Europe C-arms Market Size, Share & COVID-19 Impact Analysis, By Type (Fixed C-arms, and Mobile C-arms {Full-Size C-arms and Mini C-arms}), 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, 2023-2030

The Europe C-arms market size was valued at USD 568.0 million in 2022. The market is projected to grow from USD 591.2 million in 2023 to USD 788.8 million by 2030, exhibiting a CAGR of 4.2% during the forecast period.

C-arms are advanced medical imaging technologies that work on the same principle as X-ray technology. These devices offer several benefits, such as mobility and flexibility, which were previously lacking in traditional imaging equipment. Since these devices are portable, they can easily be moved from one room to another, making them feasible technologies during emergencies in clinics and hospitals. Thus, these factors are fueling the demand for these equipments in several operating rooms and surgical centers.

Furthermore, the growing incidence of chronic diseases is leading to the growing patient pool undergoing diagnostic procedures, thus fueling the demand for imaging modalities, such as C-arms. These equipment are an important tool in operating rooms, as they provide real-time imaging during various surgical procedures. The versatility of these equipment allows them to be used in a broad range of surgical procedures such as vascular and neurosurgery and orthopedic, among others. These factors are contributing to the Europe C-arms market growth.

• According to the statistics published by the European Commission, in 2021, total hip replacement surgeries performed in Germany were 301 per 100,000 inhabitants. Moreover, in Belgium, Finland, and Austria, the total hip replacement surgeries performed were approximately 271, 283, and 287 per 100,000 inhabitants, respectively.

In addition, the increasing adoption of several strategic initiatives by key market players, such as entering into mergers and acquisitions, new product launches, and others, are some of the factors that are contributing to the market growth.

COVID-19 IMPACT

Declining Number of Surgical Procedures During COVID-19 Pandemic Negatively Impacted the Market

The COVID-19 outbreak hampered the demand for C-arms due to reduced or suspension of elective surgeries and reduced number of patient visits to hospitals. Most of the medical procedures were postponed as several healthcare providers allocated their resources to COVID-19 management. Therefore, the decline in a number of surgeries impacted the buying decision of these equipments by healthcare settings, which restricted it’s demand in the region.

• In 2022, according to data published by the European Commission and the Organization for Economic Co-operation and Development (OECD), the overall rate of knee and hip replacement surgery fell by 24% and 14%, respectively, across all European countries.

Furthermore, the market players witnessed a significant decline in their revenues due to delays in the installation of new equipment in hospitals coupled with disruption in the supply chain.    

• For instance, Koninklijke Philips N.V. generated a revenue of USD 8,596.2 million and witnessed a decline of 3.7% from its diagnosis & treatment segment in 2020 compared to USD 8,922.2 million in 2019.

However, in 2021, after the partial resumption of elective procedures as COVID-19 restrictions were eased, the market witnessed sharp growth and contributed to its recovery.

• For instance, the medical segment revenue of the CANON MEDICAL SYSTEMS CORPORATION declined by 13.8% from 2019 to 2020. However, from 2020 to 2021, the company’s medical segment grew by 10.2%.

Europe C-arms Market Trends

Advancements in Digital Radiology Is a Latest Trend

Digital radiology solutions have revolutionized the field of medical imaging over the past few years. Radiology is one of the key focuses in the area of digitization including patient management to follow up. Constant efforts to develop advanced systems by integrating AI-enabled technology and 3-D mapping capabilities in a C-arm system have further assisted in improving process planning and reducing surgical operation times.

• In January 2021, Koninklijke Philips N.V. announced the integration of 3D-mapping and cloud-based AI into the company’s mobile C-arm System Series Zenition to enhance endovascular treatment outcomes.

Digital radiography devices eliminate the need for time-consuming chemical film processing and provide enhanced images. In addition, less radiation is required to produce an image with the same contrast as traditional radiography. Digital radiation technology saves the cost of film jackets and processor maintenance. The growing potential of digital radiography in surgical procedures, coupled with continuous advancements, is leading to product launches by prominent players.

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Europe C-arms Market Growth Factors

Increasing Demand for Minimally Invasive Procedures is Driving Market Growth  

Several clinical and operational benefits of minimally invasive surgeries over traditional surgeries, such as shorter recovery time, less pain, and reduced scarring, have led to an increasing preference for these equipments among healthcare providers. Moreover, robotic technology is revolutionizing the field of minimally invasive surgery by offering proper precision and control during surgical procedures.

• For instance, in May 2023, Koninklijke Philips N.V. announced the addition of a new product to the company’s Zenition series. Zenition 10 is a flat panel detector technology that assists patients in accessing minimally invasive procedures and routine surgical care.

In addition, the introduction of image-guided surgical systems and the integration of these systems with diagnostic imaging modalities is assisting healthcare providers with real-time imaging procedures for improved patient outcomes.

• According to the data published by the European Commission, in 2021, 1.1 million transluminal coronary angioplasty procedures were performed in 25 European countries. Croatia reported the highest ratio of angioplasty procedures, followed by Germany.

Thus, the growing number of surgical procedures in the region is increasing the adoption of minimally invasive surgeries, further driving the market growth.

RESTRAINING FACTORS

High Cost of Equipment May Restrict the Adoption of C-Arm 

The cost of C-arms varies significantly on the basis of several factors, such as the desired level of technology, the nature of work, and other specific requirements. Moreover, competition among market players to launch innovative products has resulted in the high cost of these devices. The new models with advanced C-arm features cost more than USD 150,000.

• Fixed C-arms cost around USD 1.0 million, and the cost of mini C-arms usually costs around USD 60,000 to USD 90,000. While these state-of-the-art technologies and the latest innovations offer cutting-edge solutions, the high cost of these devices restricts their adoption among several potential users.

Several small and mid-size healthcare organizations operate within limited budgets, leading them to invest less in new technologies; therefore, they prefer to buy refurbished systems. These factors are limiting the adoption of new imaging products, further restricting market growth.

Europe C-arms Market Segmentation Analysis

By Type Analysis

Higher Adoption of Mobile C-Arms Due to its Ease of Use Contributed to the Segment Dominance

By type, the market is segregated into fixed and mobile C-arms.

The mobile C-arms are further segmented into full-size and mini-size C-arms. The mobile C-arms segment captured the highest Europe C-arms market share in 2022. These are used in a range of diagnostic imaging and minimally invasive surgeries. These technologies offer high-definition 2D and 3D images in the operating room, helping physicians accurately diagnose lesions and plan surgical treatment programs. Thus, these factors are further contributing to the segment’s growth.

• For instance, in March 2021, Turner Imaging Systems announced receiving the CE Mark for its portable fluoroscopy X-ray imaging device. Thus, increasing authorization by the government to launch new products would further allow the company to distribute its products across EU countries.

The fixed C-arms segment is expected to witness a comparatively slower CAGR during the forecast period. These devices are installed within dedicated labs and hospitals and are used by interventional radiologists, vascular surgeons, interventional cardiologists, and interventional neuroradiologists. However, due to their higher prices, the segment is projected to witness slow growth during the forecast period.

By Application Analysis

Cardiology Segment Dominated the Market owing to Increasing Number of Cardiovascular Procedures 

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

The cardiology segment dominated the market and accounted for the highest market share in 2022. The increasing prevalence of cardiovascular diseases is leading to an increase in cardiovascular surgeries in the region, contributing to market growth.

• In 2023, according to the data published by the European Environment Agency, every year, more than six million people are diagnosed with cardiovascular diseases in the region. The disease burden is usually high in eastern and central Europe.

On the other hand, the orthopedics and trauma segment is anticipated to grow with a considerable CAGR during the forecast period owing to the increasing number of accidents in the region coupled with a growing number of orthopedic and trauma surgeries.

• According to the data published by NCBI, Germany witnesses more than 7.0 million accidents each year, with 35,000 people sustaining severe injuries.

Furthermore, the oncology segment is projected to witness lucrative growth during the forecast period. According to the data published by NCBI, in 2023, surgeries are the most preferred method to treat several types of cancer. For instance, around 71.0% of colorectal cancer, 82.0% of breast cancer, 19.0% of lung cancer, and 36.0% of prostate cancer were treated through surgeries.

The gastroenterology segment is projected to witness considerable growth during the forecast period. According to the article published in the Lancet, in 2023, more than 332.0 million people in Europe suffered from digestive diseases.

The neurology and others segment are projected to witness slow growth during the forecast period. Other surgeries include cataract surgery, dental restoration, caesarean section, and others.

By Detector Analysis

Flat Panel Detectors Segment Dominated the Market Owing to Several Technological Advancements in the Devices

Based on the detector, the market is segmented into flat panel detectors and image intensifiers.

The flat panel detectors segment dominated the market in 2022 and is projected to continue to dominate the market during the forecast period. Flat panel detectors offer several advantages including more stability to the images, advanced software algorithm, faster imaging speed, among others. Also, the devices are small, and compact that provide high-quality, clear images and can be easily installed in operating rooms.

• In November 2023, Ziehm Imaging announced the expansion of its Ziehm Solo FD product line by introducing an IGZO flat-panel detector. These devices could be used for various applications, including imaging of the entire hip in orthopedics.

On the other hand, image intensifiers are projected to witness slow growth during the forecast period. Image intensifiers are commonly used in orthopedic theatres. However, the adoption rate of image intensifiers is comparatively low as most end users are shifting toward flat panel detectors.

By End User Analysis

Hospital Segment Dominated the Market Due to Growing Integration of Advanced Technologies in Hospitals

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

The hospital segment dominated the market in 2022. Most of the hospitals in the region are constantly working toward integrating advanced technologies by entering into collaboration agreements with market players. These factors are contributing to segment growth.

• In July 2022, Hospital Service Limited (HSL) entered into a distribution agreement with Stephanix. The partnership aimed to distribute a wide range of flat-panel devices to hospitals across Ireland and the U.K. The diversified range of products aimed to meet the growing needs of radiology units in clinics and hospitals.

On the other hand, diagnostic centers are projected to witness the fastest growth rate during the forecast years. The growing number of diagnostic centers to meet the growing demand for advanced diagnostics is contributing to the segment’s growth. For instance, in 2023, the U.K. government announced the opening of 13 community diagnostic centers throughout the country by 2025. 

Speciality clinics and other segments are projected to witness slow growth. The high cost of devices makes it difficult for clinics to install these advanced technologies.

REGIONAL INSIGHTS

Based on sub-region, the market is segmented into Germany, the U.K., France, Italy, Spain, Scandinavia, and the Rest of Europe.

Germany dominated the market in 2022 and was valued at USD 142.4 million. The growth can be attributed to factors such as a growing number of minimally invasive procedures, increasing demand for advanced imaging technologies, and a growing number of strategic initiatives by market players in the country.

• For instance, in January 2022, Koninklijke Philips N.V. entered into a long term partnership agreement with Brandenburg a der Havel (German University Hospital), aimed to expand the hospital's diagnostic and therapy options by offering advanced technology solutions. The agreement includes the supply of diagnostic imaging solutions such as mobile X-ray, ultrasound, MR, and others.

Italy is anticipated to witness the fastest growth in the coming years. The growth of the market is attributed to factors such as continuous advancements in healthcare infrastructure coupled with the growing adoption of innovative technologies. Moreover, Italy has the most promising healthcare ecosystem, as most research institutes and universities are focusing on digital diagnostics.

• In 2023, the Italian government announced to offer 136.83 billion for the country’s public healthcare infrastructure. The funding would help the country to focus on technological advancements by offering proper access and treatment options to its population.

Furthermore, countries such as France, Spain, U.K., and Scandinavia are projected to witness considerable growth during the forecast period. According to the data published by the European Commission in 2023, France and Germany had the highest healthcare expenditure in relation to GDP in 2020. Thus, these factors are anticipated to further drive the advancements in the healthcare segment, further contributing to market growth.

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List of Key Companies in Europe C-arms Market

Increasing Collaborations and Product Launches by Market Players is Responsible for the Dominant Share

The market is consolidated, with some market players capturing a large proportion of the market. GE Healthcare, Koninklijke Philips N.V., Siemens Healthcare GmbH, Ziehm Imaging GmbH, and CANON MEDICAL SYSTEMS CORPORATION are some of the players that are dominating the region’s market.

• For instance, in March 2023, Canon Medical launched a multipurpose C-arm system - Celex. It offers a broad range of advanced digital radiography imaging capabilities. The device combines imaging techniques with unique positioning flexibility.

Additionally, certain players such as Koninklijke Philips N.V., Siemens Healthcare GmbH, and others are focusing on the development and launch of new products in the market to meet the growing demand.

• In September 2023, Koninklijke Philips N.V., launched Mobile C-arm System 3000- Zenition 30. The device is designed to provide live image guidance during a wide range of clinical procedures, which include orthopedics, trauma, spine, pain management, and other surgical procedures.

LIST OF KEY COMPANIES PROFILED:

• GE Healthcare (U.S.)


• Koninklijke Philips N.V. (Netherlands)


• Siemens Healthcare GmbH (Germany)


• Canon Medical Systems Corporation (Japan)


• Shimadzu Corporation (Japan)


• Ziehm Imaging GmbH (Germany)


• Genoray Co., Ltd. (South Korea)

KEY INDUSTRY DEVELOPMENTS:

• March 2023- Ziehm Imaging presented the new GZO1 flat-panel technology in Vienna. The company aimed to expand its technology portfolio within the intraoperative imaging segment. 


• July 2022- Koninklijke Philips N.V., announced the launch of FDR cross, a portable x-ray solution, and hybrid C-arm for ambulatory surgery centers (ASC) and hospitals. The equipment is used for essential image-guided procedures. 


• July 2022- Fujifilm Europe announced the launch of a portable X-ray and a hybrid C-arm device, which offers enhanced quality static and fluoroscopic X-ray images during surgery and other medical procedures.


• January 2021- Koninklijke Philips N.V. collaborated with CYDAR Limited to integrate cloud-based AI and 3D mapping into their mobile C-arm series. This integration of the new system delivers clinical accuracy and efficiency with improved patient outcomes and workflow efficiency during endovascular treatment procedures.


• July 2020- Ziehm Imaging GmbH acquired Therenva SAS, a French-based developer of imaging software tools for cardiovascular procedures. The software intensifies pre and intraoperative image-based support systems. This acquisition assisted the company in leveraging its strong distribution network in the market.

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The Europe C-arms market report provides a detailed market overview and market segmentation on the basis of type, application, detector, and end user and focuses on key aspects such as company profiles, SWOT analysis, and applications. Besides this, it offers insights into the market dynamics, trends and highlights strategic market growth analysis. In addition to the factors mentioned above, the report encompasses several factors that have contributed to the growth of the market in recent years.

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