Nerve monitoring systems are medical devices used to monitor the functional integrity of certain peripheral nerves and the spinal cord during surgery. Nerve monitoring helps reduce the risk of nerve injury by alerting the surgeon to potential problems. It works by applying a small electrical current to the nerve and measuring the resulting impulse along the nerve and corresponding muscle compound action potential. Various techniques like electromyography (EMG) monitoring, somatosensory evoked potential (SSEP) monitoring and motor evoked potential (MEP) monitoring are used in nerve monitoring systems.

The Global Nerve Monitoring System Market is estimated to be valued at USD 1.71 billion in 2025 and is expected to exhibit a CAGR of 5.8% over the forecast period 2025 to 2032.

Key Takeaways

Key players operating in the nerve monitoring system market are Medtronic Plc, NuVasive Inc., Nihon Kohden Corporation, Inomed, EMS Handels Gesellschaft mbH, Neurosign Surgical, Natus Medical Incorporated, Checkpoint Surgical, and Magstim.

Nerve Monitoring System Market Share a number of surgeries requiring nerve monitoring such as orthopedic, cardiovascular, ENT and neurosurgeries is a major factor driving growth of the nerve monitoring system market. According to the American Academy of Orthopedic Surgeons, over 7 million Americans undergo orthopedic procedures annually, which is expected to increase due to aging population.

Technological advancements in nerve monitoring systems such as development of portable nerve monitors and integrated nerve monitoring platforms are expected to boost adoption. For instance, launch of Nervus, world's first portable nerve monitor, is increasing the use of nerve monitoring in ambulatory surgical centers.

Market Trends

Adoption of intraoperative neurophysiological monitoring: There is rising adoption of intraoperative neurophysiological monitoring (IONM) which combines physiological monitoring techniques like EMG and SEP to reduce incidence of iatrogenic neurological deficits during complex spine and orthopedic surgeries.

Focus on ambulatory surgical centers: Major players are focusing on developing nerve monitors suited for ambulatory surgical centers to expand into outpatient surgery market. For example, launch of portable nerve monitors is increasing use of nerve monitoring in low risk outpatient surgeries.

Market Opportunities

Emerging economies in Asia Pacific and Latin America: Improving healthcare infrastructure and growing medical tourism in Asia Pacific countries like India and China provides lucrative opportunities for nerve monitor companies.

Stroke monitoring applications: Technological advances can help expand clinical applications of nerve monitors from surgery to critical care areas like stroke monitoring thereby opening new opportunities.

COVID-19 Impact on Nerve Monitoring System Market Growth

The outbreak of COVID-19 presented unprecedented challenges for the nerve monitoring system market. Lockdowns and supply chain disruptions impacted production and sales. Elective surgeries, which are the main end use of nerve monitors, were postponed to prioritize critical care. However, nerve monitoring saw increased demand for intensive care of COVID patients requiring ventilation. Neurally adjusted ventilatory assist helped minimize ventilator days and risk of cross-infection. Manufacturers faced issues procuring components from China and other severely affected countries in the initial phases. As restrictions eased in late 2020, the market is recovering steadily backed by rising surgical volumes and increased availability of devices.

Europe is the largest regional market for nerve monitors currently. Countries with advanced healthcare systems like Germany, UK, France account for majority share. However, developing Asian countries are expected to see higher growth. As nations work towards strengthening critical care facilities, nerve monitoring adoption is increasing in India and other Southeast Asian countries. Their large populations and improving access to healthcare will continue augmenting the demand. Technological advancements have made nerve monitors increasingly affordable even for price sensitive markets. This favors faster expansion in Asia Pacific compared to mature markets.

North America closely follows Europe in terms of current market size for nerve monitors. The US leads with the highest per capita healthcare spending and regulatory approvals for new products. Canada and Mexico are other important countries. The region experienced initial setback due to pandemic related disruptions but demand has rebounded strongly backed by increasing number of surgeries. Emphasis on minimally invasive surgeries with improved outcomes using nerve monitors will further support growth in North America over the coming years.

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