design, and the constant focus of market players on introducing new products have increased the cost of c-arm systems. Various small and mid-sized healthcare facilities prefer spending less on equipment due to the limited use of these products on a regular basis. Due to this, they prefer buying refurbished systems, which has limited the adoption of new imaging products. The comparatively higher cost of equipment coupled with the requirement of skilled professionals limits the adoption of these systems in low and middle income countries.

• For instance, according to the news published by Block Imaging, Inc., in January 2022, the market price of the new ELITE CFD and CIOS ALPHA would cost over USD 200,000. In contrast, the cost of both of these refurbished systems ranges around USD 70,000.

Also, some companies are offering systems based on a subscription plan, which hampered the demand for new systems. For instance, in September 2022, Turner Imaging Systems collaborated with Med One Group and launched a subscription plan called “pay as you go.” In this plan, customers can purchase a 16-lb SMART-C Mini C-arm for a nominal monthly charge, with a minimum guarantee of 12 months.

Thus, these factors have limited the demand for new systems and are restraining the market growth.

C-arms Market Segmentation Analysis

By Type Analysis

Collaborations among Key Players and Launch of Technologically Advanced Products to Boost Demand for Mobile Systems

Based on type, the market is segmented into fixed and mobile.

The mobile segment dominated the market in 2023. The increasing collaboration of key players with technology-based companies to bring futuristic imaging systems in the market and rising demand for portable systems from the healthcare sector are driving the growth of the segment. Koninklijke Philips N.V. is one of the leading players in this segment. The company offers a broad range of mobile c-arm systems to cater the growing market demand.

• For instance, in January 2022, Koninklijke Philips N.V. collaborated with Cydar, a U.K.-based company that specializes in providing cloud-based maps software for procedures. The collaboration aimed to integrate cloud-based AI and 3D mapping into its mobile c-arm system series – Zenition, which will assist healthcare professionals in conducting real-time surgeries.

On the other hand, the fixed segment is expected to record an optimal CAGR during the forecast period. The approval of certain cardiovascular procedures from the Centers for Medicare and Medicaid Services (CMS) is contributing to the growth of the segment.

• For instance, according to a press release by GE Healthcare in April 2022, the Centers for Medicare and Medicaid Services (CMS) approved the payment of certain cardiovascular procedures in 2020, which led to the frequent use of fixed c-arms in Ambulatory Surgical Centers (ASCs) and Office-based Labs (OBLs) for cardiac and peripheral vascular procedures.

By Application Analysis

C-Arm Systems to be Widely Used to Treat Cardiovascular Diseases Due to Their Rising Prevalence

Based on application, the market is segmented into orthopedics & trauma, cardiology, neurology, gastroenterology, oncology, and others.

The cardiology segment captured a significant c-arms market share in 2023. The increasing number of patients suffering from coronary heart disease has raised the demand for c-arms systems.

• For instance, according to an article published by the NCBI in January 2023, Coronary Artery Disease (CAD) accounts for around 610,000 deaths annually and is the leading cause of mortality in the U.S.

The orthopedics & trauma segment is expected to register the highest CAGR during the forecast period. The emphasis of key players on receiving approvals from the regulatory authorities for introducing new products in the market will contribute to the segment's growth during 2023-2030.

• For instance, in March 2021, GE Healthcare received approval from the U.S. FDA for its OEC 3D, a new surgical imaging system capable of conducting 3D and 2D imaging. This system has been set with specific standards for intraoperative 3D imaging and offers precise images for spine and orthopedic procedures.

The oncology segment is expected to record an optimal growth rate during the forecast period. Strategic collaborations among hospitals and market players with diverse imaging technologies will contribute to the segment's growth.

• For instance, in April 2022, Siemens Healthcare GmbH collaborated with Oulu University Hospital in Finland to expand and modernize its radiology department. The common goal of the collaboration was to ensure high-quality care throughout the region, with improved clinical processes.

By Detector Analysis

Simplification of Medical Procedures to Boost Adoption of New Flat Panel Detectors

Based on detector, the market is segmented into flat panel detectors and image intensifiers. The flat panel detectors segment captured a significant market share in 2023 owing to the launch of new flat panel detectors with recent technological advancements in imaging, which ease the medical procedures for clinicians and surgeons.

• For instance, in July 2022, Ziehm Imaging launched IGZO1 flat-panel detector for intraoperative imaging. The technology used in this detector is Indium Gallium Zinc Oxide (IGZO) technology, which provides high-quality images while keeping dose levels at a minimum.

On the other hand, the image intensifiers segment is expected to grow at a stagnant rate during 2024-2032. The segment’s growth is attributed to the adoption of advanced imaging systems with high-quality image intensifiers that provide surgeons with detailed anatomical images during surgeries.

Therefore, the introduction of advancements to the current products and launching new solutions to improve the operational efficiency of medical procedures will further fuel the segment’s growth during the forecast period.

By End User Analysis

Growing Prevalence of Chronic Diseases to Augment Product Adoption in Hospitals

Based on end user, the market is segmented into hospitals, diagnostic centers, specialty clinics, and others.

The hospitals segment held a significant market share in 2023. The rising prevalence of cardiovascular diseases and widespread use of c-arms in radiology and surgery departments has prompted hospitals and manufacturers to collaborate among themselves to upgrade and boost their quality of care. For instance:

• In January 2022, Koninklijke Philips N.V. collaborated with University Hospital Brandenburg an der Havel in Germany. The collaboration aimed to work on expanding the hospital’s diagnostic and therapy options and strengthen the company’s presence in the market.


• In June 2021, Turner Imaging Systems collaborated with MIS Healthcare, one of the large and independent medical imaging equipment suppliers throughout the U.K. and Ireland. The collaboration aimed to promote the company’s SMART-C fluoroscopic mini c-arm in diagnostic centers and other channels.

Thus, the adoption of technically advanced imaging systems by hospitals to upgrade their standard of care and emphasis of market players on collaboration with medical equipment suppliers is expected to augment the market growth during the forecast period.

REGIONAL INSIGHTS

Based on region, the market is studied across North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa.

The North America market was valued at USD 1.04 billion in 2023. The region’s dominance is due to the launch of new hybrid c-arms by manufacturing companies, which aid in improving clinicians' workflow in hospitals and ambulatory surgery centers. The introduction of this advanced technology is fostering the market’s growth in the region.

• In July 2022, FUJIFILM Holdings America Corporation launched FDR Cross, a new hybrid c-arm and x-ray solution, which offers portable fluoroscopy and radiography imaging on a single platform. The introduction of this product led to the expansion of the company’s product portfolio and strengthened its position in the U.S.

Europe held the second position in the global market. The emphasis of manufacturing companies on receiving approvals from regulatory bodies for marketing and distribution of their products is fueling the market’s growth in this region. For instance, in May 2021, Turner Imaging Systems received a CE mark for its ‘Smart-C mini c-arm’, a portable fluoroscopy X-ray imaging device. This approval assisted the company in distributing its products in European countries and expanded its product portfolio in the market.

Asia Pacific is expected to witness the highest CAGR during the forecast period. The growth of this region is attributed to the rising focus of companies on launching imaging systems for traumatic injuries and orthopedic procedures. For instance, in April 2022, Nanjing Perlove Medical Equipment Co. launched a large flat integrated c-arm – PLX119C. The PLX119C provides a broader field of view and more explicit images during an orthopedic procedure and can also measure the length and alignment of the fracture site.

On the other hand, the Latin America and Middle East regions are likely to grow at a slower pace. The rising incidence of musculoskeletal disorders and increasing geriatric population are accelerating the market growth in these regions. For instance, according to the Royal Society of Medicine, around 70,000 hip replacement procedures are performed annually in Brazil.

List of Key Companies in C-arms Market

Key Players to Focus on Upgrading Existing Products and Launching New Products to Strengthen their Position

In terms of the competitive landscape, the majority of the global market share is held by GE Healthcare, Koninklijke Philips N.V., and Siemens Healthcare GmbH. The major factors responsible for helping these companies dominate the market are a wide range of product portfolios and increasing focus on introducing advanced products to the market.

• In October 2022, Nanjing Perlove Medical Equipment Co., Ltd. launched PLX118F-Plus, a mobile digital FPD c-arm system for multidisciplinary applications, such as knee replacement, distal tibiofibular internal fixation, and others.

Other companies, such as Ziehm Imaging GmbH and CANON MEDICAL SYSTEMS CORPORATION, have a prominent presence in the global market. The upgradation of their existing products to improve their quality and provide high-resolution images during procedures is expected to propel the growth of these companies.

• In November 2021, Canon Medical Systems Corporation introduced High-Definition (Hi-Def) imaging detector and made it available on its c-arm systems, such as Alphenix Sky. The installation of these detectors improved the image resolution for clinicians and enabled them to improve patient outcomes.

List of Key Companies Profiled:

• General Electric Company (GE Healthcare) (U.S.)


• Koninklijke Philips N.V. (Netherlands)


• Siemens Healthcare GmbH (Germany)


• CANON MEDICAL SYSTEMS CORPORATION (Japan)


• Hologic, Inc. (U.S.)


• Shimadzu Corporation (Japan)


• Ziehm Imaging GmbH (Germany)


• FUJIFILM Corporation (Japan)


• Genoray Co., Ltd. (South Korea)

KEY INDUSTRY DEVELOPMENTS:

• February 2024 - Koninklijke Philips N.V. introduced Zenition 90 Motorized, a high-power and fast motorized mobile C-arm system to deliver high quality care.


• September 2023 - Koninklijke Philips N.V. expanded its mobile C-arm portfolio with the addition of Zenition 30.


• May 2023 - Koninklijke Philips N.V. announced the addition of Zenition 10 to its mobile C-arm portfolio.


• July 2022 – Canon Medical Systems USA Inc. acquired NXC Imaging, a medical imaging equipment distributor and service provider in Minneapolis, U.S. The aim of this acquisition was to widen Canon’s sales and services in the U.S. and expand its geographical reach in the Midwest region.


• July 2022 - FUJIFILM France S.A.S. announced the launch of FDR CROSS, a hybrid c-arm and portable X-ray device. The device can capture both radiographic and fluoroscopic images on a single platform, providing a more efficient and streamlined workflow.


• February 2022 – Siemens Healthcare GmbH announced to invest in 15 real estate projects in the U.S. to expand the manufacturing and R&D capabilities of the company. This investment also aimed to expand its diagnostics imaging and laboratory diagnostics portfolios, and strengthen its presence in the country.


• April 2021 – Nanjing Perlove Medical Equipment Co. collaborated with Mudanjiang Forestry Central Hospital in China. The collaboration aimed to implement high-frequency mobile c-arms in the hospital diagnostic department and strengthen its technological facilities.


• January 2021 - Siemens Healthineers announced that it received the FDA clearance for Cios Flow, a mobile c-arm for orthopedics, trauma surgery, spinal surgery, vascular surgery, and pain therapy to increase the efficiency of imaging workflows for surgical interventions.

REPORT COVERAGE

The research report provides a detailed analysis of the market. It focuses on key aspects such as top product types, applications, and detectors. Besides this, it offers insights into the latest market trends and highlights key industry developments, mergers, and acquisitions, technological advancements introduced by the major players. In addition to the above mentioned factors, the report encompasses several factors that have contributed to the market's growth in recent years.

Report Scope & Segmentation

ATTRIBUTE	DETAILS
Study Period	2019-2032
Base Year	2023
Forecast Period	2024-2032
Historical Period	2019-2022
Growth Rate	CAGR of 4.6% from 2024-2032
Unit	Value (USD billion)
Segmentation	By Type Fixed Mobile Full-Size C-arms Mini C-arms
By Application Orthopedics and Trauma Cardiology Neurology Gastroenterology Oncology Others
By Detector Flat Panel Detectors Image Intensifier
By End-user Hospitals Diagnostic Centers Specialty Clinics Others
By Region North America (By Type, By Application, By Detector, By End-user, By Country)  U.S. Canada Europe (By Type, By Application, By Detector, By End-user, By Country/Sub-Region) Germany France U.K. Italy Spain Scandinavia Rest of Europe Asia Pacific (By Type, By Application, By Detector, By End-user, By Country/Sub-Region)  China India Japan Australia Southeast Asia Rest of Asia Pacific Latin America (By Type, By Application, By Detector, By End-user, By Country/Sub-Region)  Brazil Mexico Rest of Latin America Middle East & Africa (By Type, By Application, By Detector, By End-user, By Country/Sub-Region) GCC South Africa Rest of Middle East & Africa