Home Medical Equipment: Technologies and Global Markets

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1 A BCC Research Healthcare Report HLC054B Use this report to: Learn how technological developments such as wireless remote monitoring, economic trends such as the rising cost of institutional care, and attitudinal shifts, such as a growing receptivity to home healthcare among physicians, are shaping this market Understand the ways in which consumers, regulators, and insurers are influencing the dynamics of the global market for home medical equipment Formulate business and marketing plans based on an analysis of the historical and current value of shipments of each of the main home medical equipment product segments in specified applications, end-user, and geographical markets Identify promising new technologies and products still in the development and testing stage that are likely to be commercialized successfully in the next 5 years. T: , F: sales@bccresearch.com

2 Total sales revenue for home medical equipment markets were $16,829.3 million in 2009 increasing to $17,672.5 million in It is projected to increase to $23,775.1 million in 2015 for a 5-year compound annual growth rate (CAGR) of 6.1%. Introduction Home medical equipment (HME) is a multibillion-dollar market. It is defined as durable equipment that can withstand repeated use and is primarily and customarily used to serve a medical purpose. It is generally not useful to a person in the absence of an illness or injury and also is not implanted inside the patient s body. These equipments are appropriate for use in the home because it does not require a medical professional such as a trained nurse to operate. It is purchased or leased directly by the user but only if the user has a doctor s prescription to buy. It generally does not include drugs and other consumables. The various market segments analyzed are grouped into:- Assistive devices (wheelchairs, scooters, and home care beds); Therapeutic devices (insulin pumps, nebulizers, home dialysis equipment, etc.); and Monitors, sensors, and telemetry devices. Infusion devices Telemetry devices Miscellaneous types of devices. The BCC report -HLC054B provides the information regarding various segments of Euipments.it also provides information about the new technologies and products still in the development and testing stage. The report is useful for the entire medical and healthcare interest community especially for readers with an interest in the marketing and management dimensions of home medical equipment, such as Manufacturers and distributors of HME, Regulators and health insurers, Investors, The financial and analyst community. The information for the report is collected from manufacturers and distributors of HME, multilateral and government agencies, care givers and insurance companies. With 2009 as a baseline, market projections were developed for 2010 through 2015 based on a primary research sources.

3 Scope of Study The revenues from Monitors, sensors, and telemetry devices market increased from $7,650.9 million in 2009 to $8,063.9 million in It is projected to increase to $11,319.2 million in 2015 for a 5-year compound annual growth rate (CAGR) of 7.0%. The scope of the report is broad and includes:- Descriptions of the main types of home medical equipment that have been commercialized, including assistive and therapeutic devices, monitors, sensors, and telemetry devices The current global market status of the equipment, with data from last year, estimates for this year, and projections of compound annual growth rates (CAGRs) through the next 5 years A discussion of novel technologies, along with a thorough patent analysis An evaluation of regulatory factors that will drive demand in the industry Information about major manufacturers and distributors. Table of Contents Chapter One: Introduction Study Background Study Goals and Objectives Intended Audience Scope of Report Methodology and Information Sources Analyst Credentials Related BCC Research BCC Online Services Disclaimer Chapter Two: Executive Summary Summary Table Global Sales of Equipment, Summary Figure Global Sales of Equipment By Region, (%) Chapter Three: Overview General Description Definitions Product Segments Assistive Devices Wheelchairs and Scooters Wheelchairs Scooters Home Care Beds Infusion Products Insulin Pumps Respiratory Therapy Products Inhalers Metered Dose Inhalers Dry Powder Inhalers Nebulizers Oxygen Concentrators Gaseous Oxygen System Continuous Positive Airway Pressure (Cpap) Devices Home Ventilators Suction Machines Dialysis Equipment Hemodialysis Dialysis Machine Peritoneal Dialysis CCPD Cycler Home Defibrillators Monitors and Sensors Blood Pressure Monitors Aneroid Monitors Digital Blood Pressure Monitors Peak Flow Meters Glucose Monitors Apnea and SIDS Monitors Cholesterol Monitors Fetal Monitors Home Cardiac Monitors New Home Monitoring Technologies Embedded Monitors Elderly Walkers Wearable Monitors Telemetry Devices Telehomecare Mobile Phone-Based Technologies Bluetooth Zigbee Signal Transmission Via Human Skin Miscellaneous Types of Hme Lymphedema Pumps Health Conditions that Affect Market for HME Mobility Impairments Types of Mobility Impairment Paralysis Arthritis Osteoporosis Age-Related Loss of Strength/Balance/ coordination Surgical Recovery and Rehabilitation Neuromuscular Disorders HME Used to Increase Mobility Prevalence of Mobility Impairments Figure 1 Leading Conditions Associated with Wheelchair/Scooter Use (Percentage of Total Wheelchair Users) Table 1 Global Prevalence of Motion Impairments Requiring The Use of A Wheelchair Or Scooter, Through 2015 (Million People) Table 2 Trends in Prevalence of Motion Impairments Requiring A Wheelchair Or Scooter, By Geographical Market, Through 2015 (Million People) Obesity HME Used in The Management of Obesity Prevalence of Obesity Table 3 Obesity Levels in Selected Countries, By Gender (% Of Adult Population) Hypertension Types of HME Used in Treatment of Hypertension Prevalence of Hypertension Table 4 Trends in Prevalence of Hypertension, Through 2015 (Million Cases) Cardiovascular Disease Arrhythmia Tachyarrhythmia Brachycardia HME Used in The Treatment of Arrhythmia Prevalence of Arrhythmia

4 Table of Contents, continued Sales in Assistive devices market amounted to $5,250.0 million in 2009 and increased to $5,337.4 in This is projected to increase to $5,798.2 million in 2015, for a 5-year CAGR of 1.7%. Table 5 Trends in Prevalence of Arrythmia, Through 2015 (Million Cases) Diabetes Types of Diabetes HME Used to Treat Diabetes Prevalence of Diabetes and Future Trends Table 6 Trends in Prevalence of Diabetes, Through 2015 (Million Cases) High Cholesterol Levels HME Used in The Management of High Cholesterol Levels Prevalence of High Cholesterol Levels Sleep Disorders Types of Sleep Disorders of Sleep Disorders Prevalence of Sleep Disorders and Future Trends Fetal Disorders of Fetal Disorders Prevalence of Fetal Disorders and Future Trends Figure 2 Miscarriages and Stillbirths in The United States, 2009 (% Of Total Confirmed Pregnancies) Asthma of Asthma Prevalence of Asthma and Future Trends Table 7 Trends in Prevalence of Asthma, Through 2015 (Million Cases) Chronic Obstructive Pulmonary Disease of Copd Prevalence of Copd and Future Trends Kidney Failure HME Used in The Treatment of Kidney Failure Prevalence of Kidney Failure and Future Trends Table 8 Trends in Dialysis Patient Population, Through 2015 (Thousand People) Figure 3 Global Dialysis Patient Population Trend, (Million Patients) Lymphedema Types of Lymphedema Primary Lymphedema Secondary Lymphedema HME Used in The Management of Lymphedema Prevalence of Lymphedema Demographics and Economics Total Population Table 9 Trends in Total Population, By Country, (Million) Figure 4 Global Population Trends, (Billion People) Figure 5 G-20 Population As Percentage of Total World Population, 2009 and 2015 (%) Elderly People Table 10 Trends In Population 65 Years and Older, By Country, Through 2015 (Million) Figure 6 Trends in The Global Population Aged 65 Years and Older, (Million People) Figure 7 G-20 Population As Percentage of World Population 65 and Older, 2009 and 2015 (%) Older People Living in Own Homes Or with Children Figure 8 Percentage of People 65 and Older Living in Own Homes Or with Children, 2002 (%) Figure 9 Trends in The Percentage of Americans 65 and Older Remaining in Their Homes, (%) Household Income Figure 10 Trends In Median Income of U.S. Elderly Households, ($) Figure 11 Distribution of U.S. Elderly Households By Income Level, 2000 And 2008 (% Of Total Elderly Households) Expenditures on Home Health Care Figure 12 Trends in U.S. Expenditures on Home Health Care, ($ Billion) Other Factors Driving HME Market Physician Attitudes Toward Home Care Figure 13 Trend in Number of Medicare-Paid Physician House Calls, 2000 and 2007 (Million House Calls) Hospital/Nursing Home Costs Figure 14 Trends in U.S. Hospital and Nursing Home Costs Since 2000 ($) Regulatory and Legislative Issues United States New Devices Existing Devices European Union Japan Health Insurance United States Medicare and Medicaid Types of HME Covered Recent Legislation Medicare Prescription Drug, Improvement, And Modernization Act of 2003 Changes in Reimbursement Competitive Bidding Accreditation Requirement Deficit Reduction Act of 2005 Challenges Medicare Improvements for Patients and Providers Act of 2008 Reimbursement for Home Dialysis 2010 Healthcare Reforms Other Countries Figure 15 Per Capita Expenditures on HME, 2009 ($) Chapter Four: HME Markets Summary Global Market Trends Table 11 Global Hme Sales By Type of Equipment, Figure 16 Trends in The Global Hme Market, ($ Billions) Market By HME Segment Figure 17 HME Market By Type of HME, 2009 and 2015 (%) Market By Disease/Condition Treated Table 12 Hme Market By Type of Disease/Condition Treated, Figure 18 HME Market By Type of Disease/Condition Treated, 2009 and 2015 (%) Market By Geographical Segment Table 13 Major Geographical Markets for HME, Figure 19 Hme Market By Type of Region, 2009 and 2015 (%) Detailed Market Analysis Assistive Devices Table 14 Market for HME Assistive Devices, Through Wheelchairs and Scooters Table 15 Global Wheelchair and Scooter Sales, 2009 (Million Units/$ Millions) Figure 20 Global Wheelchair and Scooter Market Shares By Type of Equipment, 2009 (%)

5 Table of Contents, continued Table 16 Global Market for Wheelchairs and Scooters Used in The Home, By Geographical Market, Through Home Care Beds Table 17 Global Market for Home Care Beds, By Geographical Market, Infusion Products Insulin Pumps Table 18 Insulin Pump Sales, Through 2015 (Number Of Pumps/$ Millions) Table 19 Projected Sales of Insulin Pumps, Through Respiratory Therapy Products Table 20 Market for Respiratory HME, Through 2015 Table 21 Positive Air Pressure Devices Market, Figure 21 Trends in Respiratory HME Market Shares By Type of Equipment, (% Of Total Respiratory HME Sales) Figure 22 Trends in Respiratory HME Market Shares By Geographical Market, (% Of Total Respiratory HME Sales) CPAP and Other Positive Airway Pressure Devices Ventilators Table 22 Global Home Ventilator Market, Through Nebulizers Table 23 Global Nebulizer Market, Through 2015 Oxygen Concentrators Table 24 Global Home Oxygen Concentrator Market, Gaseous Oxygen Systems Table 25 Global Market for Home Gaseous Oxygen Systems, Airway Suction Machines Table 26 Global Home Suction Machine Market, Dialysis Equipment Figure 23 Home Dialysis Machine Market Shares, 2009 (%) Table 27 Global Market for Home Dialysis Machines, 2009 (Number of Machines/$) Table 28 Home Dialysis Machine Market, Through Home Defibrillators Table 29 Global Home Defibrillator Market, Through Monitors and Sensors Table 30 Market for Home Monitoring Devices, Figure 24 Trends in Home Monitoring Equipment Shares By Type of Equipment, Through 2015 (% Of Total Respiratory HME Sales) Figure 25 Trends in Home Monitoring Devices Market Shares By Geographical Market, (% Of Total Home Monitor Sales) Glucose Monitors Table 31 Markets for Glucose Self-Monitoring Devices, Blood Pressure Monitors Table 32 Markets for Home Blood Pressure Monitors, Apnea and Other Types of Sleep Monitors Table 33 Sleep Apnea Monitor Market, Through 2015 Cholesterol Monitors Table 34 Cholesterol Monitor Market, Through 2015 Fetal Monitors Table 35 Home Fetal Monitor Market, Through 2015 Peak Flow (Asthma) Monitors Table 36 Global Asthma Monitor Market, Through Home ECG Monitors Table 37 Global Home ECG Monitor Market, Through Telemetry Devices Figure 26 Home Telemetry Device Sales By Geographical Market, 2009 (% Of Total Sales) Table 38 Global Market for Home Telemetry Devices, Other Types of HME Table 39 Global Market for Lymphedema Pumps, Chapter Five: Patent Analysis Table 40 U.S. HME Patents Issued Since 1975 Figure 27 U.S. HME Patents Issued Since 1975 (%) Figure 28 Largest HME Patent Holders (% Of Total HME Patents Issued Through 3/25/2010) Chapter Six: Company Profiles A&D Medical/Lifesource Abbott Laboratories, Inc. Analogic Inc. Aradigm Corp. Baxter International, Inc. Card Guard Ag Echo Therapeutics Energy-lab Technologies Gmbh Fresenius Medical Care Ag & Co. Kgaa Health Frontier, Inc. Home Diagnostics Inc. Honeywell Hommed Invacare Corp. Lifescan, Inc Medline Industries, Inc. Medtronic Minimed Medvital Nxstage Medical, Inc. Nir Diagnostics Inc Nonin Medical, Inc. Omron Healthcare, Inc. Pari Pharma Philips Medical Systems Polymer Technology Systems Premd Inc Pride Mobility Products Corp. Pulse Metric Inc. Resmed, Inc. Roche Diagnostics Rtx Telecom A/s Scottcare Corp. Sensatex Inc. Sensitron Inc Solianis Monitoring Ag Sunrise Medical Inc. T+ Medical Americas, Inc. Vectura Group Plc Vivometrics Inc. 152 pages 40 tables

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