Global Respiratory Care Equipment and Supplies Market

  • September 2014
  • -
  • Global Industry Analysts
  • -
  • 408 pages

This report analyzes the worldwide markets for Respiratory Care Equipment and Supplies in US$ Thousands by the following Product Segments: Spirometers, Other Pulmonary Function Testing (PFT) Equipment, Sleep Apnea Diagnostic Devices, Ventilators, Humidifiers, Nebulizers, PAP (positive airway pressure)Devices, Oxygen Equipment, Manual Resuscitators, and Masks, Circuits & Disposables. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Middle East, and Latin America. Annual estimates and forecasts are provided for the period 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 148 companies including many key and niche players such as -

AirSep Corporation
Allied Healthcare Products, Inc.
CareFusion Corporation
Compumedics Limited
Covidien Ltd.

Table Of Contents




I. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS
Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation and Reporting Level I-2
Quantitative Techniques and Analytics I-3
Product Definitions and Scope of Study I-3
Spirometers I-4
Other Pulmonary Function Testing (PFT) Equipment I-4
Sleep Apnea Diagnostic Devices I-4
Ventilators I-4
Humidifiers I-4
Nebulizers I-4
PAP (Positive Air Pressure) Devices I-5
Oxygen Equipment I-5
Manual Resuscitators I-5
Masks, Circuits and Disposables I-5


II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW II-1
Respiratory Care Equipment - An Overview II-1
Table 1: Global Obesity Levels (2013): Percentage Share
Breakdown of Total Obese/ Overweight Population by Leading
Countries (includes corresponding Graph/Chart) II-2

Table 2: Worldwide Prevalence of Diabetes Mellitus by
Geographic Region: 2013 and 2035P (includes corresponding
Graph/Chart) II-3
Rising Incidence of COPD to Drive Growth II-3
Quick COPD Facts: II-4
Table 3: Global Prevalence of COPD by Age Group (2013):
Percentage of Men and Women Affected by the Condition
(includes corresponding Graph/Chart) II-4

Table 4: Mortality Rates of COPD ('000s) by Select
Geographic Region (includes corresponding Graph/Chart) II-5
Ageing Population to Spur Demand for Respiratory Care Equipment II-5
Table 5: Global Population Statistics for the 65+ Age Group
(Male and Female) for Major Countries/Regions: 2013E (includes
corresponding Graph/Chart) II-6

Table 6: Elderly Population (65+ Years) as a Percentage of
the Total Population: 2025 (includes corresponding
Graph/Chart) II-7
Positive Outlook for Healthcare Industry Signals Promising
Growth for Respiratory Care Equipment II-7
Table 7: Healthcare Spending as a Percentage of GDP in Select
Developed Countries (includes corresponding Graph/Chart) II-8
US - The Largest Market for Respiratory Care Equipment II-8
Developing Nations Offer Lucrative Opportunities II-9
Table 8: India and China Lead the Global Population (July
2013): Total Population (in Millions) by Age Group 0-14
Years, 15-44 Years, 45-64 Years, and 65+ Years for China,
India, USA, Indonesia, Brazil, Pakistan, Nigeria, Bangladesh,
Russia and Japan (includes corresponding Graph/Chart) II-9

Table 9: Healthcare Spending as a Percentage of GDP in Select
Developing Countries - Lower Share Promising Potential: 2012
(includes corresponding Graph/Chart) II-10

Table 10: Population of Infants and Children (0-4 years) in
Select Countries: 2013 (includes corresponding Graph/Chart) II-11

Table 11: Global New Births by Geographic Region: 2012
(includes corresponding Graph/Chart) II-11

Table 12: Global Population of Children Between 0-4 years
(2015P and 2020P) (includes corresponding Graph/Chart) II-12
PAP Devices Dominate the Respiratory Care Equipment Market II-12
Ventilators - The Next Important Market Segment II-12
The US Accounts for Major Share in the Ventilators Market II-13
Emerging Markets Experience Low-Cost Ventilator Boom II-13
Homecare Respiratory Care Gains Market Share II-13

2. RESPIRATORY CARE INDUSTRY CLASSIFICATION II-15
Diagnostics II-15
Therapeutics II-15
Monitoring II-15

3. COMPETITION IN THE RESPIRATORY CARE MARKET II-16
PAP Market II-16
Table 13: Global CPAP Market by Leading Player (2013):
Percentage Market Share Breakdown of Value Sales for
Covidien, Philips Respironics, ResMed and Others (includes
corresponding Graph/Chart) II-16
Ventilators Market II-16
Table 14: Global Ventilators Market by Leading Player (2013):
Percentage Market Share Breakdown of Value Sales for
Covidien, Drager Medical, Maquet/Getinge, and Others
(includes corresponding Graph/Chart) II-16
Oxygen Concentrators Market II-17
Table 15: Global Oxygen Concentrators Market by Leading
Player (2013): Percentage Share Breakdown of Value Sales for
AirSep, DeVilbiss Healthcare, Invacare, Philips Respironics,
and Others (includes corresponding Graph/Chart) II-17

4. MARKET TRENDS AND GROWTH DRIVERS BY SEGMENT II-18
Oxygen Therapy Equipment to Gain Momentum II-18
Declining Prices and Ease of Use Drives Demand for Oxygen
Concentrators II-18
Portability to Drive Demand for Oxygen Concentrators II-18
LTOT: A Major Area of Application for Portable Oxygen Devices II-19
Improved Patient Outcomes - The Force behind Mechanical
Ventilator Innovation II-19
Automation-Enabled Innovation Continues in Mechanical
Ventilators Market II-20
The Changing Face of Ventilator Design II-21
Non-Invasive Ventilators - The New Standard of Care II-21
Cost Benefits to Surge Growth of Non-Invasive Ventilators II-21
Neonatal Non-Invasive Ventilation - On the Rise II-22
ECCO2R - An Ideal Replacement for Non-Invasive Ventilation
Failure II-22
Neurally-Adjusted Ventilatory Assist (NAVA) - A Novel
Ventilation Technique II-23
Respiratory Dialysis - An Alternative to Mechanical Ventilation? II-23
Adaptive Support Ventilation: In the Forefront of Innovation II-23
Advances in Information Technology Enhance Monitoring
Multiple Patients on Ventilation II-24
Smart-Phone Apps to Revolutionize Lung Function Testing II-24
Growing Smartphone Sales - A Business Case II-25
Table 16: World Smartphones Market (2011, 2013 and 2017P):
Breakdown of Sales in Thousand Units by Geographic Region/
Country (includes corresponding Graph/Chart) II-26
Miniaturization and Connectivity Promote Spirometer Sales II-26
Undiagnosed Sleep Apnea Patient Base - Opportunities Galore II-27
Table 17: Prevalence (%) of Sleep Apnea by Co-Morbidities
(includes correspondingGraph/Chart) II-28
Technology Advancements in Sleep Apnea Improve Patient
Compliance II-28
Newer CPAP Alternatives II-28
Expanding Application to Promote Market for CPAP Devices II-29
Rising Preference for Home-Testing to Promote Polysomnography
(PSG) Market II-29
Table 18: Comparative Market Analysis for Different Home
Healthcare Devices (2007 and 2014) (includes corresponding
Graph/Chart) II-30
Nebulizers: Innovations Galore II-30
Growing Need for Supplemental Oxygen Therapy Propels Oxygen
Therapy Market II-31
Patient-Friendly Masks Trigger Growth II-31
Rising Incidence of Cystic Fibrosis Offers Market Potential II-31
Table 19: Global Frequency of Genetic Mutations Carrying
Cystic Fibrosis (includes corresponding Graph/Chart) II-32

Table 20: Carrier Rate of CF Gene Mutation by Descent II-32
Emerging Alternatives to CPAP Therapy - Market Implications II-33

5. RESPIRATORY DIAGNOSTICS EQUIPMENT - A REVIEW II-34
Pulmonary Function Testing Equipment II-34
Prospects II-34
Spirometers II-35
Different Kinds of Spirometers II-35
Other Pulmonary Function Testing (PFT) Equipment II-36
Peak Flow Meters II-36
Pneumotachometers II-37
Gas Analyzers II-37
Gas Chromatography II-37
Mass Spectrometers II-37
Plethysmograph II-38
Exercise Testing Equipment II-38
Sleep Apnea Diagnostic Devices II-38
Polysomnography (PSG), and Types of Polysomnographs II-38
Clinical/Fixed Polysomnographs II-38
Ambulatory Polysomnographs II-39
Other Sleep Apnea Diagnostic Devices II-39
Screening Devices II-39
Actigraphs II-39

6. RESPIRATORY THERAPY EQUIPMENT - A REVIEW II-40
Ventilators II-40
Humidifiers II-40
Nebulizers II-40
PAP Devices II-41
Continuous Positive Airway Pressure (CPAP) Devices II-41
Bi-Level Positive Airway Pressure (BPAP Devices) II-41
Auto PAP Devices II-42
Facial Interfaces (Masks and Humidifiers) II-42
Oxygen Therapy Equipment II-42
Oxygen Concentrators II-42
Oxygen Concentrators Performance Norms Set by WHO II-43
Still Considered to be the Most Economical Form of Treatment II-43
Liquid Oxygen Systems: Apt for Ambulatory Patients II-43
Oxygen-Conserving Devices II-43
Manual Resuscitators II-44
Masks, Circuits and Disposables II-44

7. REVIEW OF SELECT DISEASE CONDITIONS REQUIRING RESPIRATORY CARE II-45
Obstructive Sleep Apnea (OSA) II-45
Sleep Apnea: Widely Prevalent Sleep Disorder II-45
Multi-Channel Recording Systems to Detect Breathing Ailments II-45
Uvulopalatopharyngoplasty (UPPP): The Most Common Surgical
Procedure Used in the Treatment of OSA II-45
Alternative Therapeutic Procedures for Sleep Apnea II-46
Surgical treatment II-46
Self-Titrating Devices: Offer Greater Degree of Comfort II-46
Asthma II-47
Chronic Obstructive Pulmonary Disease II-47
Acute Respiratory Distress Syndrome II-47
ARDS Fact Sheet II-48
Muscular Degenerative Disease II-48
Spinal Cord Injury II-48
Pneumonia II-48
Pneumonia Fact Sheet II-49
Cystic Fibrosis Fact Sheet II-49

8. PAP DEVICES - THE LARGEST MARKET SEGMENT IN RESPIRATORY CARE II-51
Positive Airway Pressure (PAP) Treatment II-51
Continuous Positive Airway Pressure (CPAP) Devices II-51
Bi-level Positive Airway Pressure (BiPAP) Devices II-52
Auto-titrating Positive Airway Pressure (APAP) Devices II-53
Facial Interfaces (Masks and Humidifiers) II-53

9. HOME HEALTHCARE MARKET - A BROAD SPECTRUM II-54
Introduction to Home Healthcare Market II-54
Worldwide Scenario II-54
Homecare - Emerging as the Most Preferred Alternate Care Site II-54
Factors Driving Home Healthcare II-54
Home Healthcare Equipment Market II-55
Defining a Home Care Medical Device II-55
Classification of Home Care Devices II-55
Growth Drivers II-55
Constituents of Home Respiratory Therapy Market II-56
Trends in the Home Oxygen Delivery Products Market II-56
Homecare Market Set to Grow II-56
Alternate Care Riding High on Hospital Cost Cuts II-57
Consumer Benefits from Increasingly Affordable and Convenient
Systems II-57
Home Oxygen Therapy: Hard Hit by Medicare Reimbursement Cutbacks II-57
Technology Development Springs Onslaught of Innovative Devices II-57
Ambulatory (Mobile) Services: Highly Positioned II-58
Difficulties Associated with Home Oxygen Delivery Systems II-58

10. VENTILATORS FOR RESPIRATORY CARE II-59
Lung Mechanics II-59
Ventilators/Respirators II-60
Recent Developments II-60
Assistor-Controllers II-60
Types of Ventilators II-61
Positive-Pressure Assistor-Controller II-61
Volume-Cycled Ventilator II-61
Ventilators for Anesthesiology II-62
History II-62
Tank Respirator and the Cuirass Ventilator II-62
Conventional Mechanical Ventilation II-63
New Technologies in Ventilation II-64
Parameters Used in Monitoring Lung Mechanics II-64
Breathing Frequency II-64
Lung Volume and Airflow II-65
Airway and Esophageal Pressures II-65
Adequacy of Ventilation II-65
Methods and Devices Used in Ventilatory Monitoring II-65
Impedance Pneumography II-65
Practical and Technical Considerations in Blood Gas Analysis II-66
Alarms II-66
New Developments in Ventilatory Monitoring II-66
Inhalators II-67
Non-Invasive Ventilation II-67
A Substitute for Traditional Volume Ventilation II-67

11. PRODUCT INTRODUCTIONS/INNOVATIONS II-68
SomnoMed Secures FDA Approval for OSA Devices II-68
Itamar Medical Secures FDA Clearance for Watch PAT Unified II-68
ERT Introduces MasterScope2.0 II-68
Smiths Medical Unveils Pneupac® paraPAC plus™ II-68
ResMed Unveils Astral Ventilators II-68
Hamilton Unveils Novel Critical Care Humidifier II-68
Covidien Secures CE Mark for Nellcorâ„¢ II-68
Dehaier Receives CFDA Approval for Sleep Diagnostic Device II-69
Advanced Brain Monitoring Receives FDA Clearance for Night Shift II-69
Philips Unveils Nuance Gel Pillows for Sleep Apnea II-69
Dräger Unveils Evita V300 and Savina 300 II-69
InnoMed Technologies Introduces The Aspen II-69
RespInnovation Unveils "Respln11" Line of Devices II-69
Covidien Unveils Capnostream ® 20p II-69
Zephyr Expands Distribution Network in the US II-69
Dräger Medical Launches Evita V300 Ventilator II-69
ResMed Unveils ResMed VPAPâ„¢ COPD Device II-70
eVent Medical Receives 510(k) Clearance for eVolution®3e
Ventilator II-70
Perlong Medical Obtains CE Certification for Perlong Medical
Ventilator II-70
Cambridge Design Partnership Unveils Novel Humidifier II-70
SomnoMed Acquires MAS Nordic II-70
Watermark Medical Signs Agreement with Aetna II-70
SomnoMed Collaborates with Benco Dental II-70
Philips Respironics Launches SimplyGo Portable Oxygen
Concentrator II-70

12. RECENT INDUSTRY ACTIVITY II-71
Medtronic to Take Over Covidien II-71
Ascendis Takes Over Respiratory Care Africa II-71
Itamar Medical Signs Agreement with Medtronic II-71
CareFusion Acquires Vital Signs from GE Healthcare II-71
DHS Takes Over Operating Assets of APO2 II-71
OxySure Appoints Aero Healthcare as Distributor in Australia,
New Zealand and the United Kingdom II-71
Covidien Signs Deal to Take Over Ordion Systems II-71
Riverside Takes Over Premier II-72
Riverside Snaps Up Future Medical II-72
Atlas Copco Takes Over Gazcon II-72
Covidien Takes Over Newport Medical Instruments II-72

13. FOCUS ON SELECT GLOBAL PLAYERS II-73
AirSep Corporation (USA) II-73
Allied Healthcare Products, Inc. (USA) II-73
CareFusion Corporation (USA) II-73
Compumedics Limited (Australia) II-74
Covidien Ltd. (USA) II-74
Dräger Medical AG and Co. KGaA (Germany) II-74
DeVilbiss Healthcare (USA) II-75
Fisher and Paykel Healthcare Corporation Limited (New Zealand) II-75
GE Healthcare (UK) II-75
Getinge Group (Sweden) II-76
MAQUET GmbH and Co. KG (Germany) II-76
Hamilton Medical AG (Switzerland) II-76
Invacare Corporation (USA) II-76
Itamar Medical Ltd. (Israel) II-77
nSpire Health, Inc. (USA) II-77
Philips Healthcare (Netherlands) II-77
ResMed (USA) II-78
VORTRAN Medical Technology (USA) II-78
Weinmann Geräte für Medizin GmbH+CCo. KG (Germany) II-78

14. GLOBAL MARKET PERSPECTIVE II-79
Table 21: World Recent Past, Current and Future Market Analysis
for Respiratory Care Equipment and Supplies by Geographic Region -
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
The Middle East, and Latin America Markets Independently
Analyzed with Annual Sales Figures in US$ Thousands for Years
2013 through 2020 (includes corresponding Graph/Chart) II-79

Table 22: World Historic Review for Respiratory Care Equipment and
Supplies by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), The Middle East, and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-80

Table 23: World 15-Year Perspective for Respiratory Care
Equipment and Supplies by Geographic Region - Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), The Middle East, and Latin
America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-81
Respiratory Care Equipment and Supplies Market by Product Segment II-82
Table 24: World Recent Past, Current and Future Market Analysis
for Spirometers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-82

Table 25: World Historic Review for Spirometers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-83

Table 26: World 15-Year Perspective for Spirometers by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-84

Table 27: World Recent Past, Current and Future Market Analysis
for Other Pulmonary Function Testing (PFT) Equipment by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-85

Table 28: World Historic Review for Other Pulmonary Function
Testing (PFT) Equipment by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), The Middle
East, and Latin America Markets Independently Analyzed with
Annual Sales Figures in US$ Thousands for Years 2006 through
2012 (includes corresponding Graph/Chart) II-86

Table 29: World 15-Year Perspective for Other Pulmonary
Function Testing (PFT) Equipment by Geographic Region -
Percentage Breakdown of Dollar Sales for US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-87

Table 30: World Recent Past, Current and Future Market Analysis
for Sleep Apnea Diagnostic Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets Independently Analyzed
with Annual Sales Figures in US$ Thousands for Years 2013
through 2020 (includes corresponding Graph/Chart) II-88

Table 31: World Historic Review for Sleep Apnea Diagnostic
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), The Middle East, and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-89

Table 32: World 15-Year Perspective for Sleep Apnea Diagnostic
Devices by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets for Years
2006, 2014 and 2020 (includes corresponding Graph/Chart) II-90

Table 33: World Recent Past, Current and Future Market Analysis
for Ventilators by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-91

Table 34: World Historic Review for Ventilators by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-92

Table 35: World 15-Year Perspective for Ventilators by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-93

Table 36: World Recent Past, Current and Future Market Analysis
for Humidifiers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-94

Table 37: World Historic Review for Humidifiers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-95

Table 38: World 15-Year Perspective for Humidifiers by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-96

Table 39: World Recent Past, Current and Future Market Analysis
for Nebulizers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-97

Table 40: World Historic Review for Nebulizers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-98

Table 41: World 15-Year Perspective for Nebulizers by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-99

Table 42: World Recent Past, Current and Future Market Analysis
for PAP Devices by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-100

Table 43: World Historic Review for PAP Devices by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-101

Table 44: World 15-Year Perspective for PAP Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-102

Table 45: World Recent Past, Current and Future Market Analysis
for Oxygen Equipment by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), The Middle East, and
Latin America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-103

Table 46: World Historic Review for Oxygen Equipment by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-104

Table 47: World 15-Year Perspective for Oxygen Equipment by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), The
Middle East, and Latin America Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-105

Table 48: World Recent Past, Current and Future Market Analysis
for Manual Resuscitators by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), The Middle
East, and Latin America Markets Independently Analyzed with
Annual Sales Figures in US$ Thousands for Years 2013 through
2020 (includes corresponding Graph/Chart) II-106

Table 49: World Historic Review for Manual Resuscitators by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-107

Table 50: World 15-Year Perspective for Manual Resuscitators
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
The Middle East, and Latin America Markets for Years 2006,
2014 and 2020 (includes corresponding Graph/Chart) II-108

Table 51: World Recent Past, Current and Future Market Analysis
for Respiratory Masks, Circuits and Disposables by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), The Middle East, and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-109

Table 52: World Historic Review for Respiratory Masks,
Circuits and Disposables by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), The Middle
East, and Latin America Markets Independently Analyzed with
Annual Sales Figures in US$ Thousands for Years 2006 through
2012 (includes corresponding Graph/Chart) II-110

Table 53: World 15-Year Perspective for Respiratory Masks,
Circuits and Disposables by Geographic Region - Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), The Middle East, and Latin
America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-111


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Current and Future Analysis III-1
Increasing Respirator Disorders Drive Demand for Respiratory
Equipment III-1
Table 54: COPD Associated Fatality Rate in the US by Gender
(In %): 1999-2009 (includes corresponding Graph/Chart) III-2

Table 55: Chronic Bronchitis Prevalence in the US by Age
Group (In Percentage per 1000 Population): 2011 for Ages
18-44, 45-64, and 65+ years (includes corresponding
Graph/Chart) III-2

Table 56: Emphysema Prevalence in the US by Age Group (In
Percentage per 1000 Population): 2011 for Ages 18-44, 45-64
and 65+ years (includes corresponding Graph/Chart) III-3

Table 57: COPD Prevalence In the US by State (In
Percentage): 2011 statistics for Kentucky, Alabama,
Tennessee, West Virginia, Mississippi, Oklahoma, Indiana,
Michigan, Arkansas, and Florida (includes corresponding
Graph/Chart) III-3
Sleep Apnea - A Widely Prevalent Respiratory Disorder III-3
Table 58: Annual Healthcare Expenditure by Leading Chronic
Disease: 2012 (includes corresponding Graph/Chart) III-4

Table 59: Prevalence of Sleep Apnea in the US by Population
Category III-4
Increased Demand for Home Sleep Testing (HST) III-5
Aging Population Offers Prospects III-5
Opportunity Indicators III-5
Table 60: North American Elderly Population by Age Group
(1975-2050) (includes corresponding Graph/Chart) III-5

Table 61: Obesity and Overweight Prevalence in the US
Adults: 2013 (includes corresponding Graph/Chart) III-6

Table 62: Obesity Prevalence in US Adults by Type of
Obesity (2013) (includes corresponding Graph/Chart) III-6

Table 63: The US Obesity Prevalence by Age Group (2013)
(includes corresponding Graph/Chart) III-6

Table 64: The US Diabetics Population (2010-2017):
Percentage Population with Diagnosed and Undiagnosed
Diabetes (includes corresponding Graph/Chart) III-7
Segment Analysis III-7
CPAP Equipment Gains Popularity III-7
Table 65: US Sleep Apnea Market: Sales Percentage Per Year
by Device Type (includes corresponding Graph/Chart) III-8
Premium Sleep Apnea Products to Command Higher Prices III-8
Transport Authorities Recommend CPAP Machines to Drivers
with OSA III-8
Technology Driving Ventilator Design, Features, etc III-9
Home Care Ventilation Provides Rescue from Rising Cost of Care III-9
Reimbursement for Ventilation III-9
Nebulizers Market on the Rise III-10
Oxygen Equipment Market III-10
Oxygen Concentrators Market Witnesses Growth III-10
Growth Saturates for Gas Cylinders III-10
Home Oxygen Therapy Market in the US III-11
Home Filling - An Emerging Market III-11
Competitive Scenario III-11
Table 66: The US Medical Ventilators Market by Leading
Player (2013) - Percentage Share Breakdown of Value Sales
for Care Fusion, Covidien, Dräger Medical, Getinge and
Others (includes corresponding Graph/Chart) III-11

Table 67: The US Sleep Apnea Diagnostics Devices Market by
Leading Player (2014E): Percentage Share Breakdown of Value
Sales for Compumedics, Embla, Grass Technologies, Nihon
Kohden, Philips Respironics and Others (includes
corresponding Graph/Chart) III-12

Table 68: The US Sleep Apnea Therapeutic Devices Market by
Leading Players (2014E): Percentage Share Breakdown of
Value Sales for Fisher and Paykel, Philips Respironics,
ResMed and Others (includes corresponding Graph/Chart) III-12

Table 69: The US Nebulizers Market by Leading Player
(2013): Percentage Share Breakdown of Value Sales for
DeVilbiss Healthcare, Invacare, Philips Respironics, and
Others (includes corresponding Graph/Chart) III-12

Table 70: The US Compressor-based Nebulizers Market by
Leading Player (2013): Percentage Share Breakdown of Value
Sales for DeVilbiss Healthcare, Invacare, and Others
(includes corresponding Graph/Chart) III-13
Competition in the Oxygen Equipment Market III-13
Table 71: The US Oxygen Concentrators Market by Leading
Player (2013): Percentage Share Breakdown of Value Sales
for AirSep, DeVilbiss Healthcare, Invacare, Philips
Respironics and Others (includes corresponding Graph/Chart) III-14
Reimbursement Scenario III-14
Reimbursement for Ventilation III-14
Reimbursement Changes to Boost OSA Market III-14
Oxygen Therapy and Reimbursements III-15
Recent Industry Activity III-16
Product Launches III-17
Select Major Players III-19
B.Market Analytics III-24
Table 72: The US Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-24

Table 73: The US Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits
and Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-25

Table 74: The US 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-26

2. CANADA III-27
A.Market Analysis III-27
Current and Future Analysis III-27
Export-Import Statistics III-27
Table 75: Canadian Exports of Respiratory Care Equipment
(Ozone, Oxygen or Aerosol Therapy, Artificial Respiration
or Other Therapeutic Respiration Apparatus): 2012 and 2013
(includes corresponding Graph/Chart) III-27

Table 76: Canadian Exports of Respiratory Care Equipment
(Other Breathing Appliances and Gas Masks (Excl Protective
Masks without Mechanical Parts or Filters): 2012 and 2013
(includes corresponding Graph/Chart) III-28

Table 77: Canadian Imports of Respiratory Care Equipment
(Ozone, Oxygen or Aerosol Therapy, Artificial Respiration
or Other Therapeutic Respiration Apparatus): 2012 and 2013
(includes corresponding Graph/Chart) III-28

Table 78: Canadian Imports of Respiratory Care Equipment
(Ozone, Oxygen Or Aerosol Therapy, Artificial Respiration
Or Other Therapeutic Respiration Apparatus): 2012 and 2013
(includes corresponding Graph/Chart) III-29
B.Market Analytics III-30
Table 79: Canadian Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-30

Table 80: Canadian Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits
and Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-31

Table 81: Canadian 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-32

3. JAPAN III-33
A.Market Analysis III-33
Demographics Drive Market Growth III-33
Table 82: Japanese Population by Age Group: 2012 (includes
corresponding Graph/Chart) III-33

Table 83: Japanese 65+ Years Population: 1950-2010
(includes corresponding Graph/Chart) III-34
Japanese Medical Equipment Market - A Perspective III-34
B.Market Analytics III-35
Table 84: Japanese Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-35

Table 85: Japanese Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits
and Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-36

Table 86: Japanese 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-37

4. EUROPE III-38
A.Market Analysis III-38
European Healthcare System: In a State of Transition? III-38
Current and Future Analysis III-38
Ageing Demography - An Opportunity Indicator III-38
Table 87: Population Breakup by Age Group for Select
European Countries: 2011 (as a Percentage of Total
Population) (includes corresponding Graph/Chart) III-39
Sleep Apnea Diagnostics - A Growing Market III-40
European Ventilators Market III-40
Market Outlook III-40
Home Care Ventilation Hits the Right Chord III-41
NIV Vendors Target Private Sector, Less Penetrated and New
Markets III-41
Vendor Concerns Myriad and More III-41
Product Launch III-42
B.Market Analytics III-43
Table 88: European Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Geographic Region - France, Germany, Italy, UK, Spain,
Russia, and Rest of Europe Markets Independently Analyzed
with Annual Sales Figures in US$ Thousands for Years 2013
through 2020 (includes corresponding Graph/Chart) III-43

Table 89: European Historic Review for Respiratory Care
Equipment and Supplies by Geographic Region - France, Germany,
Italy, UK, Spain, Russia, and Rest of Europe Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes
corresponding Graph/Chart) III-44

Table 90: European 15-Year Perspective for Respiratory Care
Equipment by Geographic Region - Percentage Breakdown of
Dollar Sales for France, Germany, Italy, UK, Spain, Russia,
and Rest of Europe Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) III-45

Table 91: European Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-46

Table 92: European Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-47

Table 93: European 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-48

4a. FRANCE III-49
A.Market Analysis III-49
Product Launch III-49
B.Market Analytics III-50
Table 94: French Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-50

Table 95: French Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-51

Table 96: French 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-52

4b. GERMANY III-53
A.Market Analysis III-53
Sleep Apnea Diagnostic and Therapeutic Devices III-53
Product Launches III-53
Select Players III-53
B.Market Analytics III-55
Table 97: German Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manua Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-55

Table 98: German Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-56

Table 99: German 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-57

4c. ITALY III-58
A.Market Analysis III-58
Current and Future Analysis III-58
B.Market Analytics III-59
Table 100: Italian Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-59

Table 101: Italian Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-60

Table 102: Italian 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-61

4d. THE UNITED KINGDOM III-62
A.Market Analysis III-62
Sleep Disorders: Low Diagnosis Rate Bodes Market Opportunities III-62
Product Launch III-62
GE Healthcare - Key Player III-62
B.Market Analytics III-63
Table 103: The UK Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) III-63

Table 104: The UK Historic Review for Respiratory Care
Equipment and Supplies by Product Segment - Spirometers, Other
Pulmonary Function Testing Equipment, Sleep Apnea Diagnostic
Devices, Ventilators, Humidifiers, Nebulizers, PAP Devices,
Oxygen Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) III-64

Table 105: The UK 15-Year Perspective for Respiratory Care
Equipment and Supplies by Product Segment - Percentage
Breakdown of Dollar Sales for Spirometers, Other Pulmonary
Function Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-65

4e. SPAIN III-66
Market Analysis III-66
Table 106: Spanish Recent Past, Current and Future Market
Analysis for Respiratory Care Equipment and Supplies by
Product Segment - Spirometers, Other Pulmonary Function
Testing Equipment, Sleep Apnea Diagnostic Devices,
Ventilators, Humidifiers, Nebulizers, PAP Devices, Oxygen
Equipment, Manual Resuscitators, and Masks, Circuits and
Disposables Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(inclu

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