Aconservative attitude toward investment and lingering con- cerns about the short-term financial state of the healthcare industry will most likely define how hospitals approach the
purchase of surgical instruments in 2014 and 2015.
According to a recent survey, the average amount spent on surgical
instrumentation at the facility of Surgical Products reader this year will
be somewhere between $150,000 and $175,000. About 25 percent
of respondents indicated their facility expects to spend more than
$250,000, while about half (51 percent) anticipate their facility will invest about the same amount of money over the next 12 to 18 months as
they have in the recent past. In addition, almost the exact percentage of
respondents (73 percent) as those surveyed a year ago reported spending will either increase or stay the same.
The results of the survey find many facilities are planning to invest
in orthopedic and laparoscopic instruments over the course of the next
12-18 months. Fifty-five percent of respondents indicated their facilities are looking to spend on orthopedic instruments, while 53 percent
of respondents suggested their facilities are interested in purchasing
laparoscopic instruments. No other instrumentation product category
registered higher than 46 percent (endoscopic instruments and accessories). A year ago, a whopping 71 percent of respondents indicated that
they anticipated increase in future instrument spending over the next
couple of years. In addition to laparoscopic instruments, orthopedic
instruments, and endoscopic instruments and accessories, the following
categories are also targets for investment by facilities throughout the
U.S. during the next year or two: holding and positioning products ( 37
percent), arthroscopes ( 34 percent), lights ( 31 percent), and electrosurgery ( 28 percent).
When it comes to what instrumentation products are wanted and
needed in facilities, here are the top ten, based on survey results:
• Orthopedic instruments
• Laparoscopic instruments
• Endoscopic instruments and accessories
• Holding and positioning products
• Instrument Sterilization/Cleaning
• Robotic surgery
Respondents did weigh in on the factors that they expect to impact
their facility’s instrumentation purchasing behaviors during the next 12
months. According to the results, cost cutting and the economy were far
and away top choices of those surveyed for the second consecutive year.
When facilities do decide to invest, the following criteria were cited
as the most important by readers of Surgical Products:
• Reputation/brand name was deemed most important factor for the
third straight year. About 30 percent of survey respondents selected
this as their top choice.
• Cost was selected by about 26 percent of respondents.
• Relationships with the supplier/distributor was the choice of a little
more than 13 percent of respondents. More than 17 percent of respondents deemed this the most important factor in last year.
• Quality and performance were also mentioned by multiple respondents.
For the third consecutive year, Surgical Products readers who were
surveyed strongly suggested they believed that orthopedic instruments
will be the product category that will see increased investment in the
coming years. In fact, no other response came anywhere close to drawing the same level of agreement among respondents. Consider the top
• Orthopedic Instruments ( 31 percent in 2014; 34 percent in 2013)
• Laparoscopic Instruments ( 16 percent in 2014; 12 percent in 2013)
• Robotic Surgery ( 11 percent in 2014, 16 percent in 2013)
• Endoscopic Instruments & Accessories ( 10 percent in 2014; 12
percent in 2013)
• Tagging/Tracking Systems ( 3 percent in 2014; 4 percent in 2013)
While the results of the 2014 Surgical Products instrumentation
purchasing survey are similar to those of years past, it should be noted
that the average surgical spend for this year is down slightly from years
past. Factors such as cost concerns and economic worries are causing
facilities to temper their desire to invest in more instrumentation, despite
their belief that the need is there for more orthopedic, laparoscopic, and
endoscopic instruments. Practicing medicine and performing surgery in
a post-Affordable Care Act healthcare landscape no doubt contributed
to respondents’ feedback about instrumentation.