United States Endoscopy Devices Market Size and Share Analysis – Growth Trends and Forecast Report 2025–2033

Market Summary

The United States Endoscopy Devices Market is projected to grow from USD 12.23 billion in 2024 to USD 20.76 billion by 2033, expanding at a CAGR of 6.06% during the forecast period (2025–2033). This robust growth is primarily driven by advances in imaging and diagnostic technology, the increasing burden of chronic diseases, and the ongoing shift toward minimally invasive surgical techniques. Moreover, the growing adoption of disposable endoscopes, integration of AI-powered systems, and expansion of ambulatory surgical centers (ASCs) further enhance the market dynamics.

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United States Endoscopy Devices Market Overview

The U.S. healthcare ecosystem is undergoing a technological transformation, with endoscopy emerging as a cornerstone in modern diagnostic and therapeutic procedures. Endoscopy devices are instrumental in various medical fields, including gastroenterology, pulmonology, urology, neurology, and gynecology, as they offer real-time internal visualization with minimal patient trauma.

Technological Advancements: The market is significantly influenced by innovations such as 3D imaging, robot-assisted endoscopy, and AI-enhanced diagnostics. High-definition visualization and improved maneuverability allow for precise interventions and enhanced patient outcomes.

Growing Chronic Disease Prevalence: Rising incidence rates of diseases such as colorectal cancer, arthritis, obesity, and gastrointestinal disorders are increasing demand for endoscopic diagnostics and therapies. For instance, the CDC reports 58.5 million arthritis cases in the U.S., while the American Cancer Society noted over 24,000 new cases of brain and spinal cord tumors in 2023 alone.

Aging Population and Shift to ASCs: An aging population with a higher risk of chronic diseases is contributing to increased procedures. Concurrently, the movement from hospitals to ambulatory surgical centers (ASCs), which offer lower-cost and same-day procedures, is boosting endoscopic device usage.

Market Drivers

1. Rising Obesity and Demand for Bariatric Endoscopy

With obesity reaching epidemic proportions in the U.S., bariatric endoscopic techniques such as endoscopic sleeve gastroplasty and intragastric balloons are witnessing a surge. These techniques provide non-surgical alternatives for weight loss, aligning with patient demand for minimally invasive interventions.

2. Increased Adoption of Disposable Endoscopes

The emphasis on infection control post-pandemic has led to wider adoption of single-use endoscopes. Regulatory support, enhanced manufacturing technologies, and the need to reduce cross-contamination are accelerating this shift. Notably, NTT and Olympus Corporation have initiated a cloud-based endoscopic system, enhancing real-time processing and safety.

3. Artificial Intelligence (AI) Integration

AI-driven platforms are reshaping endoscopy diagnostics. ANX Robotica’s CapsuleX, approved by the FDA in 2024, uses AI for small bowel imaging, improving diagnostic precision. AI enhances early detection, reduces error rates, and promotes the development of next-generation devices, thus attracting investment and accelerating adoption.

Key Challenges

1. Market Saturation and Competition

Dominated by industry giants such as Olympus, Medtronic, and Stryker, the U.S. endoscopy market presents high barriers for new entrants. These firms benefit from vast distribution channels, strong brand recognition, and capital reserves. Smaller players face difficulty in product differentiation, especially in pricing and innovation, requiring niche focus or strategic alliances.

2. Operational Burden of Device Reprocessing

Reusable endoscopes demand rigorous sterilization and reprocessing, which incurs high operational costs and risks of infection if mishandled. Many facilities, especially smaller clinics, struggle with maintaining reprocessing standards, leading to a gradual shift toward disposable devices—although at a higher per-unit cost.

Segment Analysis

By Product Type

• Endoscopes: Core tools in diagnostics and surgeries, with high-definition and therapeutic options driving adoption.
• Visualization & Documentation Systems
• Mechanical Endoscopic Equipment
• Accessories
• Other Endoscopy Equipment

By Application

• Gastrointestinal Endoscopy: The most dominant application, crucial for diagnosing ulcers, cancers, and IBD.
• Bronchoscopy
• Arthroscopy
• Laparoscopy
• Urology Endoscopy
• Gynecology Endoscopy
• Neuroendoscopy
• ENT Endoscopy
• Others

By Hygiene Type

• Single Use: Growing fast due to infection prevention.
• Reprocessing
• Sterilization

By End User

• Hospitals: Major revenue generators due to multi-specialty operations and patient volume.
• Ambulatory Surgical Centers (ASCs): Rapidly growing as outpatient care surges.
• Others: Including diagnostic centers and specialty clinics.

State-Level Insights

California

California dominates the U.S. market owing to its aging population, extensive healthcare infrastructure, and a tech-savvy approach to medical device adoption. It is also a hub for medical device innovation, supported by strong R&D institutions.

Texas

The Texas market benefits from its expanding healthcare system, high patient volume, and investments in robot-assisted and minimally invasive surgeries. Rising chronic illness rates make it a focal region for therapeutic endoscopy.

New York

Home to world-class hospitals and academic research, New York plays a key role in the U.S. market. The demand for early diagnosis and real-time interventions drives strong adoption of advanced imaging and AI tools.

Florida

A large retiree population, high chronic disease burden, and growth in outpatient care are pushing the Florida endoscopy market forward. Significant investments in healthcare digitization further support adoption.

Competitive Landscape

Key market players:

• Olympus Corporation
• Medtronic
• Stryker
• Boston Scientific
• FUJIFILM Holdings Corporation
• Karl Storz
• Hoya Corporation (PENTAX Medical)
• Richard Wolf GmbH

These companies are focusing on:

• Technological collaborations
• Expansion of disposable product lines
• AI integration
• Strategic partnerships with ASCs and hospitals

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Conclusion

The United States Endoscopy Devices Market is undergoing a significant transformation fueled by technology, patient-centric care, and demographic trends. With growing demand for precision medicine, safety, and speed, stakeholders across the value chain must innovate to remain competitive. Investments in AI, disposable systems, and cloud-based diagnostics will define the future of this industry, placing the U.S. at the forefront of global endoscopic advancement.

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