Patient Monitoring Systems

US demand for patient monitoring systesm will grow 5.9 percent annually through 2012. Accessories will be the fastest growing segment, driven by blood glucose testing strips. Growth in the equipment sector will be based on strength in remote monitors that transmit data via the Internet or telephone, and in home use devices.

This study analyzes the $9 billion US patient monitoring system industry. It presents historical demand data for the years 1997, 2002 and 2007, and forecasts for 2012 and 2017 by monitor type (e.g., multi-parameter, cardiac, respiratory, blood, temperature, neurological, fetal and neonatal, pulse); accessory type (e.g., blood glucose test strips, electrodes, lancets, catheters); and market (e.g., home health care, hospitals, outpatient facilities, physicians’ offices).

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 27 major players, including Philips Healthcare, Johnson & Johnson, GE Healthcare, Roche, Medtronic, Abbott Laboratories, Bayer, Covidien, Becton Dickenson, and Welch Allyn. It is currently only available in its entirety.

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TABLE OF CONTENTS SECTION PAGE INTRODUCTION x I. EXECUTIVE SUMMARY 1 II. MARKET ENVIRONMENT 4 General 4 Macroeconomic Trends 5 Demographic Patterns 8 Health Care Trends 10 Health Insurance 11 Medical Conditions 13 Acute Conditions 13 Chronic Conditions 15 National Health Expenditures 19 Medical Providers 23 Outpatient Clinics 24 Skilled Nursing Homes 25 Acute Care Hospitals 25 Physicians 26 Patient Activity 27 Acute Care Hospital Admissions 28 Surgical Procedures 29 Outpatient Visits 29 Home Health Care 30 Medical Product Markets 32 Surgical Appliances & Supplies 33 Surgical & Medical Instruments 34 Electromedical Equipment 34 In Vitro Diagnostic Products 35 Analytical Instruments 35 Dental Supplies & Equipment 36 Ophthalmic Goods 36 Lab Apparatus & Furniture 36 Patient Monitoring Systems Overview 37 Technology 37 Regulation 40 Historical Demand Patterns 42 US Trade 44 International Markets 47 III. PRODUCTS 50 General 50 Patient Monitoring Equipment 52 Multi-Parameter Monitors 55 Network Multi-Parameter Monitors 57 Fixed & Transportable Network Multi-Parameter Monitors 59 Patient-Worn Telemetry Monitors 61 Central Patient Monitoring Stations 63 Remote Patient Monitors 66 Standalone Multi-Parameter Patient Monitors 68 Cardiac Monitors 71 ECG Monitors 73 Holter Monitors 76 Heart Rate Meters 79 Cardiac Output Monitors 82 Respiratory & Anesthesia Monitors 85 Respiratory Monitors 86 Peak Flow Meters 87 Spirometers 90 Capnographs 92 Pulmonary Function Analysis Equipment 96 Anesthesia Monitors 99 Blood Pressure Monitors 105 Professional Blood Pressure Monitors 107 Home Blood Pressure Monitors 109 Public Blood Pressure Stations 111 Blood Glucose Monitors 112 Self-Testing Blood Glucose Monitors 114 Professional Blood Glucose Monitors 117 Electronic Thermometers 119 Neurological Monitors 121 Electroencephalograph (EEG) Monitors 123 Electromyography (EMG) Monitors 125 Other Neurological Monitors 126 ENG Monitors 126 Intracranial Pressure Monitors 127 Intraoperative Monitors (IOMs) 128 Fetal & Neonatal Monitors 129 Antepartum Monitoring 130 Intrapartum Monitoring 131 Neonatal Monitoring 132 Producers & Products 132 Pulse Oximeters 135 SET & RAINBOW SET Technologies 137 OXIMAX Technology 138 Licensees 139 Apnea Monitors 139 Blood Flowmeters 143 MRI Monitors 146 Coagulation Monitors 149 Other Patient Monitoring Equipment 153 Home Alert Systems 154 All Other Patient Monitoring Equipment 155 Bed Occupancy Monitors 155 Body Fat Analyzers 156 Esophageal Monitors 156 Eye Movement Monitors 156 Home Cholesterol Monitors 157 Patient Monitoring Accessories 158 Blood Glucose Test Strips 160 Producers 162 Products & Innovations 162 Patient Monitoring Electrodes 164 Lancets & Lancing Devices 166 Lancets 167 Lancing Devices 169 Patient Monitoring Catheters 171 Patient Monitoring Sensors 173 Technologies 174 Producers & Products 175 Other Patient Monitoring Accessories 177 Temperature Probes & Strips 178 Cables & Wires 180 Other Monitoring Test Strips 181 Gels, Adhesives & Related Preparations 181 All Other Patient Monitoring Accessories 182 IV. MARKETS 183 General 183 Home Health Care 186 Blood Glucose Monitoring Products 187 Other Home Patient Monitoring Products 189 Hospitals 191 Market Overview 193 Patient Monitoring Systems Demand 194 Outpatient Facilities 197 Ambulatory Surgery Centers 198 Urgent Care Centers & General Medical Clinics 200 Other Outpatient Facilities 201 Physicians' Offices 202 Nursing Homes 204 Other Markets 206 V. INDUSTRY STRUCTURE 210 General 210 Market Share 213 Competitive Strategies 215 Philips Healthcare 216 Johnson & Johnson 216 GE Healthcare 217 Roche 217 Medtronic 218 Abbott Laboratories 218 Bayer 219 Covidien 219 Becton Dickinson 220 Welch Allyn 220 Other Competitors 220 Mergers & Acquisitions 223 Licensing & Related Agreements 227 Research & Development 232 Marketing & Distribution 233 Manufacturing 236 Company Profiles 237 Abbott Laboratories 238 Advanced Biosensor Incorporated, see Biotel Agility Centralized Research Services, see Biotel Animas Corporation, see Johnson & Johnson ARKRAY Incorporated 240 Aspect Medical Systems Incorporated 242 Bayer AG 245 Becton, Dickinson and Company 249 Bio-Med Devices Incorporated 251 Bionostics plc 252 Biosense Webster Incorporated, see Johnson & Johnson Biotel Incorporated 253 Braemar Incorporated, see Biotel Carolina Medical Incorporated, see Biotel Colin Medical Instruments, see OMRON Cooper Companies Incorporated 256 Covidien Limited 258 Datascope Corporation 262 Del Mar Reynolds Medical, see OSI Systems Draegerwerk AG & Company KGaA 265 Emergin Incorporated, see Royal Philips Electronics Ferraris Group plc, see Bionostics Fukuda Denshi Company Limited 269 General Electric Company 271 Hospira Incorporated 276 Hypoguard USA, see ARKRAY Incorporated Intermagnetics General, see Royal Philips Electronics Invivo Corporation, see Royal Philips Electronics Johnson & Johnson 278 Kendall Company, see Covidien Limited LifeScan Incorporated, see Johnson & Johnson Masimo Corporation 282 Medrad Incorporated, see Bayer AG Medtronic Incorporated 285 Mennen Medical Limited 291 Midmark Corporation 294 Nellcor, see Covidien Limited Nihon Kohden Corporation 296 OMRON Corporation 300 OSI Systems Incorporated 304 Physio-Control Incorporated, see Medtronic Incorporated Puritan Bennett, see Covidien Limited Raytel Cardiac Services, see Royal Philips Electronics Roche Holding Limited 309 Royal Philips Electronics NV 313 Schiller AG 321 Spacelabs Healthcare Incorporated, see OSI Systems Transoma Medical Incorporated 323 VISICU Incorporated, see Royal Philips Electronics Viterion TeleHealthcare LLC, see Bayer AG Welch Allyn Incorporated 325 Witt Biomedical Corporation, see Royal Philips Electronics Other Companies Mentioned in Study 330 LIST OF TABLES TABLE NUMBER PAGE SECTION I -- EXECUTIVE SUMMARY Summary Table 3 SECTION II -- MARKET ENVIRONMENT 1 Macroeconomic Indicators 7 2 Population by Age Group 10 3 Acute Conditions by Type 15 4 Chronic Conditions by Type 18 5 National Health Expenditures by Type 22 6 Medical Providers by Type 24 7 Patient Activity by Type 28 8 Home Health Care Activity 31 9 Medical Product Demand 33 10 Patient Monitoring Systems Demand, 1997-2007 44 11 US Trade in Patient Monitoring Systems 46 12 World Patient Monitoring System Demand 49 SECTION III -- PRODUCTS 1 Patient Monitoring Systems Demand by Product Group 51 2 Patient Monitoring Equipment Demand 54 3 Multi-Parameter Patient Monitor Demand 56 4 Network Multi-Parameter Patient Monitor Demand 58 5 Fixed & Transportable Network Monitor Demand 61 6 Patient-Worn (P-W) Telemetry Monitor Demand 63 7 Central Patient Monitoring Station Demand 66 8 Remote Patient Monitor Demand 68 9 Standalone Multi-Parameter Patient Monitor Demand 71 10 Cardiac Monitor Demand 72 11 ECG Monitor Demand 73 12 Holter Monitor Demand 77 13 Heart Rate Meter Demand 80 14 Cardiac Output Monitor Demand 83 15 Respiratory & Anesthesia Monitor Demand 86 16 Respiratory Monitor Demand 87 17 Peak Flow Meter Demand 90 18 Spirometer Demand 92 19 Capnograph Demand 96 20 Pulmonary Function Analysis (PFA) Equipment Demand 99 21 Anesthesia Monitor Demand 100 22 Blood Pressure Monitor Demand 107 23 Blood Glucose Monitor Demand 114 24 Medical Electronic Thermometer Demand 121 25 Neurological Monitor Demand 122 26 Fetal & Neonatal Monitor Demand 130 27 Pulse Oximeter Demand 137 28 Apnea Monitor Demand 143 29 Blood Flowmeter Demand 146 30 MRI Monitor Demand 148 31 Coagulation Monitor Demand 153 32 Other Patient Monitoring Equipment Demand 154 33 Patient Monitoring Accessory Demand 159 34 Blood Glucose Test Strip Demand 161 35 Patient Monitoring Electrode Demand 166 36 Lancet & Lancing Device Demand 167 37 Patient Monitoring Catheter Demand 173 38 Patient Monitoring Sensor Demand 174 39 Other Patient Monitoring Accessory Demand 178 SECTION IV -- MARKETS 1 Patient Monitoring Systems Demand by Market 185 2 Home Health Care - Patient Monitoring Systems Demand 187 3 Hospitals - Patient Monitoring Systems Demand 193 4 Outpatient Facilities - Patient Monitoring Systems Demand 198 5 Physicians' Offices - Patient Monitoring Systems Demand 204 6 Nursing Homes - Patient Monitoring Systems Demand 206 7 Other Markets - Patient Monitoring Systems Demand 209 SECTION V -- INDUSTRY STRUCTURE 1 US Patient Monitoring Sales by Company, 2007 211 2 Selected Acquisitions & Divestitures 224 3 Selected Cooperative Agreements 229 LIST OF CHARTS CHART NUMBER PAGE SECTION III -- PRODUCTS 1 Patient Monitoring Equipment Demand by Type, 2007 55 2 Patient Monitoring Accessory Demand by Type, 2007 160 SECTION IV -- MARKETS 1 Patient Monitoring Systems Demand by Market, 2007 185 SECTION V -- INDUSTRY STRUCTURE 1 Patient Monitoring Systems - US Sales by Company, 2007 215

Patient Monitoring Systems

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Patient Monitoring Systems

1 INTRODUCTION

2 EXECUTIVE SUMMARY

Table | PATIENT MONITORING SYSTEMS DEMAND (million dollars)

3 MARKET ENVIRONMENT

3.1 General

3.2 Macroeconomic Trends

Table | MACROECONOMIC INDICATORS

3.3 Demographic Patterns

Table | POPULATION BY AGE GROUP (million persons)

3.4 Health Care Trends

3.4.1 Health Insurance

3.4.2 Medical Conditions

Table | ACUTE CONDITIONS BY TYPE (million conditions)

Table | CHRONIC CONDITIONS BY TYPE* (million conditions)

3.4.3 National Health Expenditures

Table | NATIONAL HEALTH EXPENDITURES BY TYPE (billion dollars)

3.4.4 Medical Providers

Table | MEDICAL PROVIDERS BY TYPE

3.4.5 Patient Activity

Table | PATIENT ACTIVITY BY TYPE

Table | HOME HEALTH CARE ACTIVITY

3.5 Medical Product Markets

Table | MEDICAL PRODUCT DEMAND (billion dollars)

3.6 Patient Monitoring Systems Overview

3.6.1 Technology

3.6.2 Regulation

3.6.3 Historical Demand Patterns

Table | PATIENT MONITORING SYSTEMS DEMAND, 1997-2007

3.6.4 US Trade

Table | US TRADE IN PATIENT MONITORING SYSTEMS (million dollars)

3.7 International Markets

Table | WORLD PATIENT MONITORING SYSTEM DEMAND (million dollars)

4 PRODUCTS

4.1 General

Table | PATIENT MONITORING SYSTEMS DEMAND BY PRODUCT GROUP (million dollars)

4.2 Patient Monitoring Equipment

Table | PATIENT MONITORING EQUIPMENT DEMAND (million dollars)

4.2.1 Multi-Parameter Monitors

Table | MULTI-PARAMETER PATIENT MONITOR DEMAND (million dollars)

Table | NETWORK MULTI-PARAMETER PATIENT MONITOR DEMAND (million dollars)

Table | FIXED & TRANSPORTABLE NETWORK MONITOR DEMAND

Table | PATIENT-WORN (P-W) TELEMETRY MONITOR* DEMAND

Table | CENTRAL PATIENT MONITORING STATION DEMAND

Table | REMOTE PATIENT MONITOR DEMAND

Table | STANDALONE MULTI-PARAMETER PATIENT MONITOR DEMAND

4.2.2 Cardiac Monitors

Table | CARDIAC MONITOR DEMAND (million dollars)

Table | ECG MONITOR DEMAND

Table | HOLTER MONITOR DEMAND

Table | HEART RATE METER DEMAND

Table | CARDIAC OUTPUT MONITOR DEMAND

4.2.3 Respiratory & Anesthesia Monitors

Table | RESPIRATORY & ANESTHESIA MONITOR DEMAND (million dollars)

Table | RESPIRATORY MONITOR DEMAND (million dollars)

Table | PEAK FLOW METER DEMAND

Table | SPIROMETER DEMAND

Table | CAPNOGRAPH DEMAND

Table | PULMONARY FUNCTION ANALYSIS (PFA) EQUIPMENT DEMAND

Table | ANESTHESIA MONITOR DEMAND

4.2.4 Blood Pressure Monitors

Table | BLOOD PRESSURE MONITOR DEMAND

4.2.5 Blood Glucose Monitors

Table | BLOOD GLUCOSE MONITOR DEMAND (million dollars)

4.2.6 Electronic Thermometers

Table | MEDICAL ELECTRONIC THERMOMETER DEMAND

4.2.7 Neurological Monitors

Table | NEUROLOGICAL MONITOR DEMAND (million dollars)

4.2.8 Fetal & Neonatal Monitors

Table | FETAL & NEONATAL MONITOR DEMAND (million dollars)

4.2.9 Pulse Oximeters

Table | PULSE OXIMETER DEMAND

4.2.10 Apnea Monitors

Table | APNEA MONITOR DEMAND

4.2.11 Blood Flowmeters

Table | BLOOD FLOWMETER DEMAND

4.2.12 MRI Monitors

Table | MRI MONITOR DEMAND