Global Audiological Devices Industry

• Publication date: October 2011

This report analyzes the worldwide markets for Audiological Devices in US$ Million by the following Product Segments: Hearing Aids (Behind-the-ear, In-the-ear, In-the-canal, & Completely-in-the-canal), Measurement/Testing Devices (Otoscopes, Audiometers, Impedence Analyzers, Hearing Aid Analyzers, & Others), and Cochlear Implants. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, ...

This report analyzes the worldwide markets for Audiological Devices in US$ Million by the following Product Segments: Hearing Aids (Behind-the-ear, In-the-ear, In-the-canal, & Completely-in-the-canal), Measurement/Testing Devices (Otoscopes, Audiometers, Impedence Analyzers, Hearing Aid Analyzers, & Others), and Cochlear Implants. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2009 through 2017. Also, a six-year historic analysis is provided for these markets. The report profiles 80 companies including many key and niche players such as Advanced Bionics Corporation, Cochlear Limited, GN Resound A/S, Med-EL Medical Electronics, Neurelec SA, Otovation LLC, Phonak AG, Siemens Audiologische Technik GmbH, Starkey Laboratories, Inc., Sonic Innovations, Inc., Widex A/S, William Demant Holding, Oticon A/S, and Bernafon AG. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

Surgical Equipment Industry

1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS 1
Study Reliability and Reporting Limitations 1
Disclaimers 2
Data Interpretation & Reporting Level 3
Quantitative Techniques & Analytics 3
Product Definitions and Scope of Study 3
Hearing Aids 4
Behind-The-Ear Hearing Aid 4
In-The-Ear (ITE) Hearing Aid 4
In-The-Canal (ITC) Hearing Aid 4
Completely-In-The Canal (CIC) Hearing Aid 4
Measurement/Testing Devices 4
Otoscopes 5
Audiometers 5
Impedance Analyzers 5
Hearing Aid Analyzers 5
Other Measurement/Testing Devices 5
Cochlear Implants 5

2. MARKET DYNAMICS 6
Outlook 6
Technologic Advancements to Propel Industry 6
Audiologists: Spiking Demand, Low Availability 6
New Market Prospects to Counter Recession Impact 7
World Market Analysis 7
Hearing Aids: Maintain its Dominance 7
Cochlear Implants: Rearing its Head 7
Market Trends 8
Technology Advancements Rife in Hearing Aids Market 8
Aging Population, Technical Progress Drive Market Growth 8
Table 1: Worldwide Distribution of 65+ Population by
Region/Country: 2010 (includes corresponding Graph/Chart) 8
Market Moves towards Miniaturization 9
Cochlear Implants Gain Visibility 9
Reimbursement of Cochlear Implants 9
Cochlear Implants Reimbursements: A Review 10
Poor Levels of Hearing Aid Penetration Promise Bright Prospects 10
Table 2: Market Potential for Hearing Systems (includes
corresponding Graph/Chart) 10

Table 3: Penetration Rate of Hearing Systems by Select
Country (In %) (includes corresponding Graph/Chart) 11
Factors Influencing Growth in Hearing Aids Market: 11
Growth in Cosmetic, Behind-The-Ear Hearing Aids Market 12
Binaural Fittings Market to Grow 12
Table 4: Prevalence of Hearing Impairment and Penetration of
Hearing Aids and Binaural Fittings Worldwide (2005 - A
Recent Past Perspective): Breakdown by Select Countries -
US, Western Europe, and Rest of World Countries 13
Consumers Demand More Value-Added Features 13
Diagnostic Instruments Grow at a Modest Pace 13
Digitalization of Hearing Aids Stimulates Wider Adoption 13
Imparting Disposability to Hearing Aids 14
MEMS-Based Hearing Aids Exhibit Immense Potential 14
Increasing Hearing Impairment Among Younger Population 14
Hearing Aids - An Overview 15
Hearing Impairment Statistics 15
Subsidy/Reimbursement Scenario for Hearing Aids 15
A Review of Subsidy/Reimbursement System for Hearing Aids in
Select Regional Markets 15
Competitive Scenario 16
Hearing Aids 16
Handful of Players Dominate the Marketplace 16
Composition of Leading Players in the Hearing Aids Industry 16
William Demant and Sonova Emerge as Major Market Players in
2010 17
Table 5: Major Hearing Aid Companies Worldwide (2010E):
Market Share Breakdown for Siemens, Sonova, Willam Demant,
GN Resound, Starkey, Widex, Rion and Sonic (includes
corresponding Graph/Chart) 17
Player Consolidation: New Entrées Encounter Towering Barriers 17
Distribution Trends 18
Percentage Breakdown of Value Chain in HearingAids Market 18
Higher R&D Costs and Patent Situation 18
Highly Competitive Environment 18
Cochlear Implants 19
Table 6: Leading Players in the Global Cochlear Implants
Market (2010e): Percentage Breakdown of Value Sales for
Cochlear Ltd., Advance Bionics, Med El, and Others
(includes corresponding Graph/Chart) 19
Audiometric Testing Devices 19

3. PRODUCT OVERVIEW 20
Audiology: A Prologue 20
Human and Technical Aids 20
Audiological Devices 20
Classification of Audiological Devices 20
Hearing Aids 21
History of Hearing Aids 21
Types of Hearing Aids 22
Behind-The-Ear (BTE) 22
Advantages 22
Disadvantages 22
Open-Fit Mini Behind-The-Ear 22
In-the-Ear (ITE) 23
Advantages 23
Disadvantages 23
In-the-Canal (ITC) 23
Advantages 23
Disadvantages 23
Completely-in-the Canal (CIC) 24
Advantages 24
Disadvantages 24
Broader Classification of Hearing Aids 24
Conventional Hearing Aids 24
Programmable Hearing Aids 25
Digital Hearing Aids 25
Technology - Analog Vs.Digital 25
Disposable Hearing Aids 25
Hearing Aids Batteries 26
Common Problems Associated with Use of Hearing Aids 26
Common Cold Affects Functioning of Hearing Aids 26
Hygiene Problems Associated with Hearing Aids 26
Prevention of Transmission 26
Trends in Hearing Aids and Hearing Aids Batteries Market 27
Measurement/Testing Devices 27
Otoscopes 27
Video Otoscopes 27
Audiometers 27
Audiogram 28
Working of an Audiogram 28
Audiogram Interpretation 28
Audiometric Tests 29
Impedance Analyzers 29
Hearing Aid Analyzers 29
Other Measurement/Testing Devices 29
Cochlear Implants 29
Cochlear Implant Technology 30
Beneficiaries of Cochlear Implant 30
Cochlear Implants Found Effective in Children 31

4. AN INSIGHT INTO THE HUMAN AUDITORY SYSTEM 32
The Hearing Process 32
Nature and Types of Hearing Loss 32
Determining the Level of Hearing Impairment 33
Hearing Impairments 33
Conductive Hearing Loss 33
Sensor Neural Hearing Loss (SNHL) 33
Noise Induced Hearing Loss 34
Congenital Hearing Loss 34
Common Causes of Hearing Loss 34
Presbycusis 34
Diseases 35
Otitis Media 35
Autoimmune Disease 35
Otosclerosis 35
Meniere’s Disease 35
Tinnitus 35
Subjective Tinnitus 35
Objective Tinnitus 36
Treatment 36
Treatment for SNHL 36
Sound Amplification Through Hearing Aids 36
Ear Surgery 36
Stapedectomy 37
Tympanoplasty 37
Ear Tube Surgery and Myringotomy 37
Ear Surgery for Perforated Eardrum 38
Cochlear Implants 38
Ear Surgery for Tumors 38
Ear surgery for Congenital Ear Defects 38
Other Ear Surgeries 39
Cochlear Implants 39
Tinnitus 39
Hearing Conservation Programs 39
Strategies to Control Noise - Administrative and Engineering
Controls 39
Regulatory Steps Initiated in Europe 40
Effective Hearing Conservation Program - Characteristics 40

5. PRODUCT INNOVATIONS/LAUNCHES 41
Los Gatos Audiology and Hearing Aid Center Introduces New
Website LosGatosHearingAid.com 41
American Hearing Aid Associates Introduces Consumer Website
SecondSenseHearing.com 41
Beltone Introduces Beltone True MIC and Beltone True Flex BTE 41
Comfort Audio Introduces Comfort Digisystem Series of Digital
ALDs in North America 42
ExSilent Unveils Ytango Product Range 42
ExSilent Launches Qleaf Pro Hearing Aids 42
HearPod Introduces Clear Choice Hearing Aids 43
InSound Medical Introduces Invisible Hearing Device Lyric in UK 43
IntriCon Introduces APT™ Open ITC Hearing Aid 43
Miracle-Ear Launches Mirage Hearing Aid 44
North Shore Eye Launches Hearing Services 44
Phonak Introduces Audéo S SMART Ceramics 44
Purple Communications Introduces ClearCaptionsTM Service for
Hearing Disabled People 45
Siemens Hearing Instruments Unveils AquarisTM 45
Sonic Innovations Launches Groove CIC Hearing Aid 45
Sonic Innovations Unveils Varicom Product Line 45
Starkey Rolls Out AMP Hearing Aid 46
Unitron Introduces Era Platform 46
US NewSound Launches CIC - Bee 46
NowiHear.com Launches NowiHear Application for Android 47
ReSound Introduces ReSound Alera Configurable BTE 77/87
Hearing Aid 47
Hansaton USA Rolls Out AQ X-Mini 47
Siemens Hearing Instruments Launches iMini Hearing Instrument 47
ReSound Develops Remote Microphone Technology for Hearing Aids 47
Ear Specialists of Omaha Introduce New Website 48
HearSource.com Introduces New Hearing Aids Website 48
SeboTek Launches Sebo HD Product Range 48
Ascent Hearing Introduces iSync iNSTAFit 49
Widex Hearing Aids to Introduce Fusion Product Range 49
Sonova Launches Multiple Products 49
ReSound Unveils Alera 49
Sonic Innovations to Launch Endura 50
IntriCon to launch ScenicTM DSP Amplifier 50
Siemens Hearing Instruments Unveils BestSound Technology Products 50
Sonova Holding Unveils New Brand, Sona 50
Oticon to Launch Oticon Agil 51
Hansaton Introduces Products in the US Market 51
ReSound Launches Live ITC Remote Microphone Custom Hearing
Instruments 51
Australia Cochlear Launches Hearing Aid Technology 51
Starkey Unveils S Series Hearing Aids 52
Cochlear Introduces Implantable Hearing Solutions 52
Sleek Audio Introduces the VQ System 52
Widex Introduces Hearing Aids with Integrated Digital Signal
Processing 52
America Hears Launches Digital Hearing Aids 52
Siemens Launches Hearing Aids Range 53
America Hears Unveils Digital Hearing Aid Range 53
Songbird Hearing Unveils Songbird Flexfit Hearing Aid 54
Widex Introduces World’s Smallest RIC Device, Passion™ 54
Siemens Hearing Introduces Pure® 55
Siemens Hearing Unveils Vibe 55
Sonic Innovations Unveils Two Brand New Hearing Devices 55
GN ReSound Introduces New ‘be by ReSound’ Hearing Aid 55
GN ReSound Introduces ReSound Ziga Line 56
Phonak Introduces New ML11i and ML9i Dynamic FM Receivers 56
GN ReSound Introduces New ‘dot by ReSound’ Hearing Instrument 56
Sonic Introduces ion™ 400 and Velocity miniBTE Hearing Aids 56

6. PRODUCT INNOVATIONS/LAUNCHES IN RECENT PAST - A PERSPECTIVE
BUILDER 58
Sonic Innovations Launches ion™ 200 58
Audifon Introduces New Hearing Aid, Switch 58
Beltone Introduces the New Lightweight Hearing - Aid 58
Cochlear Americas Introduces Three New Pediatric Hearing
Solutions for Children 58
Starkey Laboratories Introduces the New Destiny 1590 Hearing Aid 59
America Hears Introduces Freedom AD SIE 59
Siemens Introduces ARTIS™ 2 and CIELO™ 2 Hearing Instruments 59
Sonic Innovations Introduces New Velocity Range of Digital
Hearing Aids 60
3D Systems to Introduce Hearing-Aid Manufacturing System 60
William Demant Introduces World’s First Wireless Binaural
Hearing Aid 60
Unitron Hearing Introduces the First Ever BTE Product with CRT 61
Siemens Launches CENTRA Active™ for Active Users 61
Otovation Releases Amplitude T-Series Audiometer 61
MED-EL Releases Soundbridge® Middle Ear Implant 61
Siemens Introduces INTUIS BTEs 62
ReSound Introduces Azure Hearing Aids with Natural
Directionality™ 62
Phonak Introduces Three New Dynamic FM Products 62
Bernafon Launches New ‘brite’ Hearing System 62
Bernafon Launches New ICOS Micro Hearing System 62
Siemens Introduces Nitro CIC Mini Hearing Device 63
Maico Introduces MI 44 63
RION Launches Digital Hearing Aid Series 63
America Hears Launches Hearing Aid Based on Dynamic Hearing’s
Technology 63
GN Introduces ReSound Pulse 64
MED-EL Unveils New Cochlear Implant SONATATI100 64
Phonak Unveils Verve Steinway Edition 64
HearPod Introduces Directional Mic Open Fitting 65
Maico Launches Detective 65
Phonak Launches Ultra-Modern Savia Art Devices 65
HearPod Launches HearPod Micro 65
SeboTek Unveils Voice-Q 721 66
Sonic Innovation Introduces Balance™ 66
Unitron Hearing Launches Advanced Element™ Series 66
Unitron Hearing Unveils Indigo™ Moda and Element™ Moda 67
Cochlear Develops Hybrid Implant/Hybrid Hearing Instrument 67
Objet Introduces New Solution for Hearing Aids 67
SeboTek Releases InFocus Lifestyles 68
Sonic Introduces Open-Ear Hearing Aid 68
Starkey Launches DaVinci PsP™ 68
Starkey Unveils Smart Hearing Aid 68
Otologics Introduces Hearing Aid in India 68
William Demant Presents New Hearing Aid Product 69
Phonak Launches Eleva 69
GN Introduces New Hearing Aids 69
Phonak Launches Two New Product Segments 69
Widex Launches New Flagship Product for Hearing Impaired 69
GN ReSound Unveils Digital Hearing Aids in India 69
Widex Introduces Cost Efficient Hearing Aids in India 70
Phonak Launches Hi-Tech Hearing Model in India 70
Starkey Introduces Bluetooth® Hearing Aid Device 70
Med-El Launches Cochlear Implant in US 70
Med-El Corp. Introduces Cochlear Implant in Canada 70
Advanced Bionics and Phonak Launches Auria iConnect 70
Med-El Unveils DUET 71
Phonak Presents Revolutionary Products 71
Cochlear Americas Receives FDA Approval for Nucleus Freedom CI
System 71
Phonak Launches Savia Digital Hearing System 71
Sonic Innovations Introduces Innova Digital Hearing Aid 71
GN ReSound Launches ReSound Metrix Hearing Aid 72
MED-EL Introduces PULSARci100 Cochlear Implant System 72
University of Iowa Develops Short Electrode Implant 72

7. RECENT INDUSTRY ACTIVITY 73
Alliance Data Systems Enters into Long-Term Agreement with
Sycle to Offer Credit Services 73
HearAtLast Holdings and VitaSound Audio Ink Partnership Deal 73
National Hearing Care Group Introduces Operations in India 74
Panasonic to Enter into US Hearing Care Market 74
Phonak to Expand into Tier-3 Cities and Rural Indian Settings 74
Amplifon Acquires NHC 74
WDH-Otix Merger Awaiting Finalization 75
Unitron Establishes Indian Subsidiary 75
Starkey Laboratories and NCBH to Start Hearing-Aid.com 75
Sonova Holding Takes Over InSound Medical 75
Otix Global Signs Merger Agreement with William Demant 76
ON Semiconductor Takes Over Sound Design Technologies 76
Starkey Enters into Licensing Agreement with NVCP 76
HAL Holding Acquires Interest in Geers 77
Sonova Holdings Acquires Advanced Bionics 77
Cochlear Inks Agreement with NXP to Enhance Hearing Implant
Devices 77
Sonomax Hearing Healthcare Sells Rights for Software System to 3M 77
HearAtLast Holdings to Open Tinnitus Clinic in Canada 77
Natus Medical Completes Acquisition of Sonamed 78
Technitrol Announces Sonion Acquisition 78
Sonomax Completes Sale of Vitasound 79
ReSound North America Partners with Sonus 79
Starkey and SeboTek Enter into Patent License Agreement 80
GoAmerica Completes the Acquisition of Verizon TRS Division 80
AidRight Plans for Nationwide Expansion 81

8. CORPORATE ACTIVITY IN THE RECENT PAST - A PERSPECTIVE BUILDER 82
IntriCon Acquires Tibbetts Industries 82
Phonak Holding Changes Name to ‘Sonova Holding AG’ 82
Sonomax and HearAtlast Extend Business Collaboration 82
The Hearing Solution and Advanced Bionics Enter into Partnership 83
Phonak AG and ReVolt Technology Enter into Collaboration 83
AuDNet Enters into a Supply Arrangement with Vivatone 83
Sonic Innovations Divests Tympany 83
Sonic Innovations and Amplifon Enter into Supply Agreement 84
Gennum Divests Hearing Instrument and Manufacturing Business 84
Amplifon Completes Acquisition of Horakustik Gerland 84
Amplifon Completes Acquisition of Hörgeräte Weigmann and
Hörakustik Heckhuis 84
Westone and Siemens Enter into an Exclusive Strategic Alliance 85
Sonic Innovations Takes Over American-Hearing 85
Hearing Healthcare Management Announces Cascade Hearing
Centers Acquisition 85
AMI Semiconductor Acquires Select Starkey Design Center Assets 86
Sonomax Takes Over VitaSound 86
Sonomax Enters into an Agreement with Aearo 86
Amplifon Takes Over Audimed GmbH 87
Amplifon Takes Over Schnabel 87
Amplifon Announces the Acquisition of Ultravox 87
Amplifon Completes Acquisition of Laudio and Bioacustica 88
Sonomax Signs Deal with Hear Atlast 88
Sonomax Collaborates with Gennum 88
FDA Approves Cochlear’s Next Generation Implant System 88
Cochlear Bags Huge Order for Nucleus Cochlear Implants 89
GN Pockets Interton 89
Sonic Innovations Acquires Tympany 89
Cochlear Americas Acquires Entific Medical 89
Dynamic Hearing Licenses House Ear Institute 89
Misonix Signs Service Contract with Ceres Biotechnology 90
Acacia Obtains Patents for ECS 90
Sonion Establishes Hearing Aids Plant in Vietnam 90
US CMS Widens Eligibility Criteria for Cochlear Implants 90
Boston Scientific Acquires Advanced Bionics 90

9. FOCUS ON SELECT GLOBAL PLAYERS 91
Advanced Bionics Corporation (US) 91
Cochlear Limited (Australia) 91
GN Resound A/S (Denmark) 91
Med-EL Medical Electronics (Austria) 92
Neurelec SA (France) 92
Otovation LLC (USA) 92
Phonak AG (Switzerland) 93
Siemens Audiologische Technik GmbH (Germany) 93
Starkey Laboratories, Inc. (US) 93
Sonic Innovations, Inc. (US) 94
Widex A/S (Denmark) 94
William Demant Holding (Denmark) 94
Oticon A/S (Denmark) 94
Bernafon AG (Switzerland) 95

10. GLOBAL MARKET PERSPECTIVE 96
Table 7: World Recent Past, Current & Future Analysis for
Audiological Devices by Geographic Region- US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 96

Table 8: World Historic Review for Audiological Devices by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 97

Table 9: World 15-YearPerspective for Audiological Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 98

Table 10: World Recent Past, Current & Future Analysis for
Hearing Aids by Geographic Region- US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 99

Table 11: World Historic Review for Hearing Aids by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2003 through 2008 (includes corresponding Graph/Chart) 100

Table 12: World 15-YearPerspective for Hearing Aids by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 101

Table 13: World Recent Past, Current & Future Analysis for
Hearing Aids by Product Segment - Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2009 through 2017 (includes corresponding Graph/Chart) 102

Table 14: World Historic Review for Hearing Aids by Product
Segment - Behind-the-Ear, In-the-Ear, In-the-Canal and
Completely-in-the Canal Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2003 through
2008 (includes corresponding Graph/Chart) 103

Table 15: World 15-YearPerspective for Hearing Aids by Product
Segment -Percentage Breakdown of Dollar Sales for
Behind-the-Ear, In- the-Ear, In-the-Canal and
Completely-in-the Canal Markets for 2003, 2010 & 2017
(includes corresponding Graph/Chart) 104

Table 16: World Recent Past, Current & Future Analysis for
Behind-the-Ear (BTE) Hearing Aids by Geographic Region- US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 105

Table 17: World Historic Review for Behind-the-Ear (BTE)
Hearing Aids by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 106

Table 18: World 15-YearPerspective for Behind-the-Ear (BTE)
Hearing Aids by Geographic Region- Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2003, 2010 & 2017 (includes corresponding Graph/Chart) 107

Table 19: World Recent Past, Current & Future Analysis for
In-the-Ear (ITE) Hearing Aids by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 108

Table 20: World Historic Review for In-the-Ear (ITE) Hearing
Aids by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 109

Table 21: World 15-YearPerspective for In-the-Ear (ITE)
Hearing Aids by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2003, 2010 & 2017 (includes corresponding Graph/Chart) 110

Table 22: World Recent Past, Current & Future Analysis for
In-the-Canal (ITC) Hearing Aids by Geographic Region- US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 111

Table 23: World Historic Review for In-the-Canal (ITC) Hearing
Aids by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 112

Table 24: World 15-Year Perspective for In-the-Canal (ITC)
Hearing Aids by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2003, 2010 & 2017 (includes corresponding Graph/Chart) 112

Table 25: World Recent Past, Current & Future Analysis for
Completely-in-the-Canal (CIC) Hearing Aids by Geographic
Region- US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2009 through 2017 (includes corresponding Graph/Chart) 114

Table 26: World Historic Review for Completely-in-the- Canal
(CIC) Hearing Aids by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 115

Table 27: World 15-YearPerspective for Completely-in-
the-Canal (CIC) Hearing Aids by Geographic Region- Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets for Years 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 116

Table 28: World Recent Past, Current & Future Analysis for
Measurement/Testing Devices by Geographic Region- US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2009 through 2017
(includes corresponding Graph/Chart) 117

Table 29: World Historic Review for Measurement/Testing
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 118

Table 30: World 15-YearPerspective for Measurement/Testing
Devices by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets for Years
2003, 2010 & 2017 (includes corresponding Graph/Chart) 119

Table 31: World Recent Past, Current & Future Analysis for
Measurement/Testing Devices by Product Segment - Otoscopes,
Audiometers, Impedance Analyzers, Hearing Aid Analyzers and
Others Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 120

Table 32: World Historic Review for Measurement/Testing
Devices by Product Segment - Otoscopes, Audiometers, Impedance
Analyzers, Hearing Aid Analyzers and Others Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 121

Table 33: World 15-YearPerspective for Measurement/ Testing
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Otoscopes, Audiometers, Impedance Analyzers, Hearing
Aid Analyzers and Others Markets for 2003, 2010 & 2017
(includes corresponding Graph/Chart) 122

Table 34: World Recent Past, Current & Future Analysis for
Otoscopes by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 123

Table 35: World Historic Review for Otoscopes by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2003 through 2008 (includes corresponding Graph/Chart) 124

Table 36: World 15-YearPerspective for Otoscopes by Geographic
Region - Percentage Breakdown of Dollar Sales for US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets for Years 2003, 2010 & 2017
(includes corresponding Graph/Chart) 125

Table 37: World Recent Past, Current & Future Analysis for
Audiometers by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 126

Table 38: World Historic Review for Audiometers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2003 through 2008 (includes corresponding Graph/Chart) 127

Table 39: World 15-YearPerspective for Audiometers by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 128

Table 40: World Recent Past, Current & Future Analysis for
Impedence Analyzers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 129

Table 41: World Historic Review for Impedence Analyzers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 130

Table 42: World 15-YearPerspective for Impedence Analyzers by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 131

Table 43: World Recent Past, Current & Future Analysis for
Hearing Aid Analyzers by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2009 through 2017
(includes corresponding Graph/Chart) 132

Table 44: World Historic Review for Hearing Aid Analyzers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 133

Table 45: World 15-Year Perspective for Hearing Aid Analyzers
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 134

Table 46: World Recent Past, Current & Future Analysis for
Other Measurement/Testing Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 135

Table 47: World Historic Review for Other Measurement/ Testing
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2003 through 2008 (includes
corresponding Graph/Chart) 136

Table 48: World 15-Year Perspective for Other Measurement/
Testing Devices by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2003, 2010 & 2017 (includes corresponding Graph/Chart) 137

Table 49: World Recent Past, Current & Future Analysis for
Cochlear Implants by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 138

Table 50: World Historic Review for Cochlear Implants by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 139

Table 51: World 10-Year Perspective for Cochlear Implants by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2003, 2010 &
2017 (includes corresponding Graph/Chart) 140

11. THE UNITED STATES 141
A.Market Analysis 141
Outlook 141
US Hearing Aids Market Overview 141
Hearing Aids Market Bounces Back from Temporary Recession
Impact 141
Mass Marketing to Drive Industry, Replace Conventional Sales 142
Demographic Review 142
Model Preference 143
Table 52: US Hearing Aid Devices Market: Annual Sales
Figures in Thousand Units for Years 2000 through 2010
(includes corresponding Graph/Chart) 143

Table 53: US Hearing Aid Devices Market by Product Segment -
Behind-the-Ear, In- the-Ear, In-the-Canal, and
Completely-in-the Canal Markets: Annual Sales Figures in
Thousand Units for Years 2007 through 2010 (includes
corresponding Graph/Chart) 144

Table 54: US 4-Year Perspective for Hearing Aid Devices by
Product Segment -Percentage Breakdown of Volume Sales for
Behind-the-Ear, In- the-Ear, In-the-Canal, and
Completely-in- the Canal Markets for 2007, 2008 & 2010
(includes corresponding Graph/Chart) 145
Unabated VA’s Purchases Rebounds Hearing Aids Market from
Recession 145
Table 55: US Hearing Aid Devices Market by Sector (VA and
Non-VA)- Annual Sales Figures in Thousand Units for Years
2000 (includes corresponding Graph/Chart) 146

Table 56: US 15-YearPerspective for Hearing Aid Devices by
Sector -Percentage Breakdown of Volume Sales for VA and
Non-VA Markets for 2000, 2005, 2009 & 2010 (includes
corresponding Graph/Chart) 147
Regional Differences Prevail 147
Lack of Reimbursement: A Major Concern for Hearing Aids Market 147
Hearing Aid Tax Credit Proposal: A Harbinger for Growth 148
Proposed Hearing Aid Tax Credit Bills Presently Under
Review at House of Representatives and Senate 148
Market Trends 148
Digital Products Gain Ground 148
Penetration Levels Expected to Rise 149
Growing Prevalence of Hearing Impairment Boosts Market 149
BTE’s Expand Share, Approach Saturation 149
Binaural Penetration 149
Cochlear Implants on the Road to Widespread Adoption 150
Table 57: Costs Associated with a Cochlear Implant
Procedure in the US - A Historic Perspective (includes
corresponding Graph/Chart) 150
Facts and Figures about Hearing Impairment 151
Table 58: Percentage of Individuals with Hearing Loss
Relative to the General Population by Age Group in the US
(includes corresponding Graph/Chart) 151
Competitive Landscape 151
Table 59: Leading Players in the US Hearing Instruments
Market (2010E): Percentage Breakdown of Value Sales for
Starkey Laboratories, Siemens Hearing Instruments, GN
ReSound, Oticon, and Others (includes corresponding
Graph/Chart) 151

Table 60: Leading Players in the US Cochlear Implants
Market (2010E) - Percentage Share Breakdown of Sales for
Cochlear Ltd., Advanced Bionics, and MED-EL (includes
corresponding Graph/Chart) 152
Players in ABR/ OAE Analyzers 152
Table 61: Leading Players in the US ABR/ OAE Analyzers
Market (2009): Percentage Share Breakdown of Sales for
Natus Medical, Grason Stadler, and Others (includes
corresponding Graph/Chart) 152
Product Distribution System 152
Regulations & Acts 153
Safe Medical Devices Act (SDMA) 153
Hearing Aid Compatibility Act 1988 153
American Disabilities Act (ADA) 153
Federal Hearing Conservation Amendment 153
ANSI Standards for the US 154
B.Market Analytics 155
Table 62: The US Recent Past, Current & Future Analysis for
Audiological Devices by Product Segment - Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and
Completely-in-the Canal), Measurement / Testing Devices
(Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others) and Cochlear Implants Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2009 through 2017 (includes corresponding
Graph/Chart) 155

Table 63: The US Historic Review for Audiological Devices by
Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely-in- the Canal),
Measurement / Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2003 through 2008
(includes corresponding Graph/Chart) 156

Table 64: The US 15-YearPerspective for Audiological Devices
by Product Segment -Percentage Breakdown of Dollar Sales for
Hearing Aids (Behind-the-Ear, In- the-Ear, In-the-Canal and
Completely-in-the Canal), Measurement/Testing Devices
(Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others) and Cochlear Implants Markets for
2003, 2010 & 2017 (includes corresponding
Graph/Chart) 157


12. CANADA 158
A.Market Analysis 158
Outlook 158
Cochlear Implants 158
B.Market Analytics 159
Table 65: Canadian Recent Past, Current & Future Analysis
for Audiological Devices by Product Segment - Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and Completely-
in-the Canal), Measurement/Testing Devices (Otoscopes,
Audiometers, Impedance Analyzers, Hearing Aid Analyzers and
Others) and Cochlear Implants Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2009
through 2017 (includes corresponding Graph/Chart) 159

Table 66: Canadian Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely-in- the Canal),
Measurement/ Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2003 through 2008
(includes corresponding Graph/Chart) 160

Table 67: Canadian 15-YearPerspective for Audiological
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal),
Measurement/Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets for 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 161

13. JAPAN 162
A.Market Analysis 162
Regulatory Environment 162
Distribution System 162
Rion co. Ltd. - a key player 163
B.Market Analytics 164
Table 68: Japanese Recent Past, Current & Future Analysis
for Audiological Devices by Product Segment - Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and Completely-
in-the Canal), Measurement/Testing Devices (Otoscopes,
Audiometers, Impedance Analyzers, Hearing Aid Analyzers and
Others) and Cochlear Implants Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2009
through 2017 (includes corresponding Graph/Chart) 164

Table 69: Japanese Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely-in- the Canal),
Measurement/ Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2003 through 2008
(includes corresponding Graph/Chart) 165

Table 70: Japanese 15-YearPerspective for Audiological
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal),
Measurement/Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets for 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 166

14. EUROPE 167
A.Market Analysis 167
Outlook 167
Cochlear Implants Market 167
Regulatory Environment 168
Private Sector Offers Lucrative Opportunities 168
Reimbursement Issues 168
Standards for Hearing Protection 168
B.Market Analytics 169
Table 71: European Recent Past, Current & Future Analysis
for Audiological Devices by Geographic Region - France,
Germany, Italy, UK, Spain, Russia and Rest of Europe Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2009 through 2017 (includes corresponding
Graph/Chart) 169

Table 72: European Historic Review for Audiological Devices
by Geographic Region - France, Germany, Italy, UK, Spain,
Russia and Rest of Europe Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2003
through 2008 (includes corresponding Graph/Chart) 170

Table 73: European 10-Year Perspective for Audiological
Devices by Geographic Region - Percentage Breakdown of
Dollar Sales for France, Germany, Italy, UK, Spain, Russia
and Rest of Europe Markets for Years 2003, 2010 & 2017
(includes corresponding Graph/Chart) 171

Table 74: European Recent Past, Current & Future Analysis
for Audiological Devices by Product Segment- Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the- Canal and
Completely-in-the Canal), Measurement/ Testing Devices
(Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others) and Cochlear Implants Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2009 through 2017 (includes corresponding
Graph/Chart) 172

Table 75: European Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely in-the Canal),
Measurement/ Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2003 through 2008
(includes corresponding Graph/Chart) 173

Table 76: European 15-Year Perspective for Audiological
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal),
Measurement/Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets for 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 174

14a. FRANCE 175
A.Market Analysis 175
Outlook 175
Amplifon Groupe - A Key Player 175
B.Market Analytics 176
Table 77: French Recent Past, Current & Future Analysis for
Audiological Devices by Product Segment - Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the- Canal and
Completely-in-the Canal), Measurement/ Testing Devices
(Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others) and Cochlear Implants Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2009 through 2017 (includes corresponding
Graph/Chart) 176

Table 78: French Historic Review for Audiological Devices by
Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely- in-the Canal),
Measurement/ Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2003 through 2008
(includes corresponding Graph/Chart) 177

Table 79: French 15-Year Perspective for Audiological
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal),
Measurement/Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets for 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 178

14b. GERMANY