The annual surgical spend at the facility of a
reader will be about $175,000 this
year, and the majority of those surveyed indicated spending on instrumentation will increase.
conomic pressures coupled with a concerted effort to cut costs are critical factors in determining how hospitals will approach the pur- chase of surgical instruments in the coming year.
According to a recent survey, the average annual surgical spend at the
facility of a
reader will be about $175,000 this year.
About 19 percent of respondents stated that their facility spends in excess
of $250,000, and almost half (46 percent) indicated their facility will spend
about the same amount as they have previously on instrumentation over the
next 12 to 18 months. About 73 percent said spending will either increase
or stay the same.
A little more than one-third of
those surveyed suggested orthope-
dic instruments will be the target of
increased investment among various
product categories. Robotic surgery,
endoscopic instruments, endo-
scopic accessories, and laparoscopic
instruments are also categories in
which readers anticipate the largest
increase in future instrument spend-
ing over the next couple of years.
However, laparoscopic instru-
ments are more of an immediate
need. A whopping 71 percent of
survey respondents indicated their
facilities will be looking to make an
investment in that area over the next
12 to 18 months. Meanwhile, lighting is a category in which respondents
anticipate the largest decrease in spending in the not-so-distant future.
When it comes to what instrumentation products are wanted and need-
ed in facilities, here are the top ten, based on survey results:
• Laparoscopic Instruments
• Endoscopic Instruments and Accessories
• Orthopedic Instruments
• Instrument Sterilization/Cleaning
• Holding and Positioning Products
• Robotic Surgery
• Single Port/Single Incision Surgery Devices
There are a number of key factors that will ultimately impact purchasing
decisions. Cost-cutting and the economy were the two leading responses,
as is the need to invest in more capital equipment and instrument price
increases. Based on the responses, cost is almost always a critical factor in
driving purchasing decisions related to instrumentation.
When purchases are made, the following were cited as the most impor-
tant criteria b
y Surgical Products
• Reputation/brand name was the most important factor for the second
straight year. About 23 percent of the respondents selected this as their
• Both cost and warranty were selected by 19 percent of respondents.
• Relationships with the supplier/distributor was the choice of a little
more than 17 percent of respondents.
•Sole source contract and physi-
cian need were also mentioned.
As previously stated, respondents
strongly agreed that orthopedic
instruments will be the product cat-
egory that will see increased invest-
ment in the coming years. In fact, no
other response came anywhere close
to drawing the same level of agree-
ers. Consider the top five responses:
• Orthopedic Instruments ( 34. 7
• Robotic Surgery ( 16. 3)
• Laparoscopic Instruments
and Endoscopic Instruments &
Accessories ( 12. 2)
• Bariatrics and Tagging/Tracking Systems ( 4.1)
The results of this year’s instrumentation purchasing survey are very
much in line with those from a year ago. The desire to purchase and
use more endoscopic and laparoscopic instruments reflect the increased
prevalence of minimally-invasive procedures as hospitals try to improve
surgical outcomes, become more efficient, and reduce costs associated
with longer recovery periods and hospital stays.
The need for more orthopedic and arthroscopic instrumentation
reflects the growing population of aging and elderly patients in the United
States. Because of this, there is a higher demand for surgical procedures to
address quality-of-life issues and improve health and mobility.
While the results of this survey only touch on one aspect of a hospital
facility’s purchasing behaviors and attitudes, they do serve to highlight a
number of interesting trends related to equipment needs in today's operat-
in this issue
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