Patient Monitoring Systems

Patient Monitoring Systems

This comprehensive study examines the US market for patient monitoring systems. Patient monitoring systems consist of equipment, devices and supplies that measure, display and record human physiological characteristics, including blood pressure, body temperature, heart activity, levels of various bodily substances (e.g., blood gases, cholesterol, glucose, etc.), pulse rate, respiration rate and other health-related criteria. Among the specific products analyzed in the study are multi-, dual- and single-parameter monitors that function either as independent, stand-alone units or components of integrated patient management networks. Patient monitoring systems measure physiological characteristics either continuously or at regular intervals over time and thereby differ from diagnostic instruments that detect existing medical conditions through single testing procedures.

INTRODUCTION x

I. EXECUTIVE SUMMARY 1

II. MARKET ENVIRONMENT 4
General 4
Economic Factors 5
Demographic Patterns 8
Health Care Trends 10
Medical Conditions 11
Chronic Conditions 12
Acute Conditions 15
Health Insurance & Reimbursement 16
National Health Expenditures 19
Medical Providers 23
Hospitals 24
Long-Term Care Facilities 27
Physicians 29
Outpatient Care 32
Home Health Care 35
Surgical Procedures 36
Selected Medical Product Markets 38
Surgical Appliances & Supplies 40
Surgical & Medical Instruments 41
Electromedical Equipment 41
Diagnostic Products 42
Analytical Instruments 42
Other Medical Supplies, Devices & Equipment 43
Patient Monitoring Systems Overview 43
Technology 44
Regulation 47
Historical Demand Patterns 48
US Trade 51
International Markets 53

III. PRODUCTS 57
General 57
Patient Monitoring Equipment 59
Multi-Parameter Monitors 61
Networked MP Monitors 63
Standalone Multi-Parameter Patient Monitors 67
Remote Patient Monitors 69
Central Patient Monitoring Stations 73
Cardiac Monitors 77
ECG Monitors 78
Holter Monitors 82
Heart Rate Monitors 85
Cardiac Output Monitors 87
Anesthesia & Respiratory Monitors 91
Anesthesia Monitors & Systems 92
Pulmonary Function Analyzers 96
Spirometers 97
Blood Gas Monitors 99
Respiratory Monitors 102
Blood Pressure & Pulse Monitors 103
Blood Pressure Monitors 105
Pulse Oximeters 109
Neurological Monitors 112
EEG/EMG Monitors 113
Other Neurological Monitors 114
Other Patient Monitoring Equipment 116
Blood Glucose Monitors 118
Fetal & Pediatric Monitors 125
Electronic Thermometers 128
Apnea Monitors 130
Blood Flowmeters 132
MRI Monitors 133
Coagulation Monitors 134
All Other Patient Monitoring Equipment 136
Patient Monitoring Accessories 139
Blood Glucose Test Strips 141
Producers 142
Products & Innovations 143
Patient Monitoring Electrodes 145
Lancets & Lancing Devices 147
Lancets 147
Lancing Devices 149
Patient Monitoring Catheters 152
Patient Monitoring Sensors 153
Other Patient Monitoring Accessories 155
Temperature Probes & Strips 156
Cables & Wires 158
Other Monitoring Test Strips 159
Gels, Adhesives & Related Preparations 159
All Other Patient Monitoring Accessories 160

IV. MARKETS 161
General 161
Hospitals 164
Market Overview 166
Patient Monitoring System Demand 166
Home Health Care 169
Blood Glucose Monitoring Products 170
Other Home Patient Monitoring Products 172
Outpatient Facilities 174
Ambulatory Surgery Centers 175
Urgent Care Centers & General Medical Clinics 176
Other Outpatient Facilities 177
Physicians’ Offices 178
Nursing Homes 180
Other Markets 182

V. INDUSTRY STRUCTURE 184
General 184
Market Share 185
Competitive Strategies 189
Mergers & Acquisitions 196
Licensing & Related Agreements 199
Research & Development 209
Marketing & Distribution 210
Manufacturing 213
Company Profiles 214
Abbott Laboratories 215
Advanced Biosensor Incorporated, see Biotel Incorporated
Animas Corporation, see Johnson & Johnson
Bayer AG 218
Becton, Dickinson and Company 222
Bio-Med Devices Incorporated 224
Bionostics Incorporated, see Ferraris Group plc
Biosense Webster Incorporated, see Johnson & Johnson
Biotel Incorporated 225
Blease Medical Holdings, see OSI Systems Incorporated
Braemar Incorporated, see Biotel Incorporated
Colin Medical Technology Corporation, see OMRON
Cooper Companies Incorporated 227
Criticare Systems Incorporated 229
Datascope Corporation 232
Datex-Ohmeda Incorporated, see General Electric Company
Del Mar Reynolds Medical, see Ferraris Group
Dolphin Medical, see OSI Systems Incorporated
Draegerwerk AG 235
Ferraris Group plc 240
Fukuda Denshi Company Limited 242
GE Healthcare Technologies, see General Electric
General Electric Company 244
Home Diagnostics Incorporated 250
Hospira Incorporated 251
Hypoguard USA Incorporated, see Medisys plc
Intermagnetics General Corporation 254
Invivo Corporation, see Intermagnetics General Corporation
Johnson & Johnson 257
LifeScan Incorporated, see Johnson & Johnson
Medisys plc 261
Medtronic Incorporated 263
Mennen Medical Limited 268
Midmark Corporation 270
MRL Incorporated, see Welch Allyn Incorporated
Nihon Kohden Corporation 273
OMRON Corporation 276
OSI Systems Incorporated 280
Philips Medical Systems, see Royal Philips Electronics
Physiometrix Incorporated, see Hospira Incorporated
Roche Holding Limited 287
Royal Philips Electronics NV 291
Spacelabs Healthcare, see OSI Systems Incorporated
Viterion TeleHealthcare LLC, see Bayer AG
Welch Allyn Incorporated 296
Other Companies Mentioned in Study 302

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 9
3 Medical Conditions by Type 12
4 Chronic Conditions by Type 14
5 Acute Conditions by Type 16
6 Health Insurance Coverage 19
7 National Health Expenditures by Type 23
8 Hospitals 26
9 Long-Term Care 29
10 Active Physicians 31
11 Outpatient Facilities 33
12 Outpatient Activity 35
13 Home Health Care Providers & Activity 36
14 Surgical Procedures by Type & Site 38
15 Selected Medical Product Demand by Type 40
16 Patient Monitoring System Demand, 1995-2005 51
17 US Trade in Patient Monitoring Systems 53
18 World Patient Monitoring System Demand 56

SECTION III -- PRODUCTS
1 Patient Monitoring System Demand by Product Group 58
2 Patient Monitoring Equipment Demand by Product Group 61
3 Multi-Parameter (MP) Patient Monitor Demand by Product Group 62
4 Networked Multi-Parameter (MP) Patient Monitor Demand by Type 64
5 Standalone Multi-Parameter (MP) Patient Monitor Demand by Type 67
6 Remote Multi-Parameter (MP) Patient Monitor Demand 72
7 Central Patient Monitoring Station Demand by Type 73
8 Cardiac Monitor Demand by Product Group 78
9 ECG Monitor Demand 79
10 Holter Monitor Demand 84
11 Heart Rate Monitor Demand 87
12 Cardiac Output Monitor Demand 90
13 Anesthesia & Respiratory Monitor Demand by Product Group 91
14 Anesthesia Monitor & System Demand 92
15 Pulmonary Function Analyzer Demand 97
16 Spirometer Demand 99
17 Blood Gas Monitor Demand 101
18 Respiratory Monitor Demand 103
19 Blood Pressure & Pulse Monitor Demand by Product Group 104
20 Home Blood Pressure (BP) Monitor Demand 106
21 Professional Blood Pressure (BP) Monitor Demand 108
22 Pulse Oximeter Demand 111
23 Neurological Monitor Demand by Product Group 112
24 EEG/EMG Monitor Demand 114
25 Other Neurological Monitor Demand 116
26 Other Patient Monitoring Equipment Demand by Product Group 118
27 Blood Glucose Monitor Demand 120
28 Fetal & Pediatric Monitor Demand 128
29 Electronic Thermometer Demand 130
30 Apnea Monitor Demand 131
31 Blood Flowmeter Monitor Demand 132
32 MRI Monitor Demand 134
33 Coagulation Monitor Demand 136
34 All Other Patient Monitoring Equipment Demand by Type 137
35 Patient Monitoring Accessory Demand by Product Group 140
36 Blood Glucose Test Strip Demand 142
37 Patient Monitoring Electrode Demand by Type 146
38 Lancet & Lancing Device Demand by Type 147
39 Patient Monitoring Catheter Demand 153
40 Patient Monitoring Sensor Demand by Type 155
41 Other Patient Monitoring Accessory Demand by Product Group 156

SECTION IV -- MARKETS
1 Patient Monitoring System Demand by Market 163
2 Hospital Demand - Patient Monitoring Systems 165
3 Home Health Care Demand - Patient Monitoring Systems 170
4 Outpatient Facility Demand - Patient Monitoring Systems 175
5 Physicians’ Office Demand - Patient Monitoring Systems 180
6 Nursing Home Demand - Patient Monitoring Systems 181
7 Other Markets Demand - Patient Monitoring Systems 183

SECTION V -- INDUSTRY STRUCTURE
1 Patient Monitoring Systems -- Sales by Company, 2005 187
2 Selected Acquisitions & Divestitures 198
3 Selected Cooperative Agreements 201

LIST OF CHARTS
CHART NUMBER PAGE
SECTION III -- PRODUCTS
1 Patient Monitoring System Demand by Product Group, 2005 59
2 Multi-Parameter Patient Monitor Demand by Product Group, 2005 63
3 Patient Monitoring Accessory Demand by Product Group, 2005 141

SECTION IV -- MARKETS
1 Patient Monitoring System Demand by Market, 2005 163

SECTION V -- INDUSTRY STRUCTURE
1 US Patient Monitoring Systems Market Share by Company, 2005 189