Disabled and Elderly Assistive Technologies

  • June 2013
  • -
  • BCC Research
  • -
  • 148 pages

ASSISTIVE TECHNOLOGY PRODUCTS

Assistive technology products are designed to assist people who, because of specific disabilities or the general infirmities that often accompany aging, would otherwise be unable to participate meaningfully in economic, social, political, cultural and other forms of human activity in their communities. Assistive technology encompasses a broad range of devices, from “low-tech” products such as eyeglasses and large-print books, to technologically sophisticated products such as voice synthesizers, Braille readers and wireless monitoring devices.

STUDY BACKGROUND

BCC published its last report on disabled and elderly assistive technologies in 2011. Since that time, continued progress in medical science as well as technology and healthcare, combined with demographic trends, societal evolution and changing attitudes, have continued to drive the market for assistive technologies. Thus, it would seem that the time has come for a new review of the market’s overall size and direction.

There been substantial growth in the number of disabled and elderly people, and they are living longer lives and living independently or semi-independently longer. These individuals need to perform activities such as shopping, personal hygiene and communications that once might have been performed by a family member or an institutional caregiver.

Not only do many disabled and elderly people need to perform basic activities for themselves, but they have also undergone a revolution in their life expectations. They may now expect to be gainfully employed, participate in the political process, and attend cultural and social events, to name only some of the possibilities.

These changes have coincided with dramatic shifts in public and professional attitudes toward the disabled and the elderly. Persons with disabilities, including the elderly, are now considered full citizens entitled to receive a range of services of their choosing to maintain their quality of life and enjoy full inclusion in society.

The Americans with Disabilities Act (ADA) of 1990, which took effect July 26, 1992, is the clearest expression of this attitudinal shift. The ADA says, in essence, that participation in the mainstream of daily life is an American right, regardless of race, religion or disability.

The ADA contains provisions dealing with equality of employment, equal access to government services, equal access to private businesses that deal with the public and telecommunications for the disabled. Subsequent legislation and decisions by the courts have clarified and extended the basic provisions of the ADA in a process that has continued up to the present. These demographic, social, political and legal developments have created an opportunity as well as a challenge for medical technology and manufacturing to develop and commercialize new products.

Another recent piece of legislation, the Patient Protection and Affordable Healthcare Act of 2010, is likely to have a significant impact on the market for various assistive technologies. Among its other provisions, the new law imposes a tax on medical devices such as prosthetic limbs, pacemakers and wheelchairs that will increase the cost of these devices and may decrease their use.

The new health law contains various other provisions that could have a significant impact on the market for assistive technologies, particularly through changes in Medicare. There is considerable controversy about the eventual extent of these impacts. However, the uncertainty about the healthcare law’s impact on the assistive technologies market makes this an opportune time to look at alternative scenarios.

STUDY GOALS AND OBJECTIVES

The goal of the report is to examine market opportunities for assistive technology products that are now on the market or that are likely to enter the market over the rest of the decade. Specific objectives of the report include analyzing the following:
• Major product types and applications, both commercial and developmental.
• Market size and segmentation, including historical data on sales by application and product type.
• Market drivers and constraints.
• Detailed market projections through 2018.
• Industry structure, competition and market shares.
• Factors that may influence the long-term market for assistive technologies.

INTENDED AUDIENCE

The report has been written explicitly for those with an interest in disabled and elderly care issues, including the following:
• Healthcare professionals.
• Manufacturers and distributors.
• Regulators and health insurers.
• Investors.
• The financial and analyst community.

The report is tailored especially for readers with an interest in the marketing, financial and management dimensions of the assistive technologies industry. However, readers with a more general interest in disabled and elderly care may find it useful as well.

SCOPE AND FORMAT

The report focuses on the U.S. market for the various types of devices and products that are on the market or under development to enable disabled and elderly persons to move about, see, hear, speak, dress themselves and perform many other everyday activities as “normally” as possible. Where practical, market developments on the global level are also addressed, although in less detail than domestic market developments.

In the past few years, BCC has published a number of other reports in related areas, such as prosthetics and orthotics, microelectronic medical implants, drugs for the elderly, and antiaging products. The findings and conclusions of these other reports will be cited in this report, where appropriate, for the sake of completeness. However, it is not the author’s intention to duplicate their coverage and analysis; attention will be focused instead on the following:
• Mobility- and dexterity-enhancing products.
• Products for the vision-, hearing-, and speech-impaired.
• Toileting and incontinence products.
• Medical/personal monitoring products.
• Other products such as environmental controls and daily living aids.

This report does not cover physical therapy and exercise equipment designed for the elderly and disabled. The scope of this report also does not include therapeutic treatments such as surgery that are intended to mitigate or eliminate the underlying causes of a particular disability.

In terms of format, the report is divided into the following major sections:
• Technologies used in disabled and elderly care products.
• Conditions and applications addressed.
• Product types.
• Legal, regulatory and insurance issues.
• Patent and intellectual property issues.
• Market size and segmentation.
• Market drivers.
• Market projections from 2012 through 2018.
• Industry size and structure.
• Competition and market shares.

METHODOLOGY AND INFORMATION SOURCES

Both primary and secondary research methodologies were used in preparing this study. The findings and conclusions of this report are based on information gathered from manufacturers and distributors, hospitals, doctors, and other end users. Interview data were combined with information gathered through an extensive review of secondary sources such as trade publications, trade associations, company literature and online databases to produce the baseline market estimates contained in this report.

The base year for analysis and projection is 2012. With 2012 as a baseline, market projections were developed for 2013 through 2018. These projections are based on a combination of a consensus among the primary contacts combined with our understanding of the key market drivers and their impact from an historical and analytical perspective. The analytical methodologies used to generate the market estimates are described in detail in the section on Detailed Market Projections.
Unless otherwise stated, all dollar projections presented in this report are in 2012 constant dollars.

ANALYST CREDENTIALS

The author of this report is Andrew McWilliams. Mr. McWilliams, a partner in the Boston-based international technology and marketing consulting firm of 43rd Parallel LLC, is the author of the previous edition of this report. He is also the author of several other BCC Research studies related to the subject of this report, including HLC016DMicroelectronic Medical Implants: Products, Technologies and Opportunities; HLC038C Patient Monitoring; HLC054CGlobal Markets and Technologies for Home Medical Equipment; HLC045A Prosthetics, Orthotics and Cosmetic Enhancement Products; HLC014E Global Markets for Telemedicine Technologies; HLC048D Healthcare Information Technology; HLC066B Medical Automation Technologies, Products and Markets; and HLC070A Preventive Healthcare Technologies, Products and Markets.

REPORT HIGHLIGHTS

This report provides:
• An overview of the U.S. market for disabled and elderly assistive technologies, which encompasses a broad range of devices, from "low-tech" products such as eyeglasses and large-print books to technologically sophisticated products such as voice synthesizers, Braille readers, and wireless monitoring devices.
• Analyses of market trends, with data from 2012, estimates for 2013, and projections of compound annual growth rates (CAGRs) through 2018.
• Discussion of market drivers and constraints.
• Examination of the industry structure, competition, and market shares.
• Comprehensive company profiles of major players.

Table Of Contents

TABLE OF CONTENTS

CHAPTER 1 INTRODUCTION 2

ASSISTIVE TECHNOLOGY PRODUCTS 2
STUDY BACKGROUND 2
STUDY GOALS AND OBJECTIVES 3
INTENDED AUDIENCE 3
SCOPE AND FORMAT 4
METHODOLOGY AND INFORMATION SOURCES 4
ANALYST CREDENTIALS 5
RELATED BCC RESEARCH REPORTS 5
BCC ONLINE SERVICES 6
DISCLAIMER 6

CHAPTER 2 EXECUTIVE SUMMARY 8

SUMMARY TABLE PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, THROUGH 2018
($ MILLIONS) 8
SUMMARY FIGURE PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, 2012-2018 ($
MILLIONS) 9

CHAPTER 3 OVERVIEW 11

GENERAL DESCRIPTION 11
DEFINITIONS 11
Assistive Technologies 11
Disabilities Compared to Diseases 11
Assistive Technologies Compared to Pharmaceuticals 12
Assistive Technologies Compared to Prosthetics and Orthotics 12
Assistive Technologies versus Cosmetic Products 12
HISTORY 13
TECHNOLOGIES 14
MATERIALS 14
Lightweight Materials 14
Smart Materials 14
ELECTRONICS 14
Speech Recognition and Vocal Output 14
Communication Technology 16
Mobile Location Technology 16
Sensor Technology 17
Artificial Intelligence 17
ENERGY SOURCES 17
MINIATURIZATION 18
APPLICATIONS AND CONDITIONS ADDRESSED 18
FIGURE 1 U.S. POPULATION WHOSE DAILY ACTIVITIES ARE LIMITED BY HEALTH
CONDITIONS, ACCORDING TO AGE GROUP, 2011 (%) 19
TABLE 1 PROJECTED NUMBER OF DISABLED PEOPLE IN THE U.S., THROUGH 2018 (
MILLIONS) 20
FIGURE 2 PROJECTED INCREASE IN U.S. DISABLED POPULATION, 2012-2018
(MILLIONS) 20
SENSORY LOSS 21
Hearing Loss 21
TABLE 2 REPORTED INCIDENCE OF HEARING PROBLEMS AMONG U.S. ADULTS, BY
SEX/AGE GROUP, 2011 (%) 22
Vision Loss 22
TABLE 3 REPORTED INCIDENCE OF BLINDNESS AND VISION IMPAIRMENT IN THE
U.S., BY SEX/AGE GROUP, 2011 (%) 23
COMMUNICATION DISORDERS 24
Speech Impairments 24
Writing Difficulties 24
LOSS OF MOBILITY AND DEXTERITY 24
TABLE 4 REPORTED INCIDENCE OF IMPAIRED MOBILITY AND DEXTERITY IN THE
U.S., BY SEX/AGE GROUP, 2011 (%) 25
Arthritis 25
TABLE 5 INCIDENCE OF DOCTOR-DIAGNOSED ARTHRITIS CASES AND CHRONIC
JOINT SYMPTOMS IN THE U.S., BY AGE GROUP, 2011 (MILLION PEOPLE) 26
Osteoporosis 26
Age-Related Loss of Strength/Balance/Coordination 27
Surgical Recovery and Rehabilitation 27
Arthroplasties 27
TABLE 6 PROJECTED TRENDS IN NUMBER OF U.S. TOTAL HIP AND KNEE
REPLACEMENTS, THROUGH 2018 (THOUSANDS OF PROCEDURES) 28
Amputations 28
OBESITY 28
NEUROLOGICAL DYSFUNCTIONS 28
Alzheimer's Disease and Related Dementias 29
Age-Related Loss of Cognitive Functioning 29
FIGURE 3 PREVALENCE OF COGNITIVE/MENTAL IMPAIRMENT AMONG MEDICARE
PARTICIPANTS, 2010 (%) 30
CHRONIC DISEASE 30
FIGURE 4 PREVALENCE OF SELECTED CHRONIC HEALTH PROBLEMS AMONG
MEDICARE PARTICIPANTS, 2010 (%) 30
INCONTINENCE AND LOSS OF BLADDER/BOWEL FUNCTIONING 32
TABLE 7 OSTOMY POPULATION WITH OSTOMIES, BY AGE GROUP (%) 33
PRODUCT TYPES 33
MOBILITY AIDS 33
Ambulatory Aids 33
TABLE 8 AMBULATORY AID MANUFACTURERS 34
Wheelchairs, Scooters and Accessories 34
Wheelchairs 34
TABLE 9 WHEELCHAIR MANUFACTURERS 35
Scooters 36
TABLE 10 SCOOTER MANUFACTURERS 36
Motor Vehicle Conversions 37
TABLE 11 MOTOR VEHICLE DISABLED ACCESS CONVERSION KIT MANUFACTURERS 37
Navigation Aids 37
Ultrasound (Sonar) Systems 38
Laser Systems 38
Combined Laser/Ultrasound Systems 38
GPS Systems 38
TABLE 12 NAVIGATION AIDS MANUFACTURERS 39
ACCESS AIDS 39
Home Elevators 39
Wheelchair Lifts 39
Stair Climbers 39
Accessible Baths and Showers 40
Special Commodes 40
Bath and Pool Lifts 40
Transfer Lifts 40
Door Openers 40
TABLE 13 ACCESS AID MANUFACTURERS 41
BEDS, SEATING SYSTEMS AND ERGONOMIC AIDS 41
Beds 41
Seating and Positioning Systems 42
Ergonomic Aids 42
TABLE 14 DISABLED BED, SEATING AND ERGONOMIC AIDS MANUFACTURERS 43
DAILY LIVING AIDS 43
Toileting Aids and Incontinence Products 44
Commode/Shower Chairs 44
Incontinence Products 44
Ostomy Products 44
Other Daily Living Aids 44
TABLE 15 DAILY LIVING AIDS MANUFACTURERS 45
COMMUNICATION AIDS 45
Speech Aids 45
Writing and Typing Aids 46
TABLE 16 SPEECH AND WRITING AID MANUFACTURERS 46
Hearing Aids 47
Analog Compared to Digital Hearing Aids 47
Behind-the-Ear Compared to In-the-Ear Designs 47
Eyeglass Hearing Aids 49
Other Features 49
TABLE 17 HEARING AID MANUFACTURERS 50
Telephony Accessories 50
Text Telephones 50
Amplified Telephones 51
COMPUTER ACCESS AIDS 51
Input Devices 51
Speech Recognition 51
Special Keyboards 52
Touch Screens 52
Mouse Alternatives 52
Output Devices 53
Screen Magnifiers/Readers 53
Refreshable Braille Displays 53
Accessibility Software 53
TABLE 18 COMPUTER AID MANUFACTURERS 54
VISION AND READING AIDS 54
Reading Machines 55
Braille Translators 55
Video Magnifiers 56
Accessible Books and Reader/Players 56
DAISY Books 57
Accessible Consumer Electronic Equipment 58
Telephones 58
Cell Phones 58
Kitchen Appliances 59
Personal Digital Assistants 59
TABLE 19 READING AND VISION AID MANUFACTURERS 60
ENVIRONMENTAL AIDS 61
TABLE 20 ENVIRONMENTAL AID MANUFACTURERS 61
MEDICAL AND PERSONAL MONITORING AIDS 61
Activity/Emergency Location Monitors 61
Remote Medical Monitors 62
Mobile Phone-Based Systems 62
Bluetooth 62
ZigBee 63
Signal Transmission via Human Skin 63
Pervasive Monitoring 64
TABLE 21 MEDICAL/PERSONAL MONITORING AID MANUFACTURERS 64
PATENT ANALYSIS 65
FIGURE 5 U.S. ASSISTIVE TECHNOLOGY PATENTS ISSUED SINCE 1976 AND PATENT
APPLICATIONS PENDING, BY TYPE OF TECHNOLOGY (%) 65
REGULATORY, LEGISLATIVE AND INSURANCE ISSUES 66
UNITED STATES 66
Americans with Disabilities Act (ADA) and Other Related Legislation 66
Safety and Quality Regulations 68
Medicare and Private Health Insurance Reimbursement Issues 68
Patient Protection and Affordable Care Act 69
THE EUROPEAN UNION (EU) 69
JAPAN 70

CHAPTER 4 U.S. MARKET FOR ASSISTIVE TECHNOLOGIES, 2012 THROUGH 2018 72

SUMMARY 72
TABLE 22 PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, THROUGH 2018 ($
MILLIONS) 72
FIGURE 6 PROJECTED U.S. ASSISTIVE TECHNOLOGY MARKET TRENDS, 2012-2018
($ MILLIONS) 72
FIGURE 7 PROJECTED U.S. ASSISTIVE TECHNOLOGIES MARKET SEGMENTATION,
2012 AND 2018 (% TOTAL SALES) 73
DETAILED MARKET PROJECTIONS 75
MOBILITY AIDS 75
TABLE 23 PROJECTED U.S. MOBILITY AIDS SALES, THROUGH 2018 ($ MILLIONS) 75
FIGURE 8 PROJECTED MOBILITY AIDS SUBSEGMENTS, 2012 AND 2018 (%) 76
Ambulatory Aids 77
Historical Sales 77
FIGURE 9 U.S. SALES OF AMBULATORY AIDS, 2012 (%) 77
Market Drivers 77
Ambulatory Aids Usage and Demographics 78
TABLE 24 PROJECTED U.S. POPULATION 65 YEARS AND OLDER, THROUGH 2018
(THOUSANDS) 78
Projected Market 78
TABLE 25 PROJECTED U.S. SALES OF AMBULATORY AIDS, THROUGH 2018 ($
MILLIONS) 79
Wheelchairs and Scooters 79
Historical Sales 79
FIGURE 10 U.S. WHEELCHAIR AND SCOOTER MARKET, 2012 (% TOTAL SALES) 79
Market Drivers 81
Aging Population 81
FIGURE 11 U.S. WHEELCHAIR/SCOOTER SALES BY AGE GROUP, 2012 (%) 81
TABLE 26 WHEELCHAIR USE BY AGE GROUP, 2012 (% OF POPULATION IN EACH
AGE GROUP) 82
Aging Baby Boomers 82
Incidence of Conditions Associated with Wheelchair/Scooter
Use among Younger People 82
FIGURE 12 LEADING CONDITIONS ASSOCIATED WITH WHEELCHAIR/SCOOTER USE,
2012 (% TOTAL WHEELCHAIR USERS) 82
TABLE 27 U.S. POPULATION UNDER 65 YEARS OLD, THROUGH 2018 (THOUSANDS) 84
Increasing Incidence of Severe Obesity 84
TABLE 28 PROJECTED TRENDS IN THE NUMBER OF SEVERELY OBESE AMERICANS,
THROUGH 2018 (MILLIONS) 85
Medicare Policies on Reimbursement for Powered
Wheelchairs 85
Projected Market 85
TABLE 29 U.S. SALES OF WHEELCHAIRS AND SCOOTERS, THROUGH 2018 ($
MILLIONS) 86
Vehicle Conversions 86
Historical Sales 86
Market Drivers 86
Demographic Trends in Target Market 87
TABLE 30 PROJECTED NUMBER OF U.S. WHEELCHAIR USERS AGED 18 TO 64
YEARS, THROUGH 2018 (NUMBER OF PEOPLE) 87
Financial Incentives 87
Projected Sales 88
TABLE 31 U.S. SALES PROJECTIONS OF VEHICLE CONVERSIONS FOR THE DISABLED,
THROUGH 2018 ($ MILLIONS) 88
Navigation Aids 88
Historical Sales 88
Market Drivers 89
Potential Market Size 89
Market Penetration 89
Projected Sales 89
TABLE 32 U.S. SALES PROJECTIONS OF ELECTRONIC NAVIGATION AIDS FOR THE
BLIND, THROUGH 2018 (UNITS/$ MILLIONS) 90
ACCESS AIDS 90
TABLE 33 PROJECTED U.S. SALES OF DISABILITY ACCESS AIDS BY SEGMENT,
THROUGH 2018 ($ MILLIONS) 90
FIGURE 13 PROJECTED U.S. DISABILITY ACCESS AIDS MARKET, BY TYPE OF
PRODUCT, 2012 AND 2018 (% TOTAL SALES) 91
Home Elevators 92
Historical Sales 92
Market Drivers 92
Projected Sales 93
TABLE 34 PROJECTED U.S. SALES OF RESIDENTIAL ELEVATORS, THROUGH 2018 ($
MILLIONS) 93
Stair Lifts 93
Historical Sales 93
Market Drivers 94
Baby Boom Home Renovation Spending 94
FIGURE 14 PROJECTED BABY BOOMER SPENDING ON HOME RENOVATION
PROJECTS, 2012-2018 ($ BILLIONS) 95
Projected Sales 95
TABLE 35 PROJECTED U.S. SALES OF STAIR LIFTS, THROUGH 2018 ($ MILLIONS) 95
Wheelchair Lifts 96
Historical Sales 96
Market Drivers 96
Projected Sales 96
TABLE 36 PROJECTED U.S. SALES OF WHEELCHAIR LIFTS, THROUGH 2018 ($
MILLIONS) 96
Accessible Bathtubs and Showers 96
Historical Sales 96
Market Drivers 97
Projected Sales 97
TABLE 37 PROJECTED U.S. SALES OF ACCESSIBLE BATHTUBS AND SHOWERS,
THROUGH 2018 ($ MILLIONS) 97
Bath and Pool Lifts 97
Historical Sales 97
Market Drivers 98
Projected Market 98
TABLE 38 PROJECTED U.S. SALES OF BATH AND POOL LIFTS, THROUGH 2018 ($
MILLIONS) 98
Transfer Lifts 98
Historical Sales 98
Market Drivers 98
Projected Market 98
TABLE 39 PROJECTED U.S. SALES OF TRANSFER LIFTS, THROUGH 2018 ($
MILLIONS) 99
Door Openers 99
Historical Sales 99
Market Drivers 99
Projected Market 99
TABLE 40 PROJECTED U.S. SALES OF DOOR OPENERS, THROUGH 2018 ($ MILLIONS) 100
BEDS, SEATING SYSTEMS AND ERGONOMIC AIDS 100
TABLE 41 PROJECTED U.S. BEDS, SEATING SYSTEMS AND OTHER ERGONOMIC AIDS
FOR THE DISABLED MARKET, THROUGH 2018 ($ MILLIONS) 100
FIGURE 15 U.S. DISABLED BED, SEATING AND OTHER ERGONOMIC AID MARKET
SHARES, 2012 AND 2018 (% TOTAL SALES) 100
Special Beds and Chairs for the Disabled 102
Historical Sales 102
FIGURE 16 U.S. SALES OF DISABLED BEDS AND SEATING, 2012 (% TOTAL SALES) 102
Market Drivers 103
Projected Market 103
TABLE 42 PROJECTED U.S. SALES OF HOME CARE MEDICAL BEDS AND SEATING
SYSTEMS, THROUGH 2018 ($ MILLIONS) 103
Other Ergonomic Aids 103
Historical Sales 103
Market Drivers 104
Projected Market 104
TABLE 43 PROJECTED U.S. SALES OF OTHER ERGONOMIC AIDS, THROUGH 2018 ($
MILLIONS) 104
DAILY LIVING AIDS 104
TABLE 44 PROJECTED U.S. SALES OF DAILY LIVING AIDS, THROUGH 2018 ($
MILLIONS) 105
FIGURE 17 PROJECTED U.S. DISABILITY AIDS MARKET, BY TYPE OF PRODUCT, 2012
AND 2018 (% TOTAL SALES) 105
Incontinence and Ostomy Products 106
Historical Sales 106
FIGURE 18 U.S. INCONTINENCE AND OSTOMY PRODUCTS MARKET, 2012 (% TOTAL
SALES) 106
Market Drivers 107
Demographic Trends 107
TABLE 45 PROJECTED TRENDS IN THE FEMALE POPULATION OF THE U.S.,
THROUGH 2018 (THOUSANDS) 107
Attitudes Toward Incontinence and Loss of Bladder/Bowel
Functioning 107
TABLE 46 IMPACT OF GROWING PUBLIC AWARENESS ON MARKET FOR
INCONTINENCE/OSTOMY PRODUCTS, 2001-2012 (%) 108
Projected Sales 108
TABLE 47 PROJECTED U.S. SALES OF INCONTINENCE AND OSTOMY PRODUCTS,
THROUGH 2018 ($ MILLIONS) 109
Commode and Shower Chairs 109
Historical Sales 109
Market Drivers 109
Projected Market 109
TABLE 48 PROJECTED U.S. SALES OF COMMODE AND SHOWER CHAIRS, THROUGH
2018 ($ MILLIONS) 110
Other Daily Living Aids 110
Historical Sales 110
FIGURE 19 U.S. SALES OF OTHER DAILY LIVING AIDS, 2012 (% TOTAL SALES) 110
Market Drivers 111
Projected Market 111
TABLE 49 PROJECTED U.S. SALES OF OTHER DAILY LIVING AIDS, THROUGH 2018 ($
MILLIONS) 111
COMMUNICATION AIDS 111
TABLE 50 PROJECTED U.S. SALES OF COMMUNICATION AIDS, THROUGH 2018 ($
MILLIONS) 112
Hearing and Listening Aids 112
Historical Sales 112
FIGURE 20 U.S. UNIT SALES OF DIGITAL VERSUS ANALOG HEARING AIDS, 2012 (%
TOTAL SALES IN UNITS) 112
Market Drivers 113
Macroeconomic Conditions 113
FIGURE 21 TRENDS IN U.S. GDP VERSUS UNIT SALES OF HEARING AIDS, 2003-2012
(%) 113
Low Market Penetration 114
Measures to Increase Affordability of Hearing Aids 114
Changing Buyer Attitudes 115
Projected Market 115
TABLE 51 PROJECTED U.S. SALES OF HEARING AIDS, THROUGH 2018 ($ MILLIONS) 116
Speech and Writing Aids 116
Historical Sales 116
Market Drivers 116
Technology 116
Projected Market 116
TABLE 52 PROJECTED U.S. SALES OF SPEECH AIDS, THROUGH 2018 ($ MILLIONS) 117
COMPUTER ACCESS AIDS 117
Historical Sales 117
FIGURE 22 U.S. COMPUTER ASSISTIVE TECHNOLOGY MARKET, 2012 (% TOTAL
SALES) 117
Market Drivers 118
Low Use of Computer Accessibility Aids Among the Disabled 118
Potential Benefits of Computer Accessibility Technology to Many
Nondisabled Users 118
Increasing Number of Nondisabled Computer Users Likely To
Benefit from Accessibility Technologies 119
Projected Market 119
TABLE 53 PROJECTED U.S. SALES OF COMPUTER ACCESSIBILITY AIDS, THROUGH
2018 ($ MILLIONS) 119
VISION AND READING AIDS 120
TABLE 54 PROJECTED U.S. SALES OF VISION AND READING AIDS, THROUGH 2018
($ MILLIONS) 120
Eyeglasses and Contacts 120
Historical Sales 120
FIGURE 23 U.S. MARKET FOR EYEGLASSES AND CONTACT LENSES, 2012 ($
MILLIONS/%) 120
Market Drivers 121
Projected Market 121
TABLE 55 PROJECTED U.S. EYEWEAR SALES, THROUGH 2018 ($ MILLIONS) 122
Reading Machines 122
Historical Sales 122
FIGURE 24 U.S. READING MACHINE SALES, 2012 (%) 122
Market Drivers 123
Projected Market 123
TABLE 56 PROJECTED U.S. SALES OF READING MACHINES, THROUGH 2018 ($
MILLIONS) 123
Accessible Books 124
FIGURE 25 U.S. SALES OF ACCESSIBLE BOOKS, 2012 (%) 124
Market Drivers 125
Projected Market 126
TABLE 57 PROJECTED U.S. ACCESSIBLE BOOK SALES, THROUGH 2018 ($ MILLIONS) 126
ENVIRONMENTAL AIDS 126
Historical Sales 126
Market Drivers 126
Projected Market 127
TABLE 58 PROJECTED U.S. SALES OF ENVIRONMENTAL AIDS, THROUGH 2018 ($
MILLIONS) 127
MEDICAL/PERSONAL MONITORING AIDS 127
TABLE 59 PROJECTED U.S. SALES OF MEDICAL/PERSONAL MONITORING AIDS,
THROUGH 2018 ($ MILLIONS) 127
FIGURE 26 PROJECTED MEDICAL/PERSONAL MONITORING AIDS SUBSEGMENTS,
2012 AND 2018 (%) 127
Activity/Emergency Location Monitors 128
Historical Sales 128
FIGURE 27 U.S. ACTIVITY/EMERGENCY LOCATION MONITOR SALES, 2012 (% TOTAL
SALES) 129
Market Drivers 129
Projected Market 130
TABLE 60 PROJECTED U.S. PERSONAL EMERGENCY RESPONSE DEVICES, THROUGH
2018 ($ MILLIONS) 130
Remote Medical Monitors 130
Historical Sales 130
Market Drivers 130
Low Market Penetration 130
Rising Cost of Home Care Providers 131
Increasing Expenditures on Home Medical Care 131
Projected Market 131
TABLE 61 PROJECTED U.S. SALES OF REMOTE MONITORING DEVICES, THROUGH
2018 ($ MILLIONS) 131

CHAPTER 5 GLOBAL MARKETS 133

TABLE 62 GLOBAL MARKET FOR ASSISTIVE TECHNOLOGIES, THROUGH 2018 ($
BILLIONS) 133
FIGURE 28 GLOBAL MARKET FOR ASSISTIVE TECHNOLOGIES, GEOGRAPHICAL
MARKET SHARES, 2012 AND 2018 (%) 133

CHAPTER 6 INDUSTRY STRUCTURE AND COMPETITION 136

NUMBER AND SIZE OF FIRMS 136
MARKET SHARES 136
MOBILITY AIDS 136
FIGURE 29 U.S. MOBILITY AIDS MARKET LEADERS, 2012 (%) 136
ACCESS AIDS 137
FIGURE 30 ACCESS AIDS MARKET LEADERS, 2012 (%) 137
BEDS, SEATING SYSTEMS AND ERGONOMIC AIDS 138
FIGURE 31 BEDS, SEATING SYSTEMS AND ERGONOMETRIC AIDS MARKET LEADERS,
2012 (%) 138
DAILY LIVING AIDS 139
FIGURE 32 DAILY LIVING AIDS MARKET LEADERS, 2012 (%) 139
COMMUNICATION AIDS 140
FIGURE 33 COMMUNICATION AIDS MARKET LEADERS, 2012 (%) 140
COMPUTER ACCESS AIDS 141
FIGURE 34 COMPUTER ACCESS AIDS MARKET LEADERS, 2012 (%) 142
VISION AND READING AIDS 142
FIGURE 35 VISION AND READING AIDS MARKET LEADERS, 2012 (%) 143
ENVIRONMENTAL AIDS 143
MEDICAL/PERSONAL MONITORING AIDS 144
FIGURE 36 MEDICAL/PERSONAL MONITORING AIDS MARKET LEADERS, 2012 (%) 144

CHAPTER 7 COMPANY PROFILES 146

AUTOMATED VOICE SYSTEMS INC. 146
BAY ADVANCED TECHNOLOGIES LTD. 146
BLUE CHIP MEDICAL PRODUCTS 146
BRUNO INDEPENDENT LIVING AIDS INC. 147
COBOLT SYSTEMS LTD. 147
CONVATEC 147
CYBERNET MEDICAL CORP. 147
DOLPHIN COMPUTER ACCESS LTD. 148
DUXBURY SYSTEMS INC. 148
DYNAVOX TECHNOLOGIES 148
EXACT DYNAMICS B.V. 149
FREEDOM SCIENTIFIC INC. 149
GW MICRO INC. 149
HONEYWELL HOMMED LLC 149
HUMANWARE 150
INCLINATOR COMPANY OF AMERICA 150
INVACARE CORP. 150
KROWN MANUFACTURING 151
LIFTAVATOR INC. 151
MEDLINE INDUSTRIES INC. 151
OTTO BOCK HEALTHCARE GMBH 151
PHILIPS LIFELINE SYSTEMS INC. 152
PRIDE MOBILITY PRODUCTS CORP. 152
RICON CORP. 152
SAVARIA CORP. 152
SCOTTCARE CORP. 153
SIEMENS HEARING INSTRUMENTS INC. 153
SUNRISE MEDICAL INC. 153
SVENSKA CELLULOSA AKTIEBOLAGET SCA 153
TERRY GROUP LTD. 154
THYSSENKRUPP ACCESS 154
TWIG 154
WHIRLPOOL CORP. 155



LIST OF TABLES

SUMMARY TABLE PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, THROUGH 2018
($ MILLIONS) 8
TABLE 1 PROJECTED NUMBER OF DISABLED PEOPLE IN THE U.S., THROUGH 2018 (
MILLIONS) 20
TABLE 2 REPORTED INCIDENCE OF HEARING PROBLEMS AMONG U.S. ADULTS, BY
SEX/AGE GROUP, 2011 (%) 22
TABLE 3 REPORTED INCIDENCE OF BLINDNESS AND VISION IMPAIRMENT IN THE
U.S., BY SEX/AGE GROUP, 2011 (%) 23
TABLE 4 REPORTED INCIDENCE OF IMPAIRED MOBILITY AND DEXTERITY IN THE U.S.,
BY SEX/AGE GROUP, 2011 (%) 25
TABLE 5 INCIDENCE OF DOCTOR-DIAGNOSED ARTHRITIS CASES AND CHRONIC
JOINT SYMPTOMS IN THE U.S., BY AGE GROUP, 2011 (MILLION PEOPLE) 26
TABLE 6 PROJECTED TRENDS IN NUMBER OF U.S. TOTAL HIP AND KNEE
REPLACEMENTS, THROUGH 2018 (THOUSANDS OF PROCEDURES) 28
TABLE 7 OSTOMY POPULATION WITH OSTOMIES, BY AGE GROUP (%) 33
TABLE 8 AMBULATORY AID MANUFACTURERS 34
TABLE 9 WHEELCHAIR MANUFACTURERS 35
TABLE 10 SCOOTER MANUFACTURERS 36
TABLE 11 MOTOR VEHICLE DISABLED ACCESS CONVERSION KIT MANUFACTURERS 37
TABLE 12 NAVIGATION AIDS MANUFACTURERS 39
TABLE 13 ACCESS AID MANUFACTURERS 41
TABLE 14 DISABLED BED, SEATING AND ERGONOMIC AIDS MANUFACTURERS 43
TABLE 15 DAILY LIVING AIDS MANUFACTURERS 45
TABLE 16 SPEECH AND WRITING AID MANUFACTURERS 46
TABLE 17 HEARING AID MANUFACTURERS 50
TABLE 18 COMPUTER AID MANUFACTURERS 54
TABLE 19 READING AND VISION AID MANUFACTURERS 60
TABLE 20 ENVIRONMENTAL AID MANUFACTURERS 61
TABLE 21 MEDICAL/PERSONAL MONITORING AID MANUFACTURERS 64
TABLE 22 PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, THROUGH 2018 ($
MILLIONS) 72
TABLE 23 PROJECTED U.S. MOBILITY AIDS SALES, THROUGH 2018 ($ MILLIONS) 75
TABLE 24 PROJECTED U.S. POPULATION 65 YEARS AND OLDER, THROUGH 2018
(THOUSANDS) 78
TABLE 25 PROJECTED U.S. SALES OF AMBULATORY AIDS, THROUGH 2018 ($
MILLIONS) 79
TABLE 26 WHEELCHAIR USE BY AGE GROUP, 2012 (% OF POPULATION IN EACH AGE
GROUP) 82
TABLE 27 U.S. POPULATION UNDER 65 YEARS OLD, THROUGH 2018 (THOUSANDS) 84
TABLE 28 PROJECTED TRENDS IN THE NUMBER OF SEVERELY OBESE AMERICANS,
THROUGH 2018 (MILLIONS) 85
TABLE 29 U.S. SALES OF WHEELCHAIRS AND SCOOTERS, THROUGH 2018 ($
MILLIONS) 86
TABLE 30 PROJECTED NUMBER OF U.S. WHEELCHAIR USERS AGED 18 TO 64 YEARS,
THROUGH 2018 (NUMBER OF PEOPLE) 87
TABLE 31 U.S. SALES PROJECTIONS OF VEHICLE CONVERSIONS FOR THE DISABLED,
THROUGH 2018 ($ MILLIONS) 88
TABLE 32 U.S. SALES PROJECTIONS OF ELECTRONIC NAVIGATION AIDS FOR THE
BLIND, THROUGH 2018 (UNITS/$ MILLIONS) 90
TABLE 33 PROJECTED U.S. SALES OF DISABILITY ACCESS AIDS BY SEGMENT,
THROUGH 2018 ($ MILLIONS) 90
TABLE 34 PROJECTED U.S. SALES OF RESIDENTIAL ELEVATORS, THROUGH 2018 ($
MILLIONS) 93
TABLE 35 PROJECTED U.S. SALES OF STAIR LIFTS, THROUGH 2018 ($ MILLIONS) 95
TABLE 36 PROJECTED U.S. SALES OF WHEELCHAIR LIFTS, THROUGH 2018 ($
MILLIONS) 96
TABLE 37 PROJECTED U.S. SALES OF ACCESSIBLE BATHTUBS AND SHOWERS,
THROUGH 2018 ($ MILLIONS) 97
TABLE 38 PROJECTED U.S. SALES OF BATH AND POOL LIFTS, THROUGH 2018 ($
MILLIONS) 98
TABLE 39 PROJECTED U.S. SALES OF TRANSFER LIFTS, THROUGH 2018 ($ MILLIONS) 99
TABLE 40 PROJECTED U.S. SALES OF DOOR OPENERS, THROUGH 2018 ($ MILLIONS) 100
TABLE 41 PROJECTED U.S. BEDS, SEATING SYSTEMS AND OTHER ERGONOMIC AIDS
FOR THE DISABLED MARKET, THROUGH 2018 ($ MILLIONS) 100
TABLE 42 PROJECTED U.S. SALES OF HOME CARE MEDICAL BEDS AND SEATING
SYSTEMS, THROUGH 2018 ($ MILLIONS) 103
TABLE 43 PROJECTED U.S. SALES OF OTHER ERGONOMIC AIDS, THROUGH 2018 ($
MILLIONS) 104
TABLE 44 PROJECTED U.S. SALES OF DAILY LIVING AIDS, THROUGH 2018 ($
MILLIONS) 105
TABLE 45 PROJECTED TRENDS IN THE FEMALE POPULATION OF THE U.S., THROUGH
2018 (THOUSANDS) 107
TABLE 46 IMPACT OF GROWING PUBLIC AWARENESS ON MARKET FOR
INCONTINENCE/OSTOMY PRODUCTS, 2001-2012 (%) 108
TABLE 47 PROJECTED U.S. SALES OF INCONTINENCE AND OSTOMY PRODUCTS,
THROUGH 2018 ($ MILLIONS) 109
TABLE 48 PROJECTED U.S. SALES OF COMMODE AND SHOWER CHAIRS, THROUGH
2018 ($ MILLIONS) 110
TABLE 49 PROJECTED U.S. SALES OF OTHER DAILY LIVING AIDS, THROUGH 2018 ($
MILLIONS) 111
TABLE 50 PROJECTED U.S. SALES OF COMMUNICATION AIDS, THROUGH 2018 ($
MILLIONS) 112
TABLE 51 PROJECTED U.S. SALES OF HEARING AIDS, THROUGH 2018 ($ MILLIONS) 116
TABLE 52 PROJECTED U.S. SALES OF SPEECH AIDS, THROUGH 2018 ($ MILLIONS) 117
TABLE 53 PROJECTED U.S. SALES OF COMPUTER ACCESSIBILITY AIDS, THROUGH
2018 ($ MILLIONS) 119
TABLE 54 PROJECTED U.S. SALES OF VISION AND READING AIDS, THROUGH 2018 ($
MILLIONS) 120
TABLE 55 PROJECTED U.S. EYEWEAR SALES, THROUGH 2018 ($ MILLIONS) 122
TABLE 56 PROJECTED U.S. SALES OF READING MACHINES, THROUGH 2018 ($
MILLIONS) 123
TABLE 57 PROJECTED U.S. ACCESSIBLE BOOK SALES, THROUGH 2018 ($ MILLIONS) 126
TABLE 58 PROJECTED U.S. SALES OF ENVIRONMENTAL AIDS, THROUGH 2018 ($
MILLIONS) 127
TABLE 59 PROJECTED U.S. SALES OF MEDICAL/PERSONAL MONITORING AIDS,
THROUGH 2018 ($ MILLIONS) 127
TABLE 60 PROJECTED U.S. PERSONAL EMERGENCY RESPONSE DEVICES, THROUGH
2018 ($ MILLIONS) 130
TABLE 61 PROJECTED U.S. SALES OF REMOTE MONITORING DEVICES, THROUGH
2018 ($ MILLIONS) 131
TABLE 62 GLOBAL MARKET FOR ASSISTIVE TECHNOLOGIES, THROUGH 2018 ($
BILLIONS) 133



LIST OF FIGURES

SUMMARY FIGURE PROJECTED U.S. ASSISTIVE TECHNOLOGY SALES, 2012-2018 ($
MILLIONS) 9
FIGURE 1 U.S. POPULATION WHOSE DAILY ACTIVITIES ARE LIMITED BY HEALTH
CONDITIONS, ACCORDING TO AGE GROUP, 2011 (%) 19
FIGURE 2 PROJECTED INCREASE IN U.S. DISABLED POPULATION, 2012-2018
(MILLIONS) 20
FIGURE 3 PREVALENCE OF COGNITIVE/MENTAL IMPAIRMENT AMONG MEDICARE
PARTICIPANTS, 2010 (%) 30
FIGURE 4 PREVALENCE OF SELECTED CHRONIC HEALTH PROBLEMS AMONG
MEDICARE PARTICIPANTS, 2010 (%) 30
FIGURE 5 U.S. ASSISTIVE TECHNOLOGY PATENTS ISSUED SINCE 1976 AND PATENT
APPLICATIONS PENDING, BY TYPE OF TECHNOLOGY (%) 65
FIGURE 6 PROJECTED U.S. ASSISTIVE TECHNOLOGY MARKET TRENDS, 2012-2018 ($
MILLIONS) 72
FIGURE 7 PROJECTED U.S. ASSISTIVE TECHNOLOGIES MARKET SEGMENTATION,
2012 AND 2018 (% TOTAL SALES) 73
FIGURE 8 PROJECTED MOBILITY AIDS SUBSEGMENTS, 2012 AND 2018 (%) 76
FIGURE 9 U.S. SALES OF AMBULATORY AIDS, 2012 (%) 77
FIGURE 10 U.S. WHEELCHAIR AND SCOOTER MARKET, 2012 (% TOTAL SALES) 79
FIGURE 11 U.S. WHEELCHAIR/SCOOTER SALES BY AGE GROUP, 2012 (%) 81
FIGURE 12 LEADING CONDITIONS ASSOCIATED WITH WHEELCHAIR/SCOOTER USE,
2012 (% TOTAL WHEELCHAIR USERS) 82
FIGURE 13 PROJECTED U.S. DISABILITY ACCESS AIDS MARKET, BY TYPE OF PRODUCT,
2012 AND 2018 (% TOTAL SALES) 91
FIGURE 14 PROJECTED BABY BOOMER SPENDING ON HOME RENOVATION PROJECTS,
2012-2018 ($ BILLIONS) 95
FIGURE 15 U.S. DISABLED BED, SEATING AND OTHER ERGONOMIC AID MARKET
SHARES, 2012 AND 2018 (% TOTAL SALES) 100
FIGURE 16 U.S. SALES OF DISABLED BEDS AND SEATING, 2012 (% TOTAL SALES) 102
FIGURE 17 PROJECTED U.S. DISABILITY AIDS MARKET, BY TYPE OF PRODUCT, 2012
AND 2018 (% TOTAL SALES) 105
FIGURE 18 U.S. INCONTINENCE AND OSTOMY PRODUCTS MARKET, 2012 (% TOTAL
SALES) 106
FIGURE 19 U.S. SALES OF OTHER DAILY LIVING AIDS, 2012 (% TOTAL SALES) 110
FIGURE 20 U.S. UNIT SALES OF DIGITAL VERSUS ANALOG HEARING AIDS, 2012 (%
TOTAL SALES IN UNITS) 112
FIGURE 21 TRENDS IN U.S. GDP VERSUS UNIT SALES OF HEARING AIDS, 2003-2012
(%) 113
FIGURE 22 U.S. COMPUTER ASSISTIVE TECHNOLOGY MARKET, 2012 (% TOTAL
SALES) 117
FIGURE 23 U.S. MARKET FOR EYEGLASSES AND CONTACT LENSES, 2012 ($
MILLIONS/%) 120
FIGURE 24 U.S. READING MACHINE SALES, 2012 (%) 122
FIGURE 25 U.S. SALES OF ACCESSIBLE BOOKS, 2012 (%) 124
FIGURE 26 PROJECTED MEDICAL/PERSONAL MONITORING AIDS SUBSEGMENTS,
2012 AND 2018 (%) 127
FIGURE 27 U.S. ACTIVITY/EMERGENCY LOCATION MONITOR SALES, 2012 (% TOTAL
SALES) 129
FIGURE 28 GLOBAL MARKET FOR ASSISTIVE TECHNOLOGIES, GEOGRAPHICAL
MARKET SHARES, 2012 AND 2018 (%) 133
FIGURE 29 U.S. MOBILITY AIDS MARKET LEADERS, 2012 (%) 136
FIGURE 30 ACCESS AIDS MARKET LEADERS, 2012 (%) 137
FIGURE 31 BEDS, SEATING SYSTEMS AND ERGONOMETRIC AIDS MARKET LEADERS,
2012 (%) 138
FIGURE 32 DAILY LIVING AIDS MARKET LEADERS, 2012 (%) 139
FIGURE 33 COMMUNICATION AIDS MARKET LEADERS, 2012 (%) 140
FIGURE 34 COMPUTER ACCESS AIDS MARKET LEADERS, 2012 (%) 142
FIGURE 35 VISION AND READING AIDS MARKET LEADERS, 2012 (%) 143
FIGURE 36 MEDICAL/PERSONAL MONITORING AIDS MARKET LEADERS, 2012 (%) 144

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