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Medical Automation Technologies, Products and Markets

  • April 2015
  • -
  • BCC Research
  • -
  • 155 pages

REPORT HIGHLIGHTS

The U.S. market for medical automation technologies will grow from nearly $16.3 billion in 2014 to $17.5 billion by 2015. This market should reach nearly $26.5 billion by 2020, demonstrating a compound annual growth rate (CAGR) of 5.1% between 2015 and 2020.

This report provides:

-An overview the global medical automation market, its products, and technologies.
-Analysis of global market trends, with data from 2014, estimates for 2015, and projections of compound annual growth rates (CAGRs) through 2020.
-Coverage of medical automation applications, enabling technologies, and end user segments.
-Information on the market's environment: legal and regulatory, standards, economic conditions, consumer attitudes.
-Detailed analyses of:
**Automated health assessment and monitoring technologies.
**Automated medical imaging and image analysis.
**Automated prescription fulfillment devices.
**Automated therapeutic (nonsurgical) devices.
**Robotic and computer-assisted surgical equipment.
**Automated laboratory testing and analysis.
**Automated healthcare logistics, resource, and patient tracking.
**Automated medical training.
-Profiles of major players in the medical automation market.

SCOPE AND FORMAT

As indicated above, medical automation is closely related to healthcare IT, which is the subject of a companion BCC Research report, HLC048D Healthcare Information Technology. However, for the purposes of this report, medical automation technologies are defined as technologies for the electromechanical control or operation of diagnostic or therapeutic processes or systems or training of healthcare professionals, and which result in a reduced need or eliminate the need for human intervention. Examples of such medical automation technologies are:
-Automated health assessment and monitoring technologies.
-Automated medical imaging and image analysis.
-Automated prescription fulfillment devices.
-Automated therapeutic (nonsurgical) devices.
-Robotic and computer-assisted surgical equipment.
-Automated laboratory testing and analysis.
-Automated healthcare logistics, resource and patient tracking.
-Automated medical training.

The study format includes the following major elements:

-Executive summary.
-Definitions.
-Medical automation technologies and applications.
-Enabling technologies.
-End-user segments.
-Market environment (legal and regulatory, standards, economic conditions, consumer attitudes).
-Baseline (2014) and projected market for medical automation technologies and products through 2020.

Table Of Contents

Medical Automation Technologies, Products and Markets
TABLE OF CONTENTS

CHAPTER 1 INTRODUCTION 2
STUDY BACKGROUND 2
GOALS AND OBJECTIVES 2
INTENDED AUDIENCE 2
SCOPE AND FORMAT 3
METHODOLOGY 3
ANALYST'S CREDENTIALS 4
RELATED BCC RESEARCH REPORTS 4
BCC RESEARCH WEBSITE 5
DISCLAIMER 5
CHAPTER 2 EXECUTIVE SUMMARY 7
SUMMARY TABLE U.S. MEDICAL AUTOMATION MARKET BY FUNCTIONAL SEGMENTS,
THROUGH 2020 ($ MILLIONS) 7
SUMMARY FIGURE U.S. MEDICAL AUTOMATION MARKET BY FUNCTIONAL
SEGMENTS, 2014 VS. 2020 (%) 7
CHAPTER 3 OVERVIEW OF MEDICAL AUTOMATION 10
DEFINITIONS 10
MEDICAL AUTOMATION FUNCTIONS 10
HEALTH ASSESSMENT, MONITORING 10
IMAGING 10
PRESCRIPTION FORMULATION, DISPENSING 11
NONSURGICAL THERAPEUTIC APPLICATIONS 11
MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY 11
LABORATORY TESTING AND ANALYSIS 11
LOGISTICS, RESOURCE AND PATIENT TRACKING 11
HEALTHCARE PROFESSIONAL TRAINING 12
ENABLING TECHNOLOGIES FOR MEDICAL AUTOMATION 12
WIRELESS TECHNOLOGIES 12
SENSORS 13
Parameters that are Measured 13
Micro- and Nanosensors 14
Sensing Fabrics and Wearable Monitors 14
ROBOTICS 15
Surgical Robots 15
Other Medical Robot Applications 17
Wearable Drug Pumps 17
TABLE 1 MEDICAL APPLICATIONS OF ARTIFICIAL INTELLIGENCE 19
RFID/BAR CODING 19
END-USER SEGMENTS 20
HOSPITALS 20
FIGURE 1 TREND IN THE NUMBER OF U.S. HOSPITALS, 2005-2013 (UNITS) 20
FIGURE 2 U.S. HOSPITALS WITH SURGERY DEPARTMENTS, 2013 (NUMBER OF
HOSPITALS) 22
OUTPATIENT SURGERY CENTERS 22
HLC066C - Medical Automation Technologies, Products and Markets
PHYSICIAN PRACTICES 22
FIGURE 3 TREND IN THE NUMBER OF ACTIVE U.S. PHYSICIANS, 2002 AND 2013
(THOUSANDS) 22
TABLE 2 DISTRIBUTION OF U.S. PHYSICIANS BY PRACTICE SETTING/SIZE,
1996-2008 (%) 24
RETAIL ESTABLISHMENTS 24
HOME CARE 24
FIGURE 4 TRENDS IN U.S. EXPENDITURES ON HOME HEALTH CARE, 2003-2013 ($
BILLIONS) 25
MILITARY 25
FIGURE 5 U.S. MILITARY HEALTH EXPENDITURES, 2000- 2013 ($ BILLIONS) 25
MEDICAL RESEARCH/CLINICAL LABORATORIES 26
MEDICAL SCHOOLS/OTHER TRAINING INSTITUTIONS 27
MARKET SUMMARY 27
TABLE 3 U.S. MEDICAL AUTOMATION MARKET BY FUNCTION, THROUGH 2020 ($
MILLIONS) 27
FIGURE 6 U.S. MEDICAL AUTOMATION MARKET SHARES, 2014-2020 (%) 27
CHAPTER 4 MARKET ENVIRONMENT FOR MEDICAL AUTOMATION 30
LAWS AND REGULATIONS 30
FDA REGULATION 30
MEDICARE/MEDICAID RULES 32
PATIENT PROTECTION AND AFFORDABLE CARE ACT 33
DEMOGRAPHIC TRENDS 34
GROWTH AND STRUCTURAL CHANGES IN THE U.S. POPULATION 34
TABLE 4 TRENDS IN TOTAL U.S. POPULATION AND POPULATION AGED 65 AND
OLDER, THROUGH 2020 (MILLIONS) 34
TRENDS IN THE NUMBER OF ELDERLY PEOPLE LIVING IN THEIR OWN
HOMES 35
FIGURE 7 TRENDS IN THE PERCENTAGE OF AMERICANS OVER AGE 65 REMAINING
IN THEIR HOMES, 1985-2009 (%) 35
TRENDS IN THE HEALTHCARE INDUSTRY 36
RISING HOSPITAL/NURSING HOME COSTS 36
FIGURE 8 TRENDS IN U.S. HOSPITAL AND NURSING HOME COSTS, 2000 AND 2012
($) 37
PHYSICIAN ATTITUDES TOWARD HOME CARE 37
FIGURE 9 TREND IN THE NUMBER OF MEDICARE-PAID PHYSICIAN HOUSE CALLS,
2001 AND 2012 (MILLION HOUSE CALLS) 37
DECLINING REIMBURSEMENT RATES 38
SHORTAGES OF HEALTHCARE PERSONNEL AND INCREASING WORKLOADS 39
Physicians 39
Surgeons 41
Nurses 41
HEALTHCARE PROFESSIONALS' ATTITUDES TOWARD AUTOMATION 42
CARE PROVIDER FINANCES 42
CHAPTER 5 AUTOMATED HEALTH ASSESSMENT AND MONITORING: TECHNOLOGIES,
PRODUCTS AND MARKETS 45
SUMMARY 45
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FIGURE 10 TRENDS IN U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND
MONITORING, 2014-2020 ($ MILLIONS) 45
TECHNOLOGIES AND PRODUCTS 46
AUTOMATED HOME MONITORING AND TELEMETRY 46
Objectives 46
Technologies 46
Embedded Monitors 46
Toilet seats 46
Bathroom mirrors 46
Elderly Walkers 47
Wearable Monitors 47
Home Telemetry Monitors 48
Telehomecare 48
Mobile Phone-based Technologies 49
Bluetooth 49
ZigBee 49
Signal Transmission via Human Skin 50
Current Commercial Status 51
Suppliers 51
TABLE 5 DEVELOPERS AND SUPPLIERS OF AUTOMATED HOME MONITORING AND
TELEMETRY SOLUTIONS 51
TELEHEALTH KIOSKS 51
Objectives 52
Technologies 52
Commercial Status 53
Suppliers 53
TABLE 6 SUPPLIERS OF TELEHEALTH KIOSKS 53
AUTOMATED EYE EXAMINATION DEVICES 54
Objectives 54
Technologies 54
Automated Ophthalmic Instruments 54
Autorefractors 54
Autokeratometers 54
Aberrometers 55
Noncontact Tonometers 55
Eye Health Kiosk 56
Suppliers 56
TABLE 7 DEVELOPERS AND SUPPLIERS OF AUTOMATED EYE HEALTHCARE
SOLUTIONS 56
Current Commercial Status 57
AUTOMATED DRUG TESTING 57
Objectives 58
Technologies 58
Analytical Technologies 59
FIGURE 11 DRUG TESTS BY TYPE OF TEST, 2014 (%) 59
Test Matrices 59
Eye Tracking Systems 60
Laboratory vs. Point-of-collection Analysis 60
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Commercial Status 61
Suppliers 61
TABLE 8 DEVELOPERS AND SUPPLIERS OF AUTOMATED DRUG TESTING
EQUIPMENT 61
MARKETS 61
TABLE 9 U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND MONITORING
BY PRODUCT SEGMENT, THROUGH 2020 ($ MILLIONS) 62
FIGURE 12 U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND
MONITORING BY PRODUCT SEGMENT, 2014-2020 (%) 62
WEARABLE MONITORS 63
TABLE 10 U.S. MARKET FOR WEARABLE MONITORS, THROUGH 2020 ($ MILLIONS) 63
HOME TELEMETRY MONITORS 63
TABLE 11 U.S. MARKET FOR HOME TELEMETRY MONITORS, THROUGH 2020 ($
MILLIONS) 64
TELEHEALTH KIOSKS 64
TABLE 12 U.S. MARKET FOR TELEHEALTH KIOSKS, THROUGH 2020 ($ MILLIONS) 64
AUTOMATED EYE HEALTHCARE TECHNOLOGIES 65
TABLE 13 U.S. MARKET FOR AUTOMATED DIAGNOSTIC OPHTHALMIC EQUIPMENT,
THROUGH 2020 ($ MILLIONS) 65
AUTOMATED DRUG TESTING 65
FIGURE 13 U.S. MARKET FOR AUTOMATED TEST EQUIPMENT SHARE OF DRUG
TESTING MARKET, 2014 (%) 65
FIGURE 14 DRUG ABUSE VERSUS THERAPEUTIC DRUG TESTING SHARES OF
AUTOMATED DRUG TESTING EQUIPMENT MARKET, 2014 (%) 66
TABLE 14 U.S. MARKET FOR AUTOMATED DRUG TESTING SYSTEMS, THROUGH
2020 ($ MILLIONS) 68
CHAPTER 6 AUTOMATED IMAGING AND IMAGE ANALYSIS 70
SUMMARY 70
FIGURE 15 TRENDS IN THE U.S. MARKET FOR AUTOMATED MEDICAL IMAGING
TECHNOLOGIES, 2014-2020 ($ MILLIONS) 70
TECHNOLOGIES AND PRODUCTS 70
AUTOMATED RADIOGRAPHY AND FLUOROSCOPY 71
Objectives 71
Technologies 71
Automated Radiography 71
Automated Fluoroscopy 72
CT Fluoroscopy 72
AUTOMATED WHOLE-BREAST ULTRASOUND 73
COMPUTER-AIDED DETECTION 73
AUTOMATED MICROSCOPY 74
AUTOMATED MELANOMA DETECTION 75
COMMERCIAL STATUS 76
Suppliers 76
TABLE 15 DEVELOPERS AND SUPPLIERS OF AUTOMATED IMAGING TECHNOLOGIES 76
ENDOSCOPIC CAPSULES 77
Objectives 78
Technologies 78
Current Commercial Status 78
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Suppliers 79
TABLE 16 CAPSULE ENDOSCOPY SUPPLIERS 79
MARKETS 79
TABLE 17 U.S. MARKET FOR AUTOMATED IMAGING SYSTEMS PRODUCT SEGMENTS,
THROUGH 2020 ($ MILLIONS) 79
FIGURE 16 U.S. MARKET FOR AUTOMATED IMAGING MARKET BY PRODUCT
SEGMENT, 2014-2020 (%) 80
AUTOMATED RADIOGRAPHY AND FLUOROSCOPY 80
TABLE 18 U.S. MARKET FOR AUTOMATED RADIOGRAPHY AND FLUOROSCOPY BY
SEGMENT, THROUGH 2016 ($ MILLIONS) 81
Automated Radiography 81
TABLE 19 U.S. MARKET FOR AUTOMATED RADIOGRAPHY SYSTEMS, THROUGH
2020 ($ MILLIONS) 81
Fluoroscopy 81
TABLE 20 U.S. MARKET FOR AUTOMATED FLUOROSCOPY SYSTEMS, THROUGH
2020 ($ MILLIONS) 82
COMPUTER-AIDED DETECTION 82
TABLE 21 U.S. MARKET FOR CAD SYSTEMS, THROUGH 2020 ($ MILLIONS) 83
AUTOMATED WHOLE-BREAST ULTRASOUND 83
TABLE 22 U.S. MARKET FOR AUTOMATED WHOLE BREAST ULTRASOUND SYSTEMS,
THROUGH 2020 ($ MILLIONS) 84
AUTOMATED MICROSCOPY 84
TABLE 23 U.S. MARKET FOR AUTOMATED MICROSCOPY SYSTEMS, THROUGH 2020
($ MILLIONS) 84
AUTOMATED MELANOMA DETECTION 85
TABLE 24 U.S. MARKET FOR AUTOMATED SKIN CANCER DETECTION SYSTEMS,
THROUGH 2020 ($ MILLIONS) 85
CAPSULE ENDOSCOPY 85
TABLE 25 U.S. MARKET FOR CAPSULE ENDOSCOPY SYSTEMS, THROUGH 2020 ($
MILLIONS) 85
CHAPTER 7 AUTOMATED PRESCRIPTION FORMULATION AND DISPENSING:
TECHNOLOGIES, PRODUCTS AND MARKETS 87
SUMMARY 87
FIGURE 17 TRENDS IN THE U.S. MARKET FOR AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING TECHNOLOGIES, 2014-2020 ($ MILLIONS) 87
OBJECTIVES 87
TECHNOLOGIES AND PRODUCTS 88
PACKAGING MACHINES 88
Tablet Counters 88
Unit-Dose or Blister Pack Repackaging and Dispensing Systems 88
INTRAVENOUS COMPOUNDERS 88
DISPENSING MACHINES 88
Centralized Dispensing Systems 89
Decentralized Dispensing Systems 89
CURRENT COMMERCIAL STATUS 90
SUPPLIERS 90
TABLE 26 SUPPLIERS OF AUTOMATED PRESCRIPTION FORMULATION AND
DISPENSING SYSTEMS 90
MARKETS 90
HLC066C - Medical Automation Technologies, Products and Markets
TABLE 27 U.S. MARKET FOR AUTOMATED PRESCRIPTION FORMULATION AND
DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 91
FIGURE 18 AUTOMATED PRESCRIPTION FORMULATION AND DISPENSING PRODUCT
SEGMENTS, 2014-2020 (%) 91
HOSPITAL/INPATIENT SYSTEMS 92
TABLE 28 U.S. MARKET FOR HOSPITAL/INPATIENT AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 92
PHARMACY/OUTPATIENT SYSTEMS 92
TABLE 29 U.S. MARKET FOR PHARMACY/OUTPATIENT AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 92
CHAPTER 8 AUTOMATED THERAPEUTIC (NONSURGICAL) PROCEDURES:
TECHNOLOGIES, PRODUCTS AND MARKETS 94
SUMMARY 94
FIGURE 19 TRENDS IN THE U.S. MARKET FOR AUTOMATED, NONSURGICAL
THERAPEUTIC DEVICES, 2014-2020 ($ MILLIONS) 94
TECHNOLOGIES AND PRODUCTS 94
AUTOMATED DEFIBRILLATORS 94
Objectives 95
Technologies 95
Portable Automated Defibrillators 95
Wearable Defibrillators 95
Implantable Defibrillators 96
Current Commercial Status 96
Suppliers 97
TABLE 30 AUTOMATED DEFIBRILLATOR MANUFACTURERS 97
AUTOMATED MEDICATION DELIVERY SYSTEMS 97
Objectives 97
Technologies 98
Implantable Drug Pumps 98
Wearable Drug Pumps 99
Current Commercial Status 100
Suppliers 100
TABLE 33 U.S. MARKET FOR AUTOMATED DEFIBRILLATORS, THROUGH 2020 ($
MILLIONS) 100
MARKETS 100
TABLE 32 U.S. MARKET FOR AUTOMATED, NONSURGICAL THERAPEUTIC DEVICES,
THROUGH 2020 ($ MILLIONS) 101
FIGURE 20 U.S. MARKET FOR AUTOMATED, NONSURGICAL THERAPEUTIC DEVICES,
2014-2020 (%) 101
AUTOMATED DEFIBRILLATORS 102
TABLE 33 U.S. MARKET FOR AUTOMATED DEFIBRILLATORS, THROUGH 2020 ($
MILLIONS) 102
Portable Automated Defibrillators 102
TABLE 34 U.S. MARKET FOR PORTABLE AUTOMATED DEFIBRILLATORS, THROUGH
2020 ($ MILLIONS) 102
Implanted Cardioverter Defibrillators 102
TABLE 35 U.S. MARKET FOR IMPLANTED CARDIOVERTER DEFIBRILLATORS,
THROUGH 2020 ($ MILLIONS) 103
AUTOMATED MEDICATION DELIVERY SYSTEMS 104
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TABLE 36 U.S. MARKET FOR AUTOMATED MEDICATION DELIVERY SYSTEMS,
THROUGH 2020 ($ MILLIONS) 104
Wearable Systems 104
TABLE 37 U.S. MARKET FOR WEARABLE AUTOMATED MEDICATION DELIVERY
SYSTEMS, THROUGH 2020 ($ MILLIONS) 104
Implanted Systems 105
TABLE 38 U.S. MARKET FOR IMPLANTED AUTOMATED MEDICATION DELIVERY
SYSTEMS, THROUGH 2020 ($ MILLIONS) 105
CHAPTER 9 MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGICAL DEVICES:
TECHNOLOGIES, PRODUCTS AND MARKETS 107
SUMMARY 107
FIGURE 21 TRENDS IN THE U.S. MARKET FOR MEDICAL ROBOTICS AND
COMPUTER-ASSISTED SURGERY, 2014-2020 ($ MILLIONS) 107
TECHNOLOGIES AND PRODUCTS 107
SURGICAL PLANNERS AND SIMULATORS 108
Objectives 108
Technologies 108
Simulation of Actions and Force Feedback Reactions 109
Emerging Technologies 109
Web-based Surgical Simulators 109
Virtual Reality Simulators 110
Current Commercial Status 111
Suppliers 111
TABLE 39 STANDALONE SURGICAL PLANNERS AND SIMULATORS 111
SURGICAL NAVIGATION SYSTEMS 111
Technologies 112
Imaging Technologies 112
Multimodal imaging 112
Fluoroscopic Imaging 112
Video-enhanced Imagery 113
Microscopic Imagery 113
Endoscopic Imagery 113
Dynamic (Interventional) Imaging 114
Compact MRI Scanners 115
Intra-operative CT 115
Intra-operative Ultrasound 115
Tracking Technologies 116
Optical Tracking 116
Electromagnetic Tracking 116
Display Technologies 116
Virtual and Augmented Reality 116
Heads-up Displays 117
Suppliers 117
TABLE 40 SURGICAL NAVIGATION SYSTEM SUPPLIERS 117
SURGICAL ROBOTS 117
Objectives 118
Technologies 118
HLC066C - Medical Automation Technologies, Products and Markets
Robotically Assisted Micromanipulation 118
Steady-hand Systems 118
Robotic "Wrists" and Other Dexterity Enhancements 119
Preprogrammed Robots 119
Constraint Robots 120
Voice Control 120
Other Emerging Technologies 120
New Robotic Arm Designs 121
Remote Surgery 121
Single-Incision Surgery 121
Natural-Orifice Surgery 122
Surgical Robots with Increased Levels of Machine Intelligence 122
Microbots 123
Suppliers 123
TABLE 41 SUPPLIERS AND DEVELOPERS OF SURGICAL ROBOTICS 123
DIGITAL OPERATING ROOMS AND RELATED EQUIPMENT 124
Description 124
Technologies 124
Data Routing 125
User Interface 125
Open System Architectures 125
Suppliers 125
TABLE 42 SUPPLIERS OF INTELLIGENT OPERATING ROOM SOLUTIONS AND
COMPONENTS 126
MARKETS 126
TABLE 43 U.S. MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY MARKET
BY TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 126
FIGURE 22 U.S. MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY MARKET
SHARES BY TYPE OF EQUIPMENT, 2014 VERSUS 2020 (%) 127
CHAPTER 10 AUTOMATED LABORATORY TESTING AND ANALYSIS: TECHNOLOGIES,
PRODUCTS AND MARKETS 130
SUMMARY 130
FIGURE 23 TRENDS IN THE U.S. MARKET FOR AUTOMATED CLINICAL LABORATORY
SYSTEMS, 2014-2020 ($ MILLIONS) 130
TECHNOLOGIES AND PRODUCTS 131
OBJECTIVES 131
TECHNOLOGIES 131
Central Laboratory Systems 131
Total Laboratory Automation 132
Modular Systems 132
Sample Processing 132
Quality Inspection 132
Standardized Interfaces 133
Point-of-care Testing Systems 133
COMMERCIAL STATUS 133
SUPPLIERS 133
TABLE 44 SUPPLIERS OF AUTOMATED LABORATORY TESTING AND ANALYSIS
SYSTEMS 134
HLC066C - Medical Automation Technologies, Products and Markets
MARKETS 134
SUMMARY 134
TABLE 45 U.S. AUTOMATED LABORATORY TESTING AND ANALYSIS MARKET BY
TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 134
FIGURE 24 U.S. AUTOMATED LABORATORY TESTING AND ANALYSIS PRODUCT
SEGMENTS, 2014-2020 (%) 134
CENTRAL LABORATORY SYSTEMS 135
TABLE 46 U.S. AUTOMATED CENTRAL LABORATORY TESTING AND ANALYSIS
MARKET BY TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 136
POINT-OF-CARE TESTING SYSTEMS 136
TABLE 47 U.S. AUTOMATED POINT-OF-CARE TESTING AND ANALYSIS MARKET BY
TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 136
CHAPTER 11 AUTOMATED HEALTHCARE LOGISTICS, RESOURCE AND PERSONNEL
TRACKING: TECHNOLOGIES, PRODUCTS AND MARKETS 138
SUMMARY 138
FIGURE 25 TRENDS IN THE U.S. MARKET FOR AUTOMATED HEALTHCARE
LOGISTICS, RESOURCE AND PERSONNEL TRACKING SYSTEMS, 2014-2020 ($
MILLIONS)
138
TECHNOLOGIES AND PRODUCTS 138
AUTOMATED HOSPITAL PICKUP AND DELIVERY 139
Objectives 139
Technologies 139
Pneumatic Tubes 139
Automated Guided Vehicles 140
Commercial Status 140
Suppliers 141
TABLE 48 SUPPLIERS OF AUTOMATED HOSPITAL PICKUP AND DELIVERY SYSTEMS 141
HOSPITAL ASSET/PATIENT/STAFF TRACKING SYSTEMS 141
Objectives 141
Technologies 142
Active RFID 142
Wi-Fi 143
Hybrid Systems 143
Sensor Tags 143
Real-time Location Systems 143
Commercial Status 144
Suppliers 144
TABLE 49 SUPPLIERS OF HOSPITAL EQUIPMENT/PATIENT/STAFF TRACKING
SYSTEMS 144
MARKETS 144
SUMMARY 144
TABLE 50 U.S. MARKET FOR AUTOMATED HEALTHCARE LOGISTICS, RESOURCE
AND PERSONNEL TRACKING SYSTEMS BY SEGMENT, THROUGH 2020 ($MILLIONS) 145
FIGURE 26 U.S. MARKET FOR AUTOMATED HEALTHCARE LOGISTICS, RESOURCE
AND PERSONNEL TRACKING SYSTEMS BY SEGMENT, 2014-2020 (%) 145
AUTOMATED HOSPITAL PICKUP AND DELIVERY SYSTEMS 146
TABLE 51 U.S. MARKET FOR HOSPITAL AUTOMATED LOGISTICS SYSTEMS,
THROUGH 2020 ($ MILLIONS) 146
Pneumatic Tubes 146
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TABLE 52 U.S. MARKET FOR HOSPITAL PNEUMATIC TUBE SYSTEMS, THROUGH
2020 ($ MILLIONS) 146
AGVs 147
TABLE 53 U.S. MARKET FOR HOSPITAL AGV SYSTEMS, THROUGH 2020 ($ MILLIONS) 147
HOSPITAL PATIENT/STAFF/EQUIPMENT TRACKING 147
TABLE 54 U.S. MARKET FOR HOSPITAL RTLS SYSTEMS THROUGH 2020 ($ MILLIONS) 147
CHAPTER 12 AUTOMATED MEDICAL (NONSURGICAL) PROFESSIONAL TRAINING:
TECHNOLOGIES, PRODUCTS AND MARKETS 149
SUMMARY 149
FIGURE 27 TRENDS IN THE U.S. MARKET FOR AUTOMATED MEDICAL
(NONSURGICAL) TRAINING DEVICES, 2014-2020 ($ MILLIONS) 149
OBJECTIVES 149
TECHNOLOGIES AND PRODUCTS 150
HUMAN PATIENT SIMULATORS 150
Virtual Reality Trainers 150
Team Training 151
COMMERCIAL STATUS 151
SUPPLIERS 151
MARKETS 152
TABLE 55 U.S. MARKET FOR AUTOMATED MEDICAL (NONSURGICAL) TRAINING
SYSTEMS, THROUGH 2020 ($ MILLIONS) 152
CHAPTER 13 APPENDIX A: COMPANY PROFILES 154
ASTERES INC. 154
AWAREPOINT CORP. 154
BECKMAN COULTER INC. 154
BRAINLAB AG 155
CAE HEALTHCARE 155
CENTRAK INC. 156
CLEARCOUNT MEDICAL SOLUTIONS INC. 156
COMPUTERIZED SCREENING INC. 156
EKAHAU INC. 157
ESCREEN INC. 157
EXMOVERE HOLDINGS 157
GE HEALTHCARE 158
GIVEN IMAGING LTD. 158
HEALTHSPOT 159
ICAD INC. 159
INSULET CORP. 159
INTEGRITY APPLICATIONS 160
INTUITIVE SURGICAL INC. 160
IRIS INTERNATIONAL INC. 161
LIFE WATCH AG 161
MELA SCIENCES INC. 162
MICROCHIPS INC. 162
MOOG INC. 162
NOVX SYSTEMS INC. 163
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OBS MEDICAL 163
PARATA SYSTEMS LLC 164
PEVCO SYSTEMS INTERNATIONAL INC. 164
PHILIPS HEALTHCARE 164
QUIQMEDS INC. 164
RF COMPANY LTD. 165
RST AUTOMATION LLC 165
SIEMENS HEALTHCARE 165
SIMSURGERY 166
STREETIME TECHNOLOGIES 166
STRYKER CORP. 166
VERSUS TECHNOLOGY INC. 167
ZOLL MEDICAL CORP. 167
CHAPTER 14 APPENDIX B: PATENT ANALYSIS 169
FIGURE 28 U.S. MEDICAL AUTOMATION PATENTS BY TYPE OF
TECHNOLOGY(PERCENT OF PATENTS ISSUED THROUGH FEB. 1, 2015) (%) 169
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LIST OF TABLES

SUMMARY TABLE U.S. MEDICAL AUTOMATION MARKET BY FUNCTIONAL SEGMENTS,
THROUGH 2020 ($ MILLIONS) 7
TABLE 1 MEDICAL APPLICATIONS OF ARTIFICIAL INTELLIGENCE 19
TABLE 2 DISTRIBUTION OF U.S. PHYSICIANS BY PRACTICE SETTING/SIZE, 1996-2008
(%) 24
TABLE 3 U.S. MEDICAL AUTOMATION MARKET BY FUNCTION, THROUGH 2020 ($
MILLIONS) 27
TABLE 4 TRENDS IN TOTAL U.S. POPULATION AND POPULATION AGED 65 AND
OLDER, THROUGH 2020 (MILLIONS) 34
TABLE 5 DEVELOPERS AND SUPPLIERS OF AUTOMATED HOME MONITORING AND
TELEMETRY SOLUTIONS 51
TABLE 6 SUPPLIERS OF TELEHEALTH KIOSKS 53
TABLE 7 DEVELOPERS AND SUPPLIERS OF AUTOMATED EYE HEALTHCARE
SOLUTIONS 56
TABLE 8 DEVELOPERS AND SUPPLIERS OF AUTOMATED DRUG TESTING EQUIPMENT 61
TABLE 9 U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND MONITORING BY
PRODUCT SEGMENT, THROUGH 2020 ($ MILLIONS) 62
TABLE 10 U.S. MARKET FOR WEARABLE MONITORS, THROUGH 2020 ($ MILLIONS) 63
TABLE 11 U.S. MARKET FOR HOME TELEMETRY MONITORS, THROUGH 2020 ($
MILLIONS) 64
TABLE 12 U.S. MARKET FOR TELEHEALTH KIOSKS, THROUGH 2020 ($ MILLIONS) 64
TABLE 13 U.S. MARKET FOR AUTOMATED DIAGNOSTIC OPHTHALMIC EQUIPMENT,
THROUGH 2020 ($ MILLIONS) 65
TABLE 14 U.S. MARKET FOR AUTOMATED DRUG TESTING SYSTEMS, THROUGH 2020
($ MILLIONS) 68
TABLE 15 DEVELOPERS AND SUPPLIERS OF AUTOMATED IMAGING TECHNOLOGIES 76
TABLE 16 CAPSULE ENDOSCOPY SUPPLIERS 79
TABLE 17 U.S. MARKET FOR AUTOMATED IMAGING SYSTEMS PRODUCT SEGMENTS,
THROUGH 2020 ($ MILLIONS) 79
TABLE 18 U.S. MARKET FOR AUTOMATED RADIOGRAPHY AND FLUOROSCOPY BY
SEGMENT, THROUGH 2016 ($ MILLIONS) 81
TABLE 19 U.S. MARKET FOR AUTOMATED RADIOGRAPHY SYSTEMS, THROUGH 2020
($ MILLIONS) 81
TABLE 20 U.S. MARKET FOR AUTOMATED FLUOROSCOPY SYSTEMS, THROUGH 2020
($ MILLIONS) 82
TABLE 21 U.S. MARKET FOR CAD SYSTEMS, THROUGH 2020 ($ MILLIONS) 83
TABLE 22 U.S. MARKET FOR AUTOMATED WHOLE BREAST ULTRASOUND SYSTEMS,
THROUGH 2020 ($ MILLIONS) 84
TABLE 23 U.S. MARKET FOR AUTOMATED MICROSCOPY SYSTEMS, THROUGH 2020 ($
MILLIONS) 84
TABLE 24 U.S. MARKET FOR AUTOMATED SKIN CANCER DETECTION SYSTEMS,
THROUGH 2020 ($ MILLIONS) 85
TABLE 25 U.S. MARKET FOR CAPSULE ENDOSCOPY SYSTEMS, THROUGH 2020 ($
MILLIONS) 85
TABLE 26 SUPPLIERS OF AUTOMATED PRESCRIPTION FORMULATION AND
DISPENSING SYSTEMS 90
TABLE 27 U.S. MARKET FOR AUTOMATED PRESCRIPTION FORMULATION AND
DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 91
TABLE 28 U.S. MARKET FOR HOSPITAL/INPATIENT AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 92
HLC066C - Medical Automation Technologies, Products and Markets
TABLE 29 U.S. MARKET FOR PHARMACY/OUTPATIENT AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING SYSTEMS, THROUGH 2020 ($ MILLIONS) 92
TABLE 30 AUTOMATED DEFIBRILLATOR MANUFACTURERS 97
TABLE 33 U.S. MARKET FOR AUTOMATED DEFIBRILLATORS, THROUGH 2020 ($
MILLIONS) 100
TABLE 32 U.S. MARKET FOR AUTOMATED, NONSURGICAL THERAPEUTIC DEVICES,
THROUGH 2020 ($ MILLIONS) 101
TABLE 33 U.S. MARKET FOR AUTOMATED DEFIBRILLATORS, THROUGH 2020 ($
MILLIONS) 102
TABLE 34 U.S. MARKET FOR PORTABLE AUTOMATED DEFIBRILLATORS, THROUGH
2020 ($ MILLIONS) 102
TABLE 35 U.S. MARKET FOR IMPLANTED CARDIOVERTER DEFIBRILLATORS,
THROUGH 2020 ($ MILLIONS) 103
TABLE 36 U.S. MARKET FOR AUTOMATED MEDICATION DELIVERY SYSTEMS,
THROUGH 2020 ($ MILLIONS) 104
TABLE 37 U.S. MARKET FOR WEARABLE AUTOMATED MEDICATION DELIVERY
SYSTEMS, THROUGH 2020 ($ MILLIONS) 104
TABLE 38 U.S. MARKET FOR IMPLANTED AUTOMATED MEDICATION DELIVERY
SYSTEMS, THROUGH 2020 ($ MILLIONS) 105
TABLE 39 STANDALONE SURGICAL PLANNERS AND SIMULATORS 111
TABLE 40 SURGICAL NAVIGATION SYSTEM SUPPLIERS 117
TABLE 41 SUPPLIERS AND DEVELOPERS OF SURGICAL ROBOTICS 123
TABLE 42 SUPPLIERS OF INTELLIGENT OPERATING ROOM SOLUTIONS AND
COMPONENTS 126
TABLE 43 U.S. MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY MARKET BY
TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 126
TABLE 44 SUPPLIERS OF AUTOMATED LABORATORY TESTING AND ANALYSIS
SYSTEMS 134
TABLE 45 U.S. AUTOMATED LABORATORY TESTING AND ANALYSIS MARKET BY TYPE
OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 134
TABLE 46 U.S. AUTOMATED CENTRAL LABORATORY TESTING AND ANALYSIS
MARKET BY TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 136
TABLE 47 U.S. AUTOMATED POINT-OF-CARE TESTING AND ANALYSIS MARKET BY
TYPE OF EQUIPMENT, THROUGH 2020 ($ MILLIONS) 136
TABLE 48 SUPPLIERS OF AUTOMATED HOSPITAL PICKUP AND DELIVERY SYSTEMS 141
TABLE 49 SUPPLIERS OF HOSPITAL EQUIPMENT/PATIENT/STAFF TRACKING SYSTEMS 144
TABLE 50 U.S. MARKET FOR AUTOMATED HEALTHCARE LOGISTICS, RESOURCE AND
PERSONNEL TRACKING SYSTEMS BY SEGMENT, THROUGH 2020 ($MILLIONS) 145
TABLE 51 U.S. MARKET FOR HOSPITAL AUTOMATED LOGISTICS SYSTEMS, THROUGH
2020 ($ MILLIONS) 146
TABLE 52 U.S. MARKET FOR HOSPITAL PNEUMATIC TUBE SYSTEMS, THROUGH 2020
($ MILLIONS) 146
TABLE 53 U.S. MARKET FOR HOSPITAL AGV SYSTEMS, THROUGH 2020 ($ MILLIONS) 147
TABLE 54 U.S. MARKET FOR HOSPITAL RTLS SYSTEMS THROUGH 2020 ($ MILLIONS) 147
TABLE 55 U.S. MARKET FOR AUTOMATED MEDICAL (NONSURGICAL) TRAINING
SYSTEMS, THROUGH 2020 ($ MILLIONS) 152
HLC066C - Medical Automation Technologies, Products and Markets

LIST OF FIGURES

SUMMARY FIGURE U.S. MEDICAL AUTOMATION MARKET BY FUNCTIONAL SEGMENTS,
2014 VS. 2020 (%) 7
FIGURE 1 TREND IN THE NUMBER OF U.S. HOSPITALS, 2005-2013 (UNITS) 20
FIGURE 2 U.S. HOSPITALS WITH SURGERY DEPARTMENTS, 2013 (NUMBER OF
HOSPITALS) 22
FIGURE 3 TREND IN THE NUMBER OF ACTIVE U.S. PHYSICIANS, 2002 AND 2013
(THOUSANDS) 22
FIGURE 4 TRENDS IN U.S. EXPENDITURES ON HOME HEALTH CARE, 2003-2013 ($
BILLIONS) 25
FIGURE 5 U.S. MILITARY HEALTH EXPENDITURES, 2000- 2013 ($ BILLIONS) 25
FIGURE 6 U.S. MEDICAL AUTOMATION MARKET SHARES, 2014-2020 (%) 27
FIGURE 7 TRENDS IN THE PERCENTAGE OF AMERICANS OVER AGE 65 REMAINING IN
THEIR HOMES, 1985-2009 (%) 35
FIGURE 8 TRENDS IN U.S. HOSPITAL AND NURSING HOME COSTS, 2000 AND 2012 ($) 37
FIGURE 9 TREND IN THE NUMBER OF MEDICARE-PAID PHYSICIAN HOUSE CALLS,
2001 AND 2012 (MILLION HOUSE CALLS) 37
FIGURE 10 TRENDS IN U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND
MONITORING, 2014-2020 ($ MILLIONS) 45
FIGURE 11 DRUG TESTS BY TYPE OF TEST, 2014 (%) 59
FIGURE 12 U.S. MARKET FOR AUTOMATED HEALTH ASSESSMENT AND MONITORING
BY PRODUCT SEGMENT, 2014-2020 (%) 62
FIGURE 13 U.S. MARKET FOR AUTOMATED TEST EQUIPMENT SHARE OF DRUG
TESTING MARKET, 2014 (%) 65
FIGURE 14 DRUG ABUSE VERSUS THERAPEUTIC DRUG TESTING SHARES OF
AUTOMATED DRUG TESTING EQUIPMENT MARKET, 2014 (%) 66
FIGURE 15 TRENDS IN THE U.S. MARKET FOR AUTOMATED MEDICAL IMAGING
TECHNOLOGIES, 2014-2020 ($ MILLIONS) 70
FIGURE 16 U.S. MARKET FOR AUTOMATED IMAGING MARKET BY PRODUCT SEGMENT,
2014-2020 (%) 80
FIGURE 17 TRENDS IN THE U.S. MARKET FOR AUTOMATED PRESCRIPTION
FORMULATION AND DISPENSING TECHNOLOGIES, 2014-2020 ($ MILLIONS) 87
FIGURE 18 AUTOMATED PRESCRIPTION FORMULATION AND DISPENSING PRODUCT
SEGMENTS, 2014-2020 (%) 91
FIGURE 19 TRENDS IN THE U.S. MARKET FOR AUTOMATED, NONSURGICAL
THERAPEUTIC DEVICES, 2014-2020 ($ MILLIONS) 94
FIGURE 20 U.S. MARKET FOR AUTOMATED, NONSURGICAL THERAPEUTIC DEVICES,
2014-2020 (%) 101
FIGURE 21 TRENDS IN THE U.S. MARKET FOR MEDICAL ROBOTICS AND
COMPUTER-ASSISTED SURGERY, 2014-2020 ($ MILLIONS) 107
FIGURE 22 U.S. MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY MARKET
SHARES BY TYPE OF EQUIPMENT, 2014 VERSUS 2020 (%) 127
FIGURE 23 TRENDS IN THE U.S. MARKET FOR AUTOMATED CLINICAL LABORATORY
SYSTEMS, 2014-2020 ($ MILLIONS) 130
FIGURE 24 U.S. AUTOMATED LABORATORY TESTING AND ANALYSIS PRODUCT
SEGMENTS, 2014-2020 (%) 134
FIGURE 25 TRENDS IN THE U.S. MARKET FOR AUTOMATED HEALTHCARE LOGISTICS,
RESOURCE AND PERSONNEL TRACKING SYSTEMS, 2014-2020 ($ MILLIONS) 138
FIGURE 26 U.S. MARKET FOR AUTOMATED HEALTHCARE LOGISTICS, RESOURCE AND
PERSONNEL TRACKING SYSTEMS BY SEGMENT, 2014-2020 (%) 145
FIGURE 27 TRENDS IN THE U.S. MARKET FOR AUTOMATED MEDICAL (NONSURGICAL)
TRAINING DEVICES, 2014-2020 ($ MILLIONS) 149
HLC066C - Medical Automation Technologies, Products and Markets
FIGURE 28 U.S. MEDICAL AUTOMATION PATENTS BY TYPE OF
TECHNOLOGY(PERCENT OF PATENTS ISSUED THROUGH FEB. 1, 2015) (%) 169

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