The Home Medical Equipment Market

The Home Medical Equipment Market

This report contains: Descriptions of the main types of home medical equipment (HME) that have been commercialized to date including assistive devices, therapeutic devices, monitors, sensors and telemetry devices; The current market status of HME, trends and forecasts for growth over the next 5 years; A discussion of novel technologies along with a thorough patent analysis; An evaluation of regulatory factors that will drive future demand in the industry; Information about major manufacturers and distributors of HME.  
 

INTRODUCTION

STUDY BACKGROUND

STUDY GOALS AND OBJECTIVES

INTENDED AUDIENCE

SCOPE OF REPORT

INFORMATION SOURCES

ANALYST CREDENTIALS

RELATED BCC RESEARCH

BCC ONLINE SERVICES

DISCLAIMER

EXECUTIVE SUMMARY

SUMMARY TABLE GLOBAL SALES OF HOME MEDICAL

EQUIPMENT, THROUGH 2012 ($ BILLIONS)

SUMMARY FIGURE SALES OF HOME MEDICAL EQUIPMENT BY

REGION, 2006-2012 (%)

OVERVIEW

GENERAL DESCRIPTION

DEFINITIONS

PRODUCT SEGMENTS

ASSISTIVE DEVICES

Wheelchairs and Scooters

Wheelchairs

Scooters

Home Care Beds

INFUSION PRODUCTS

Insulin Pumps

RESPIRATORY THERAPY PRODUCTS

Inhalers

Metered Dose Inhalers

Dry Powder Inhalers

Nebulizers

Oxygen Concentrators

Gaseous Oxygen System

Continuous Positive Airway Pressure (CPAP) Devices

Home Ventilators

Suction Machines

DIALYSIS EQUIPMENT

Hemodialysis

Dialysis Machine

Peritoneal Dialysis

CCPD Cycler

HOME DEFIBRILLATORS

MONITORS AND SENSORS

Blood Pressure Monitors

Aneroid Monitors

Digital Blood Pressure Monitors

Peak Flow Meters

Glucose Monitors

Glucose Monitors (Continued)

Glucose Monitors (Continued)

Apnea and SIDS Monitors

Cholesterol Monitors

Fetal Monitors

Home Cardiac Monitors

New Home Monitoring Technologies

Embedded Monitors

Wearable Monitors

TELEMETRY DEVICES

Telehomecare

Mobile Phone-Based Technologies

Bluetooth

Signal Transmission via Human Skin

Zigbee

MISCELLANEOUS TYPES OF HME

Lymphedema Pumps

HEALTH CONDITIONS THAT AFFECT MARKET FOR HME

MOBILITY IMPAIRMENTS

Types of Mobility Impairment

Paralysis

Arthritis

Osteoporosis

Age-Related Loss of Strength/Balance/Coordination

Surgical Recovery and Rehabilitation

Neuromuscular Disorders

HME Used to Increase Mobility

Prevalence of Mobility Impairments

FIGURE 1 LEADING CONDITIONS ASSOCIATED WITH WHEELCHAIR/SCOOTER USE (PERCENTAGE OF TOTAL WHEELCHAIR USERS

FIGURE 1 (CONTINUED)

TABLE 1 GLOBAL PREVALENCE OF MOTION IMPAIRMENTS REQUIRING THE USE OF A WHEELCHAIR OR SCOOTER, THROUGH 2012 (MILLIONS OF PEOPLE)

TABLE 1 (CONTINUED)

TABLE 2 PREVALENCE OF MOTION IMPAIRMENTS REQUIRING A WHEELCHAIR OR SCOOTER, BY REGION, THROUGH 2012 (MILLIONS OF PEOPLE)

OBESITY

HME Used in the Management of Obesity

Prevalence of Obesity

TABLE 3 OBESITY LEVELS IN SELECTED COUNTRIES (PERCENT OF ADULT POPULATION)

TABLE 3 (CONTINUED)

HYPERTENSION

Types of HME Used in Treatment of Hypertension

Prevalence of Hypertension

TABLE 4 TRENDS IN PREVALENCE OF HYPERTENSION, THROUGH 2012 (MILLION CASES)

TABLE 4 (CONTINUED)

CARDIOVASCULAR DISEASE

Arrhythmia

Tachyarrhythmia

Brachycardia

HME Used in the Treatment of Arrhythmia

Prevalence of Arrhythmia

TABLE 5 TRENDS IN PREVALENCE OF ARRYTHMIA, THROUGH 2012 (MILLIONS OF CASES)

DIABETES

Types of Diabetes

HME Used to Treat Diabetes

Prevalence of Diabetes and Future Trends

TABLE 6 TRENDS IN PREVALENCE OF DIABETES, THROUGH 2012 (MILLIONS OF CASES)

TABLE 6 (CONTINUED)

HIGH CHOLESTEROL LEVELS

HME Used in the Management of High Cholesterol Levels

Prevalence of High Cholesterol Levels

SLEEP DISORDERS

Types of Sleep Disorders

HME Used in the Treatment or Management of Sleep

Disorders

Prevalence of Sleep Disorders and Future Trends

FETAL DISORDERS

HME Used in the Treatment or Management of Fetal

Disorders

Prevalence of Fetal Disorders and Future Trends

FIGURE 2 MISCARRIAGES AND STILLBIRTHS IN THE UNITED STATES, 2004 (PERCENT OF TOTAL CONFIRMED PREGNANCIES)

ASTHMA

HME Used in the Treatment or Management of Asthma

Prevalence of Asthma and Future Trends

TABLE 7 TRENDS IN PREVALENCE OF ASTHMA, THROUGH 2012 (MILLION CASES)

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

HME Used in the Treatment or Management of COPD

Prevalence of COPD and Future Trends

KIDNEY FAILURE

HME Used in the Treatment of Kidney Failure

Prevalence of Kidney Failure and Future Trends

TABLE 8 TRENDS IN DIALYSIS PATIENT POPULATION, THROUGH 2012 (THOUSAND PEOPLE)

TABLE 8 (CONTINUED)

FIGURE 3 GLOBAL DIALYSIS PATIENT POPULATION TREND, 2006-2012 (MILLION PATIENTS)

LYMPHEDEMA

Types of Lymphedema

Primary Lymphedema

Secondary Lymphedema

HME Used in the Management of Lymphedema

Prevalence of Lymphedema

DEMOGRAPHICS AND ECONOMICS

TOTAL POPULATION

FIGURE 4 GLOBAL POPULATION TRENDS, 2006-2012 (BILLION PEOPLE)

FIGURE 5 G-20 POPULATION AS PERCENTAGE OF TOTAL WORLD POPULATION, 2006 AND 2012 (%)

TABLE 9 TRENDS IN TOTAL POPULATION, BY COUNTRY THROUGH 2012 (MILLIONS)

TABLE 9 (CONTINUED)

ELDERLY PEOPLE

FIGURE 6 TRENDS IN THE GLOBAL POPULATION AGED 65 YEARS AND OLDER, 2006-2012 (MILLION PEOPLE)

FIGURE 7 G-20 POPULATION AS PERCENTAGE OF WORLD POPULATION 65 AND OLDER, 2006 AND 2012 (%)

TABLE 10 TRENDS IN POPULATION 65 YEARS AND OLDER, BY COUNTRY THROUGH 2012 (MILLIONS)

TABLE 10 (CONTINUED)

OLDER PEOPLE LIVING IN OWN HOMES OR WITH

CHILDREN

FIGURE 8 PERCENTAGE OF PEOPLE 65 AND OVER LIVNG IN OWN HOMES OR WITH CHILDREN, 2002

FIGURE 8 (CONTINUED)

FIGURE 9 TRENDS IN THE PERCENTAGE OF AMERICANS OVER 65 REMAINING IN THEIR HOMES, 1985-2005 (%)

HOUSEHOLD INCOME

FIGURE 10 TRENDS IN MEDIAN INCOME OF U.S. ELDERLY HOUSEHOLDS ($)

FIGURE 11 DISTRIBUTION OF U.S. ELDERLY HOUSEHOLDS BY INCOME LEVEL, 2000 VS. 2006 (PERCENT OF TOTAL ELDERLY HOUSEHOLDS)

EXPENDITURES ON HOME HEALTH CARE

FIGURE 12 TRENDS IN U.S. EXPENDITURES ON HOME HEALTH CARE, 2000-2005* ($ BILLIONS)

OTHER FACTORS DRIVING HME MARKET

PHYSICIAN ATTITUDES TOWARD HOME CARE

FIGURE 13 TREND IN NUMBER OF MEDICARE-PAID PHYSICIAN HOUSE CALLS, 2001-2005 (MILLION HOUSE CALLS)

HOSPITAL/NURSING HOME COSTS

FIGURE 14 TRENDS IN U.S. HOSPITAL AND NURSING HOME COSTS SINCE 2000 ($)

REGULATORY AND LEGISLATIVE ISSUES

United States

New Devices

New Devices (Continued)

Existing Devices

European Union

European Union (Continued)

Japan

HEALTH INSURANCE

United States

Medicare and Medicaid

Types of HME Covered

Recent Legislation

Medicare Prescription Drug,

Improvement, and Modernization

Act of 2003

Changes in Reimbursement

Competitive Bidding

Accreditation Requirement

Deficit Reduction Act of 2005

Challenges

Other Countries

FIGURE 15 PER CAPITA EXPENDITURES ON HME, 2006 ($)

Other Countries (Continued)

HME MARKETS

SUMMARY

GLOBAL MARKET TRENDS

TABLE 11 GLOBAL HME SALES BY TYPE OF EQUIPMENT, THROUGH 2012 ($ MILLIONS)

FIGURE 16 TRENDS IN THE GLOBAL HME MARKET, 2006-2012 ($ BILLIONS)

MARKET BY HME SEGMENT

FIGURE 17 HME MARKET BY TYPE OF HME, 2006 AND 2012 (%)

MARKET BY DISEASE/CONDITION TREATED

FIGURE 18 HME MARKET BY TYPE OF DISEASE/CONDITION TREATED, 2006 AND 2012

FIGURE 18 (CONTINUED)

TABLE 12 HME MARKET BY TYPE OF DISEASE/CONDITION TREATED, THROUGH 2012 ($ MILLIONS)

MARKET BY GEOGRAPHICAL SEGMENT

FIGURE 19 HME MARKET BY TYPE OF REGION, 2006 AND 2012 (%)

FIGURE 19 (CONTINUED)

TABLE 13 MAJOR GEOGRAPHICAL MARKETS FOR HME, THROUGH 2012

TABLE 13 (CONTINUED)

DETAILED MARKET ANALYSIS

ASSISTIVE DEVICES

TABLE 14 MARKET FOR HME ASSISTIVE DEVICES, THROUGH 2012 ($ MILLIONS)

Wheelchairs and Scooters

FIGURE 20 GLOBAL WHEELCHAIR AND SCOOTER MARKET SHARES BY TYPE OF EQUIPMENT, 2006 (%)

FIGURE 20 (CONTINUED)

TABLE 15 GLOBAL WHEELCHAIR AND SCOOTER SALES, 2006 (MILLION UNITS/$ MILLIONS)

TABLE 16 GLOBAL MARKET FOR WHEELCHAIRS AND SCOOTERS USED IN THE HOME, BY GEOGRAPHICAL MARKET, 2006-2012 ($ MILLIONS)

Home Care Beds

TABLE 17 GLOBAL MARKET FOR HOME CARE BEDS, BY GEOGRAPHICAL MARKET, THROUGH 2012 ($ MILLIONS)

INFUSION PRODUCTS

Insulin Pumps

TABLE 18 INSULIN PUMP SALES, THROUGH 2012 (NUMBER OF PUMPS/$ MILLIONS)

TABLE 19 PROJECTED SALES OF INSULIN PUMPS, THROUGH 2012 ($ MILLIONS)

RESPIRATORY THERAPY PRODUCTS

TABLE 20 MARKET FOR RESPIRATORY HME, THROUGH 2012 ($ MILLIONS)

FIGURE 21 TRENDS IN RESPIRATORY HME MARKET SHARES BY TYPE OF EQUIPMENT, 2006-2012 (PERCENT OF TOTAL RESPIRATORY HME SALES)

FIGURE 22 TRENDS IN RESPIRATORY HME MARKET SHARES BY GEOGRAPHICAL MARKET, 2006-2012 (PERCENT OF TOTAL RESPIRATORY HME SALES)

Insulin Inhalers

TABLE 21 PROJECTED SALES OF INSULIN INHALERS, THROUGH 2012 ($ MILLIONS)

TABLE 21 (CONTINUED)

CPAP and Other Positive Airway Pressure Devices

TABLE 22 POSITIVE AIR PRESSURE DEVICES MARKET, THROUGH 2012 ($ MILLIONS)

TABLE 22 (CONTINUED)

Ventilators

TABLE 23 GLOBAL HOME VENTILATOR MARKET, THROUGH 2012 ($ MILLIONS)

Nebulizers

TABLE 24 GLOBAL NEBULIZER MARKET, THROUGH 2012 ($ MILLIONS)

Oxygen Concentrators

TABLE 25 GLOBAL HOME OXYGEN CONCENTRATOR MARKET, THROUGH 2012 ($ MILLIONS)

Gaseous Oxygen Systems

TABLE 26 GLOBAL MARKET FOR HOME GASEOUS OXYGEN SYSTEMS, THOUGH 2012 ($ MILLIONS)

Airway Suction Machines

TABLE 27 GLOBAL HOME SUCTION MACHINE MARKET, THROUGH 2012 ($ MILLIONS)

DIALYSIS EQUIPMENT

FIGURE 23 HOME DIALYSIS MACHINE MARKET SHARES, 2006 (%)

TABLE 28 GLOBAL MARKET FOR HOME DIALYSIS MACHINES, 2006 (NUMBER OF MACHINES/$)

TABLE 29 HOME DIALYSIS MACHINE MARKET, THROUGH 2012 ($ MILLIONS)

TABLE 29 (CONTINUED)

HOME DEFIBRILLATORS

TABLE 30 GLOBAL HOME DEFIBRILLATOR MARKET, THROUGH 2012 ($ MILLIONS)

MONITORS AND SENSORS

TABLE 31 MARKET FOR HOME MONITORING DEVICES, THROUGH 2012 ($ MILLIONS)

FIGURE 24 TRENDS IN HOME MONITORING EQUIPMENT SHARES BY TYPE OF EQUIPMENT, 2006-2012 (PERCENT OF TOTAL RESPIRATORY HME SALES)

FIGURE 25 TRENDS IN HOME MONITORING DEVICES MARKET SHARES BY GEOGRAPHICAL MARKET, 2006-2012 (PERCENT OF TOTAL HOME MONITOR SALES)

Glucose Monitors

TABLE 32 MARKETS FOR GLUCOSE SELF-MONITORING DEVICES, THROUGH 2012 ($ MILLIONS)

TABLE 32 (CONTINUED)

Blood Pressure Monitors

TABLE 33 MARKETS FOR HOME BLOOD PRESSURE MONITORS, THROUGH 2012 ($ MILLIONS)

TABLE 33 (CONTINUED)

Apnea and Other Types of Sleep Monitors

TABLE 34 SLEEP APNEA MONITOR MARKET, 2006-2012 ($ MILLIONS)

Cholesterol Monitors

TABLE 35 CHOLESTEROL MONITOR MARKET, THROUGH 2012 ($ MILLIONS)

Fetal Monitors

TABLE 36 HOME FETAL MONITOR MARKET, THROUGH 2012 ($ MILLIONS)

Peak Flow (Asthma) Monitors

TABLE 37 GLOBAL ASTHMA MONITOR MARKET, THROUGH 2012 ($ MILLIONS)

Home ECG Monitors

TABLE 38 GLOBAL HOME ECG MONITOR MARKET, THROUGH 2012 ($ MILLIONS)

TELEMETRY DEVICES

FIGURE 26 HOME TELEMETRY DEVICE SALES BY GEOGRAPHICAL MARKET, 2006 (PERCENT OF TOTAL SALES)

TABLE 39 GLOBAL MARKET FOR HOME TELEMETRY DEVICES, THROUGH 2012 ($ MILLIONS)

OTHER TYPES OF HME

TABLE 40 GLOBAL MARKET FOR LYMPHEDEMA PUMPS, THROUGH 2012 ($ MILLIONS)

PATENT ANALYSIS

TABLE 41 U.S. HME PATENTS ISSUED SINCE 1975

FIGURE 27 U.S. HME PATENTS ISSUED SINCE 1975 (%)

FIGURE 28 LARGEST HME PATENT HOLDERS (PERCENT OF TOTAL HME PATENTS ISSUED THROUGH 10/1/2007)

COMPANY PROFILES

A&D MEDICAL/LIFESOURCE

ABBOTT LABORATORIES, INC

ALLIED HEALTH CARE PRODUCTS, INC.

ANALOGIC INC.

ARADIGM CORP

ARITHMED GMBH

BAXTER INTERNATIONAL, INC.

BAYER DIAGNOSTICS

CARD GUARD AG

ENERGY-LAB TECHNOLOGIES GMBH

T+MEDICAL

FRESENIUS MEDICAL CARE AG & CO. KGAA

HEALTH FRONTIER, INC

HOME DIAGNOSTICS INC

HOMMED LLC

INVACARE CORP.

MEDLINE INDUSTRIES, INC

MEDTRONIC MINIMED

MEDVITAL

NXSTAGE MEDICAL, INC

NIR DIAGNOSTICS INC

NONIN MEDICAL, INC

OMRON HEALTHCARE, INC

P2P HEALTH SYSTEMS, INC.

PARI PHARMA

PENDRAGON MEDICAL LTD

PFIZER INC

PHILIPS MEDICAL SYSTEMS

POLYMER TECHNOLOGY SYSTEMS

PREMD INC

PRIDE MOBILITY PRODUCTS CORP

PULSE METRIC INC.

RESMED, INC.

RESPIRONICS, INC

ROCHE DIAGNOSTICS

RTX TELECOM A/S

SCOTTCARE CORP.

SENSATEX INC.

SENSITRON INC.

SONTRA MEDICAL CORP

TELZUIT MEDICAL TECHNOLOGIES, INC.

VECTURA GROUP PLC

VIVOMETRICS INC

VIVOMETRICS INC. (CONTINUED)

LIST OF TABLES

SUMMARY TABLE GLOBAL SALES OF HOME MEDICAL

EQUIPMENT, THROUGH 2012 ($ BILLIONS)

TABLE 1 GLOBAL PREVALENCE OF MOTION IMPAIRMENTS

REQUIRING THE USE OF A WHEELCHAIR OR SCOOTER, THROUGH

2012 (MILLIONS OF PEOPLE)

TABLE 2 PREVALENCE OF MOTION IMPAIRMENTS REQUIRING A

WHEELCHAIR OR SCOOTER, BY REGION, THROUGH 2012

(MILLIONS OF PEOPLE)

TABLE 3 OBESITY LEVELS IN SELECTED COUNTRIES (PERCENT OF

ADULT POPULATION)

TABLE 4 TRENDS IN PREVALENCE OF HYPERTENSION, THROUGH

2012 (MILLION CASES)

TABLE 5 TRENDS IN PREVALENCE OF ARRYTHMIA, THROUGH 2012

(MILLIONS OF CASES)

TABLE 6 TRENDS IN PREVALENCE OF DIABETES, THROUGH 2012

(MILLIONS OF CASES)

TABLE 7 TRENDS IN PREVALENCE OF ASTHMA, THROUGH 2012

(MILLIONS OF CASES)

TABLE 8 TRENDS IN DIALYSIS PATIENT POPULATION, THROUGH

2012 (THOUSAND PEOPLE)

TABLE 9 TRENDS IN TOTAL POPULATION, BY COUNTRY THROUGH

2012 (MILLIONS)

TABLE 10 TRENDS IN POPULATION 65 YEARS AND OLDER, BY

COUNTRY THROUGH 2012 (MILLIONS)

TABLE 11 GLOBAL HME SALES BY TYPE OF EQUIPMENT, THROUGH

2012 ($ MILLIONS)

TABLE 12 HME MARKET BY TYPE OF DISEASE/CONDITION

TREATED, THROUGH 2012 ($ MILLIONS)

TABLE 13 MAJOR GEOGRAPHICAL MARKETS FOR HME, THROUGH

2012

TABLE 14 MARKET FOR HME ASSISTIVE DEVICES, THROUGH 2012

($ MILLIONS)

TABLE 15 GLOBAL WHEELCHAIR AND SCOOTER SALES, 2006

(MILLION UNITS/$ MILLIONS)

TABLE 16 GLOBAL MARKET FOR WHEELCHAIRS AND SCOOTERS

USED IN THE HOME, BY GEOGRAPHICAL MARKET, 2006-2012

($ MILLIONS)

TABLE 17 GLOBAL MARKET FOR HOME CARE BEDS, BY

GEOGRAPHICAL MARKET, THROUGH 2012 ($ MILLIONS)

TABLE 18 INSULIN PUMP SALES, THROUGH 2012 (NUMBER OF

PUMPS/$ MILLIONS)

TABLE 19 PROJECTED SALES OF INSULIN PUMPS, THROUGH 2012

($ MILLIONS)

TABLE 20 MARKET FOR RESPIRATORY HME, THROUGH 2012

($ MILLIONS)

TABLE 21 PROJECTED SALES OF INSULIN INHALERS, THROUGH

2012 ($ MILLIONS)

TABLE 22 POSITIVE AIR PRESSURE DEVICES MARKET, THROUGH

2012 ($ MILLIONS)

TABLE 23 GLOBAL HOME VENTILATOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 24 GLOBAL NEBULIZER MARKET, THROUGH 2012

($ MILLIONS)

TABLE 25 GLOBAL HOME OXYGEN CONCENTRATOR MARKET,

THROUGH 2012 ($ MILLIONS)

TABLE 26 GLOBAL MARKET FOR HOME GASEOUS OXYGEN

SYSTEMS, THOUGH 2012 ($ MILLIONS)

TABLE 27 GLOBAL HOME SUCTION MACHINE MARKET, THROUGH

2012 ($ MILLIONS)

TABLE 28 GLOBAL MARKET FOR HOME DIALYSIS MACHINES, 2006

(NUMBER OF MACHINES/$)

TABLE 29 HOME DIALYSIS MACHINE MARKET, THROUGH 2012

($ MILLIONS)

TABLE 30 GLOBAL HOME DEFIBRILLATOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 31 MARKET FOR HOME MONITORING DEVICES, THROUGH

2012 ($ MILLIONS)

TABLE 32 MARKETS FOR GLUCOSE SELF-MONITORING DEVICES,

THROUGH 2012 ($ MILLIONS)

TABLE 33 MARKETS FOR HOME BLOOD PRESSURE MONITORS,

THROUGH 2012 ($ MILLIONS)

TABLE 34 SLEEP APNEA MONITOR MARKET, 2006-2012 ($ MILLIONS)

TABLE 35 CHOLESTEROL MONITOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 36 HOME FETAL MONITOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 37 GLOBAL ASTHMA MONITOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 38 GLOBAL HOME ECG MONITOR MARKET, THROUGH 2012

($ MILLIONS)

TABLE 39 GLOBAL MARKET FOR HOME TELEMETRY DEVICES,

THROUGH 2012 ($ MILLIONS)

TABLE 40 GLOBAL MARKET FOR LYMPHEDEMA PUMPS, THROUGH

2012 ($ MILLIONS)

TABLE 41 U.S. HME PATENTS ISSUED SINCE 1975

LIST OF FIGURES

SUMMARY FIGURE SALES OF HOME MEDICAL EQUIPMENT BY

REGION, 2006-2012 (%)

FIGURE 1 LEADING CONDITIONS ASSOCIATED WITH

WHEELCHAIR/SCOOTER USE (PERCENTAGE OF TOTAL

WHEELCHAIR USERS

FIGURE 2 MISCARRIAGES AND STILLBIRTHS IN THE UNITED

STATES, 2004 (PERCENT OF TOTAL CONFIRMED PREGNANCIES)

FIGURE 3 GLOBAL DIALYSIS PATIENT POPULATION TREND, 2006-

2012 (MILLION PATIENTS)

FIGURE 4 GLOBAL POPULATION TRENDS, 2006-2012 (BILLION

PEOPLE)

FIGURE 5 G-20 POPULATION AS PERCENTAGE OF TOTAL WORLD

POPULATION, 2006 AND 2012 (%)

FIGURE 6 TRENDS IN THE GLOBAL POPULATION AGED 65 YEARS

AND OLDER, 2006-2012 (MILLION PEOPLE)

FIGURE 7 G-20 POPULATION AS PERCENTAGE OF WORLD

POPULATION 65 AND OLDER, 2006 AND 2012 (%)

FIGURE 8 PERCENTAGE OF PEOPLE 65 AND OVER LIVNG IN OWN

HOMES OR WITH CHILDREN, 2002

FIGURE 9 TRENDS IN THE PERCENTAGE OF AMERICANS OVER 65

REMAINING IN THEIR HOMES, 1985-2005 (%)

FIGURE 10 TRENDS IN MEDIAN INCOME OF U.S. ELDERLY

HOUSEHOLDS ($)

FIGURE 11 DISTRIBUTION OF U.S. ELDERLY HOUSEHOLDS BY

INCOME LEVEL, 2000 VS. 2006 (PERCENT OF TOTAL ELDERLY

HOUSEHOLDS)

FIGURE 12 TRENDS IN U.S. EXPENDITURES ON HOME HEALTH

CARE, 2000-2005* ($ BILLIONS)

FIGURE 13 TREND IN NUMBER OF MEDICARE-PAID PHYSICIAN

HOUSE CALLS, 2001-2005 (MILLION HOUSE CALLS)

FIGURE 14 TRENDS IN U.S. HOSPITAL AND NURSING HOME COSTS

SINCE 2000 ($)

FIGURE 15 PER CAPITA EXPENDITURES ON HME, 2006 ($)

FIGURE 16 TRENDS IN THE GLOBAL HME MARKET, 2006-2012

($ BILLIONS)

FIGURE 17 HME MARKET BY TYPE OF HME, 2006 AND 2012 (%)

FIGURE 18 HME MARKET BY TYPE OF DISEASE/CONDITION

TREATED, 2006 AND 2012

FIGURE 19 HME MARKET BY TYPE OF REGION, 2006 AND 2012 (%)

FIGURE 20 GLOBAL WHEELCHAIR AND SCOOTER MARKET SHARES

BY TYPE OF EQUIPMENT, 2006 (%)

FIGURE 21 TRENDS IN RESPIRATORY HME MARKET SHARES BY

TYPE OF EQUIPMENT, 2006-2012 (PERCENT OF TOTAL

RESPIRATORY HME SALES)

FIGURE 22 TRENDS IN RESPIRATORY HME MARKET SHARES BY

GEOGRAPHICAL MARKET, 2006-2012 (PERCENT OF TOTAL

RESPIRATORY HME SALES)

FIGURE 23 HOME DIALYSIS MACHINE MARKET SHARES, 2006 (%)

FIGURE 24 TRENDS IN HOME MONITORING EQUIPMENT SHARES

BY TYPE OF EQUIPMENT, 2006-2012 (PERCENT OF TOTAL

RESPIRATORY HME SALES)

FIGURE 25 TRENDS IN HOME MONITORING DEVICES MARKET

SHARES BY GEOGRAPHICAL MARKET, 2006-2012 (PERCENT OF

TOTAL HOME MONITOR SALES)

FIGURE 26 HOME TELEMETRY DEVICE SALES BY GEOGRAPHICAL

MARKET, 2006 (PERCENT OF TOTAL SALES)

FIGURE 27 U.S. HME PATENTS ISSUED SINCE 1975 (%)

FIGURE 28 LARGEST HME PATENT HOLDERS (PERCENT OF TOTAL

HME PATENTS ISSUED THROUGH 10/1/2007)