Global Audiological Devices Industry

• Publication date: October 2012
• Report size: 442 pages

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. Further, the global Hearing Aids market is analyzed in '000 units for geographic regions including the US, Canada, Ja...

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. Further, the global Hearing Aids market is analyzed in '000 units for geographic regions including the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2010 through 2018. Also, a five-year historic analysis is provided for these markets. The report profiles 62 companies including many key and niche players such as Cochlear Limited, GN Resound A/S, Med-EL Medical Electronics, Neurelec SA, Otovation LLC, Siemens Audiologische Technik GmbH, Starkey Laboratories, Inc., Sonova Holding AG, Advanced Bionics Corporation, Phonak AG, Widex A/S, William Demant Holding, Bernafon AG, Sonic Innovations, and Oticon A/S. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based upon search engine sources in the public domain.

Pathology Industry in Asia

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


II. EXECUTIVE SUMMARY

1. GLOBAL MARKET OVERVIEW AND ANALYSIS II-1
A Primer II-1
Developed Markets Lead the Suite in Sales II-1
Hearing Aids - Maintain Their Dominance II-2
Cochlear Implants - The Fastest Growing Segment II-2
Key Market Drivers II-3
World Hearing Loss Prevalence II-3
A Snapshot of Global Hearing Loss Statistics II-4
Table 1: World Moderate-to-Severe Hearing Impaired Population
for Years 2006 through 2015 (includes corresponding
Graph/Chart) II-4
Unraveling the Opportunities Ahead II-4
Demographic Metrics II-4
Table 2: Worldwide Distribution of 65+ Population by
Region/Country: 2011 (includes corresponding Graph/Chart) II-5

Table 3: Percentage Share of Global Population by Age Group,
Worldwide: 2025 (includes corresponding Graph/Chart) II-5
Growing Life Expectancy II-5
Table 4: Life Expectancy at Birth for Select Countries
(2011) II-6
Increasing Hearing Impairment among Younger Population II-6

2. HEARING AIDS MARKET DYNAMICS II-8
Global Demand for Hearing Aids Upbeat II-8
2011 in Retrospect II-8
Favorable Demographics to Append Volume Sales II-9
Penetration Rates Still Higher in the Aged Population II-9
Technological Advancements Underscore Hearing Aid Market II-9
Digital Technology Takes Precedence II-10
Hearing Aids and the World of Connectivity II-10
Bluetooth Technology - Enabling Connectivity of HAs with
Other Media Devices II-10
Hearing Aid Compatibility with Phones - A Review of the
Technology and Laws in the US II-11
Customization - the Driving Force behind Product Specialization II-11
Market Moves towards Miniaturization II-12
Imparting Disposability to Hearing Aids II-12
Product Mix and Poor Economic Outlook to Hold Back Prices II-12
Table 5: Average Annual Selling Prices of Hearing Aids
Worldwide in US$ for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-13
Binaural Fittings Market to Grow II-13
Table 6: World Binaural Fitting Rates by Region - US, EU,
Asia-Pacific and Rest of World for Years 2005, 2010, 2015 &
2020 (includes corresponding Graph/Chart) II-14
Consumers Demand More Value-Added Features II-14
Invisible Devices - A New Class of Products on the Market II-14
Need for Change in Business Models Imperative for Lowering Costs II-15
An Analysis of HA Cost Structure II-15
Industry Value Chain II-16
Table 7: Hearing Aid Industry Value Chain: Cost and Value
Addition by Segment (includes corresponding Graph/Chart) II-16
Poor Levels of Hearing Aid Penetration Promise Bright Prospects II-16
Table 8: World Hearing Loss Population Breakdown by Severity:
2011 (includes corresponding Graph/Chart) II-17

Table 9: Penetration of Hearing Systems: Breakdown for Users
and Non-Users of Hearing Systems (includes corresponding
Graph/Chart) II-17

Table 10: World Hearing Aid Adoption Rate for Years 2006-2015
(includes corresponding Graph/Chart) II-18

Table 11: World Adoption Rate of Hearing Aids by Region - US,
EU, Asia-Pacific and Rest of World for Years 2005, 2010, 2015 &
2020 (includes corresponding Graph/Chart) II-18

Table 12: Hearing Aid Penetration Rate in Select Countries
Worldwide (includes corresponding Graph/Chart) II-19
Subsidy/Reimbursement Scenario for Hearing Aids II-19
A Review of Subsidy/Reimbursement System for Hearing Aids in
Select Regional Markets II-19

3. COCHLEAR IMPLANTS - MARKET REVIEW II-21
Cochlear Implants Gain Visibility II-21
Low Penetration of CI Implants - A Concern and an Opportunity II-21
Reimbursement of Cochlear Implants II-22
Cochlear Implants Reimbursements: A Review (Recent Past) II-22
Adult Patient Segment - the Next Growth Avenue for Cochlear
Implants II-22
Emerging Markets - Will They Offset Slowing Sales Growth in
Developed Markets? II-22
Bilateral Implantation Catching Up II-23
Diversity Exists in Adoption of Regional Binaural Hearing Devices II-23
Robust Prospects for BAHI in Developed Markets II-24

4. COMPETITIVE LANDSCAPE II-25
Hearing Aids Market II-25
Handful of Players Dominate the Marketplace II-25
Table 13: Leading Players in the Global Hearing Aid Market
by Value (2011): Percentage Breakdown of Revenues for
Sonova, W. Demant, Starkey, Siemens, GN ReSound and Others
(includes corresponding Graph/Chart) II-25

Table 14: Leading Players in the Global Hearing Aid Market
by Volume (2011): Percentage Breakdown of Volume Sales for
Sonova, W. Demant, Siemens, GN ReSound, Widex and Others
(includes corresponding Graph/Chart) II-25
Hearing Aids Market: Products and Distribution Presence of
Key Competitors II-26
Hearing Aid Markets Witnesses Shuffle in Rankings II-26
Consolidation Activity Continues in the Hearing Aid Industry II-26
Consolidation Activity in the Hearing Aids Industry: Select
Key Acquisitions 2006-2012 II-27
Strong Portfolio Pushes Sonova to the Top II-28
InSound’s Acquisition to Boost Sonova’s Hearing Aids Sales II-28
GN ReSound Pins Hopes on Resound Alera II-28
The Road Ahead for Siemens II-29
Product Diversification - the New Mantra to Beat Competition II-29
Vertical Integration Catches Impetus in Hearing Aid Industry II-29
Higher R&D Costs and Patent Situation II-30
Measurement/Testing Devices II-30
Competition in Cochlear Implants Market II-30
Table 15: Leading Players in the Global Cochlear Implant
Market (2009-2011): Percentage Breakdown of Unit Sales for
Cochlear, Med El, Advanced Bionics and Neurelec (includes
corresponding Graph/Chart) II-31
Cochlear Running Virtual Monopoly in the BAHI Market II-31
Competitive Assessment for Future II-32
Sonova’s Cochlear Implants Market - Marred with Recalls II-32
New Products to Expand Sonova’s Share in Hearing Implant Market II-32
Cost advantages to Assist Sonova in CI Implants II-33
Advanced Bionics to Make Further Advances in Implants Market II-33
Chinese Manufacturers Make a Foray in to Cochlear Implants
Market II-33

5. DISTRIBUTION MARKET DYNAMICS II-34
Major Distribution Channels for Hearing Aid Manufacturers II-34
Amplifon Dominates the Hearing Aid Retail Market II-34
Table 16: Leading Suppliers of Hearing Aids to Amplifon
(2011): Percentage Breakdown of Volume Shipments for
Siemens, GN ReSound and Others (includes corresponding
Graph/Chart) II-35

Table 17: Amplifon’s Share in Manufacturer Shipments in
Percentage: 2011 (includes corresponding Graph/Chart) II-35
Key Public Distribution Contracts for Hearing Devices Worldwide II-35
Still Room for Further Consolidation II-35
Table 18: Leading Retailers of Hearing Aids Worldwide (2011):
Percentage breakdown of Sales for Independent Retail Stores,
Public Health Schemes, Manufacturers' Retail Stores, and
Retail Chains (includes corresponding Graph/Chart) II-36

6. PRODUCT OVERVIEW II-37
Audiology: A Prologue II-37
Human and Technical Aids II-37
Audiological Devices II-37
Classification of Audiological Devices II-37
Hearing Aids II-38
History of Hearing Aids II-38
Types of Hearing Aids II-39
Behind-The-Ear (BTE) II-39
Advantages II-39
Disadvantages II-39
Open-Fit Mini Behind-The-Ear II-39
In-the-Ear (ITE) II-39
Advantages II-40
Disadvantages II-40
In-the-Canal (ITC) II-40
Advantages II-40
Disadvantages II-40
Completely-in-the Canal (CIC) II-40
Advantages II-41
Disadvantages II-41
Broader Classification of Hearing Aids II-41
Conventional Hearing Aids II-41
Programmable Hearing Aids II-41
Digital Hearing Aids II-42
Technology - Analog Vs. Digital II-42
Disposable Hearing Aids II-42
Hearing Aids Batteries II-42
Common Problems Associated with Use of Hearing Aids II-43
Common Cold Affects Functioning of Hearing Aids II-43
Hygiene Problems Associated with Hearing Aids II-43
Prevention of Transmission II-43
Trends in Hearing Aids and Hearing Aids Batteries Market II-43
Measurement/Testing Devices II-44
Otoscopes II-44
Video Otoscopes II-44
Audiometers II-44
Audiogram II-45
Working of an Audiogram II-45
Audiogram Interpretation II-45
Audiometric Tests II-46
Impedance Analyzers II-46
Hearing Aid Analyzers II-46
Other Measurement/Testing Devices II-46
Cochlear Implants II-46
Cochlear Implant Technology II-46
Beneficiaries of Cochlear Implant II-47
Cochlear Implants Found Effective in Children II-47

7. AN INSIGHT INTO THE HUMAN AUDITORY SYSTEM II-48
The Hearing Process II-48
Nature And Types Of Hearing Loss II-48
Determining the Level of Hearing Impairment II-49
Hearing Impairments II-49
Conductive Hearing Loss II-49
Sensor Neural Hearing Loss (SNHL) II-49
Noise Induced Hearing Loss II-50
Congenital Hearing Loss II-50
Common Causes of Hearing Loss II-50
Presbycusis II-50
Diseases II-51
Otitis Media II-51
Autoimmune Disease II-51
Otosclerosis II-51
Meniere’s Disease II-51
Tinnitus II-51
Subjective Tinnitus II-51
Objective Tinnitus II-51
Treatment II-52
Treatment for SNHL II-52
Sound Amplification Through Hearing Aids II-52
Ear Surgery II-52
Stapedectomy II-53
Tympanoplasty II-53
Ear Tube Surgery and Myringotomy II-53
Ear Surgery for Perforated Eardrum II-53
Ear Surgery for Tumors II-54
Ear surgery for Congenital Ear Defects II-54
Other Ear Surgeries II-54
Cochlear Implants II-54
Tinnitus II-54
Hearing Conservation Programs II-55
Strategies to Control Noise - Administrative and Engineering
Controls II-55
Regulatory Steps Initiated in Europe II-55
Effective Hearing Conservation Program - Characteristics II-55

8. PRODUCT INNOVATIONS/LAUNCHES II-56
Hansaton Unveils AQ Slim BTE II-56
Audiologial Consultants Launches New Version of Lyric Hearing Aid II-56
Phonak Unveils the Smallest Personalized Hearing Aid, nano II-56
Resound Launches RESOUND VEA II-56
Siemens Rolls Out an Upgrade to BestSound Technology II-57
Oticon Launches Oticon Intigai II-57
Siemens Launches Eclipse Hearing Aid II-58
Siemens Unveils New Advanced BestSound Technology, XCEL II-58
Resound Launches Resound Alera TS II-59
Starkey Hearing Technologies Launches New Wireless Products II-59
Widex Launches Widex Super220 and Widex Super440 Hearing Aids II-60
Widex Launches IIC Hearing Aid II-60
Panasonic Introduces R1-W Series of Digital Hearing Instruments II-60
Metrohm Launches FRA32M II-61
Panasonic Launches R1-W Series II-61
Sonic Launched Flip, a miniRIC Hearing Instrument II-62
Sonic to Launch New MiniRIC Device II-62
Panasonic Develops New Automatic Volume Level Fitting
Technology for Hearing Aids II-63
Phonak Launches New H20 Watertight Hearing Device II-63
Starkey Introduces MiniRIC hearing Aid, Xino II-63
Siemens Unveils an Upgraded Ear Impression Scanner, iScan II-63
UnitedHealth Expands Healthcare Business to Include Hearing Aids II-63
Advanced Bionics Obtains FDA Approval for HiRes 90K Cochlear
Implant Market Re-entry II-64
MED-EL Introduces New MAESTRO™ CI System II-64
Siemens Hearing Instruments Rolls Out Eclipse: a Discreet
Hearing Aid II-64
Starkey Laboratories Launches X Series: a New Range of Digital
Hearing Aids II-65
Audiotoniq Launches Professional Hearing Test and Digital BTE II-65
Siemens Launches Aquaris II-66
Cochlear Americas Gets FDA Clearance for Cochlear™ Baha® 3
Power Sound Processor II-66
OTOVATION and Widex Jointly Release OTOPod ProgLink II-66
ReSound Launches New Alera Extensions II-67
Los Gatos Audiology and Hearing Aid Center Introduces New
Website LosGatosHearingAid.com II-67
American Hearing Aid Associates Introduces Consumer Website
SecondSenseHearing.com II-67
Beltone Introduces Beltone True MIC and Beltone True Flex BTE II-68
Comfort Audio Introduces Comfort Digisystem Series of Digital
ALDs in North America II-68
ExSilent Unveils Ytango Product Range II-68
ExSilent Launches Qleaf Pro Hearing Aids II-69
HearPod Introduces Clear Choice Hearing Aids II-69
InSound Medical Introduces Invisible Hearing Device Lyric in UK II-69
IntriCon Introduces APT™ Open ITC Hearing Aid II-69
Miracle-Ear Launches Mirage Hearing Aid II-70
North Shore Eye Launches Hearing Services II-70
Phonak Introduces Audéo S SMART Ceramics II-70
Purple Communications Introduces ClearCaptions™ Service for
Hearing Disabled People II-71
Siemens Hearing Instruments Unveils Aquaris™ II-71
Sonic Innovations Launches Groove CIC Hearing Aid II-71
Sonic Innovations Unveils Varicom Product Line II-72
Starkey Rolls Out AMP Hearing Aid II-72
Unitron Introduces Era Platform II-72
US NewSound Launches CIC - Bee II-72
NowiHear.com Launches NowiHear Application for Android II-73
ReSound Introduces ReSound Alera Configurable BTE 77/87
Hearing Aid II-73
Hansaton USA Rolls Out AQ X-Mini II-73
Siemens Hearing Instruments Launches iMini Hearing Instrument II-73
ReSound Develops Remote Microphone Technology for Hearing Aids II-73
Inmedico Launches Oscilla USB-350SP II-74
Oticon Unveils Acto and Chili Hearing Aids II-74
Oticon Medical Launches Four New Hearing Aids II-75
Oticon Launches Safari SP II-75
AB Launches Harmony II-76
Unitron to Launch Wireless Digital Hearing Aids II-76
HIOKI to Launch IM3570 II-77
Apple Biomedical Launches MDScope II-77
OTOVATION Launches OTOpod M2 II-77
Otovation Introduces New OTOPod® M2 and Improved Symphony®
Software II-78
GN ReSound Launches ReSound Live 312 ITC II-78
Ear Specialists of Omaha Introduce New Website II-78
HearSource.com Introduces New Hearing Aids Website II-79
SeboTek Launches Sebo HD Product Range II-79
Ascent Hearing Introduces iSync iNSTAFit II-79
Widex Hearing Aids to Introduce Fusion Product Range II-79
Sonova Launches Multiple Products II-80
ReSound Unveils Alera II-80
Sonic Innovations to Launch Endura II-80
IntriCon to launch ScenicTM DSP Amplifier II-80
Siemens Hearing Instruments Unveils BestSound Technology Products II-81
Sonova Holding Unveils New Brand, Sona II-81
Oticon to Launch Oticon Agil II-81
Hansaton Introduces Products in the US Market II-81
ReSound Launches Live ITC Remote Microphone Custom Hearing
Instruments II-82
Cochlear Launches Hearing Aid Technology II-82

9. PRODUCT INNOVATIONS/LAUNCHES IN RECENT PAST - A PERSPECTIVE
BUILDER II-83
Starkey Unveils S Series Hearing Aids II-83
Cochlear Introduces Implantable Hearing Solutions II-83
Sleek Audio Introduces the VQ System II-83
Widex Introduces Hearing Aids with Integrated Digital Signal
Processing II-83
America Hears Launches Digital Hearing Aids II-83
Siemens Launches Hearing Aids Range II-84
America Hears Unveils Digital Hearing Aid Range II-84
Songbird Hearing Unveils Songbird Flexfit Hearing Aid II-85

10. RECENT INDUSTRY ACTIVITY II-86
Advanced Bionics Receives U.S FDA Approval for ClearVoice™ II-86
Amplifon Acquires Majority Stake of Maxtone II-86
IntriCon Enters into Manufacturing Agreement with Hi
HealthInnovations II-86
Wolfson Microelectronics to Takeover Dynamic Hearing II-86
Diagnostic Group Takes Over Sensory Devices II-87
Audiology Distribution Acquires HearUSA II-87
Alliance Data Systems Enters into Long-Term Agreement with
Sycle to Offer Credit Services II-87
HearAtLast Holdings and VitaSound Audio Ink Partnership Deal II-88
National Hearing Care Group Introduces Operations in India II-88
Panasonic to Enter into US Hearing Care Market II-88
Phonak to Expand into Tier-3 Cities and Rural Indian Settings II-89
Otix Global Merges with William Demant Holding II-89
Sonova Takes Over InSound Medical II-89
Amplifon Acquires NHC II-90
WDH-Otix Merger Awaiting Finalization II-90
Unitron Establishes Indian Subsidiary II-90
Starkey Laboratories and NCBH to Start Hearing-Aid.com II-90
Sonova Holding Takes Over InSound Medical II-91
Otix Global Signs Merger Agreement with William Demant II-91
ON Semiconductor Takes Over Sound Design Technologies II-91
Starkey Enters into Licensing Agreement with NVCP II-92
HAL Holding Acquires Interest in Geers II-92

11. CORPORATE ACTIVITY IN THE RECENT PAST - A PERSPECTIVE BUILDER II-93
Sonova Holdings Acquires Advanced Bionics II-93
Cochlear Inks Agreement with NXP to Enhance Hearing Implant
Devices II-93
Sonomax Hearing Healthcare Sells Rights for Software System to 3M II-93
HearAtLast Holdings to Open Tinnitus Clinic in Canada II-93
Natus Medical Completes Acquisition of Sonamed II-94
Technitrol Announces Sonion Acquisition II-94
Sonomax Completes Sale of Vitasound II-94
ReSound North America Partners with Sonus II-95
Starkey and SeboTek Enter into Patent License Agreement II-95
GoAmerica Completes the Acquisition of Verizon TRS Division II-96
AidRight Plans for Nationwide Expansion II-96

12. FOCUS ON SELECT GLOBAL PLAYERS II-97
Cochlear Limited (Australia) II-97
GN ReSound A/S (Denmark) II-97
Med-EL Medical Electronics (Austria) II-97
Neurelec SA (France) II-98
Neurelec’s Product Portfolio II-98
Otovation LLC (USA) II-98
Siemens Audiologische Technik GmbH (Germany) II-98
Starkey Laboratories, Inc. (US) II-99
Sonova Holding AG (Switzerland) II-99
Advanced Bionics Corporation (US) II-99
Phonak AG (Switzerland) II-100
Widex A/S (Denmark) II-100
William Demant Holding (Denmark) II-100
Bernafon AG (Switzerland) II-101
Sonic Innovations, Inc. (US) II-101
Oticon A/S (Denmark) II-101

13. GLOBAL MARKET PERSPECTIVE II-102
Table 19: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-102

Table 20: 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 Revenues Figures in US$
Million for Years 2005 through 2009 (includes corresponding
Graph/Chart) II-103

Table 21: World 14-Year Perspective for Audiological Devices
by Geographic Region - Percentage Breakdown of Revenues for
US, Canada, Japan, Europe, Asia- Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2005, 2011 &
2018 (includes corresponding Graph/Chart) II-104

Table 22: 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 Volume Sales
in Thousand Units for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-105

Table 23: World 9-Year Perspective for Hearing Aids by
Geographic Region - Percentage Breakdown of Unit Sales for US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets for Years 2010, 2012 & 2018
(includes corresponding Graph/Chart) II-106

Table 24: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-107

Table 25: 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 Revenues Figures in US$ Million for Years
2005 through 2009 (includes corresponding Graph/Chart) II-108

Table 26: World 14-YearPerspective for Hearing Aids by
Geographic Region - Percentage Breakdown of Revenues for US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-109

Table 27: 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 Revenues Figures in US$ Million for Years
2010 through 2018 (includes corresponding Graph/Chart) II-110

Table 28: 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 Revenues Figures in US$ Million for Years 2005 through
2009 (includes corresponding Graph/Chart) II-111

Table 29: World 14-YearPerspective for Hearing Aids by Product
Segment - Percentage Breakdown of Revenues for Behind-the-Ear,
In-the-Ear, In-the-Canal and Completely-in-the Canal Markets
for Years 2005, 2011 & 2018 (includes corresponding
Graph/Chart) II-112

Table 30: 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 2010 through
2018 (includes corresponding Graph/Chart) II-113

Table 31: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-114

Table 32: World 14-YearPerspective for Behind- the-Ear (BTE)
Hearing Aids by Geographic Region - Percentage Breakdown of
Revenues for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-115

Table 33: 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 Revenues Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) II-116

Table 34: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-117

Table 35: World 14-YearPerspective for In-the-Ear (ITE)
Hearing Aids by Geographic Region - Percentage Breakdown of
Revenues for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-118

Table 36: 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 2010 through
2018 (includes corresponding Graph/Chart) II-119

Table 37: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-120

Table 38: World 14-YearPerspective for In-the- Canal (ITC)
Hearing Aids by Geographic Region - Percentage Breakdown of
Revenues for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-121

Table 39: 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 Revenues Figures in US$ Million for Years
2010 through 2018 (includes corresponding Graph/Chart) II-122

Table 40: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-123

Table 41: World 14-YearPerspective for Completely-
in-the-Canal (CIC) Hearing Aids by Geographic Region-
Percentage Breakdown of Revenues for US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets for Years 2005, 2011 & 2018 (includes
corresponding Graph/Chart) II-124

Table 42: 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
Revenues Figures in US$ Million for Years 2010 through 2018
(includes corresponding Graph/Chart) II-125

Table 43: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-126

Table 44: World 14-YearPerspective for Measurement/Testing
Devices by Geographic Region - Percentage Breakdown of
Revenues for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-127

Table 45: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-128

Table 46: World Historic Review for Measurement/ Testing
Devices by Product Segment - Otoscopes, Audiometers, Impedance
Analyzers, Hearing Aid Analyzers and Others Markets
Independently Analyzed with Annual Revenues Figures in US$
Million for Years 2005 through 2009 (includes corresponding
Graph/Chart) II-129

Table 47: World 14-YearPerspective for Measurement/ Testing
Devices by Product Segment - Percentage Breakdown of Revenues
for Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-130

Table 48: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-131

Table 49: 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 Revenues Figures in US$ Million for Years
2005 through 2009 (includes corresponding Graph/Chart) II-132

Table 50: World 14-YearPerspective for Otoscopes by Geographic
Region - Percentage Breakdown of Revenues for US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-133

Table 51: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-134

Table 52: 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 Revenues Figures in US$ Million for Years
2005 through 2009 (includes corresponding Graph/Chart) II-135

Table 53: World 14-YearPerspective for Audiometers by
Geographic Region - Percentage Breakdown of Revenues for US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-136

Table 54: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-137

Table 55: 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 Revenues Figures in US$
Million for Years 2005 through 2009 (includes corresponding
Graph/Chart) II-138

Table 56: World 14-YearPerspective for Impedence Analyzers by
Geographic Region - Percentage Breakdown of Revenues for US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-139

Table 57: 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
Revenues Figures in US$ Million for Years 2010 through 2018
(includes corresponding Graph/Chart) II-140

Table 58: 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 Revenues Figures in US$
Million for Years 2005 through 2009 (includes corresponding
Graph/Chart) II-141

Table 59: World 14-Year Perspective for Hearing Aid Analyzers
by Geographic Region - Percentage Breakdown of Revenues for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2005, 2011 &
2018 (includes corresponding Graph/Chart) II-142

Table 60: 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 Revenues Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) II-143

Table 61: 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 Revenues
Figures in US$ Million for Years 2005 through 2009 (includes
corresponding Graph/Chart) II-144

Table 62: World 14-Year Perspective for Other Measurement/
Testing Devices by Geographic Region - Percentage Breakdown of
Revenues for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-145

Table 63: 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 Revenues
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-146

Table 64: 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 Revenues Figures in US$
Million for Years 2005 through 2009 (includes corresponding
Graph/Chart) II-147

Table 65: World 10-Year Perspective for Cochlear Implants by
Geographic Region - Percentage Breakdown of Revenues for US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets for Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) II-148


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Outlook III-1
Demographic Review III-1
Facts and Figures about Hearing Impairment III-2
Table 66: Hearing Impaired Population in the US for Years
2000-2020 (includes corresponding Graph/Chart) III-2

Table 67: Hearing Loss Prevalence in the US by Age Group
(2011): Percentage of Individuals with Hearing Loss
Relative to the General Population (includes corresponding
Graph/Chart) III-3

Table 68: Hearing Aid Adoption Rate in the US by Age Group:
2011 (includes corresponding Graph/Chart) III-3

Table 69: US Binaural Hearing Aid Adoption Rates by Age
Group: 2011 (includes corresponding Graph/Chart) III-3

Table 70: Percentage Breakdown of Severe to Profound
Hearing Impaired Population in the US by Age Group: 2011
(includes corresponding Graph/Chart) III-4
US Hearing Aids Market Overview III-4
Pent Up Demand for Hearing Aids Post Recession III-4
Table 71: US Hearing Aid Devices Market: Annual Sales
Figures in Thousand Units for Years 2007 through 2015
(includes corresponding Graph/Chart) III-4

Table 72: Share of Third Party Payments in the US Hearing
Aids Market: 1997-2011 (includes corresponding
Graph/Chart) III-5

Table 73: Third Party Payments in the US Hearing Aid
Market (2011): Percentage Breakdown of Volume Sales for
VA, Insurance, Medicare, Medicaid, HMO and Others
(includes corresponding Graph/Chart) III-5

Table 74: US Out-Of-Pocket Payments for Hearing Aids by
Type: Average Retail Prices for BTE, ITC and ITE for Years
2000, 2005 & 2010 (includes corresponding Graph/Chart) III-5
Is Hearing Aids Market Truly Recession Proof? III-6
Changing User Mix to Shape Future Demand III-6
Reversal in Trend III-6
Model Preferences III-7
Digital Products Gain Ground III-7
Penetration Levels Expected to Rise III-7
US Veterans Market for Hearing Aids - An Insight III-7
Table 75: US Veteran Administration Hearing Devices Market
by Type (2011): Percentage Breakdown of Unit Sales for
Hearing Aids and Other Devices (includes corresponding
Graph/Chart) III-8
New Companies Throng the VA Market III-8
Table 76: Major Suppliers of Hearing Aids to the US
Veteran Administration (2011): Unit Shipments for Sonova,
Starkey, W.Demant, GN Resound and Siemens (includes
corresponding Graph/Chart) III-8
Player Dominance Varies by Type of Device III-9
Product Distribution System III-9
Table 77: Major Distribution Sources of Hearing Aids in
the US: 2011 (includes corresponding Graph/Chart) III-9
Forward Integration of Manufacturers - The New Rage III-10
A Focus on DTC Market in Hearing Aids III-10
Online Sales of Hearing Aids - A New Controversy Brewing III-10
The Laws of the Land III-11
The Price Angle to the Controversy III-11
Insurance Coverage for Hearing Aids in the US III-11
Table 78: Major Health Insurers in the US by Membership
Strength: 2008 (In Million) (includes corresponding
Graph/Chart) III-12
Insurance Mandates on Hearing Aids in Select Sates of the US III-12
A Focus on Medicaid Regulations in the US: Coverage on
Hearing Aids by State III-14
Cochlear Implant Market - An Overview III-16
Cochlear Implants on the Road to Widespread Adoption III-16
Signs of Maturity Emerge in the US Pediatric Cochlear Market III-16
Competitive Landscape III-16
Table 79: Leading Players in the US Hearing Instruments
Market (2010): Percentage Breakdown of Value Sales for
Starkey Laboratories, Siemens Hearing Instruments, GN
ReSound, Oticon, and Others (includes corresponding
Graph/Chart) III-16

Table 80: Leading Players in the US Cochlear Implants
Market (2011) - Percentage Share Breakdown of Sales for
Cochlear Ltd., Advanced Bionics, and MED-EL (includes
corresponding Graph/Chart) III-17
Players in ABR/ OAE Analyzers III-17
Table 81: Leading Players in the US ABR/OAE Analyzers
Market (2011): Percentage Share Breakdown of Sales for
Natus Medical, Grason Stadler, and Others (includes
corresponding Graph/Chart) III-17
Regulations & Acts III-17
Safe Medical Devices Act (SDMA) III-17
Hearing Aid Compatibility Act 1988 III-17
American Disabilities Act (ADA) III-18
Federal Hearing Conservation Amendment III-18
ANSI Standards for the US III-18
Would FDA Re-Draw Approval Policies? III-18
Potential Market Risks for Manufacturers III-19
Recent Product Launches III-19
Recent Corporate Activity III-30
Select Key Players III-32
B.Market Analytics III-34
Table 82: 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 Revenues Figures in US$
Million for Years 2010 through 2018 (includes corresponding
Graph/Chart) III-34

Table 83: 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
Revenues Figures in US$ Million for Years 2005 through 2009
(includes corresponding Graph/Chart) III-35

Table 84: The US 14-Year Perspective for Audiological
Devices by Product Segment - Percentage Breakdown of
Revenues 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 Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) III-36

2. CANADA III-37
A.Market Analysis III-37
Outlook III-37
Recent Product Launch III-37
Recent Corporate Activity III-37
B.Market Analytics III-39
Table 85: 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 Revenues Figures in US$
Million for Years 2010 through 2018 (includes corresponding
Graph/Chart) III-39

Table 86: 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
Revenues Figures in US$ Million for Years 2005 through 2009
(includes corresponding Graph/Chart) III-40

Table 87: Canadian 14-Year Perspective for Audiological
Devices by Product Segment - Percentage Breakdown of
Revenues 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 Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) III-41

Table 88: Canadian Market for Hearing Aids: Annual Sales
Figures in Thousand Units for Years 2010 through 2018
(includes corresponding Graph/Chart) III-42

3. JAPAN III-43
A.Market Analysis III-43
Outlook III-43
Regulatory Environment III-43
Distribution System III-43
Recent Product Launches III-44
Rion Co. Ltd. - A Key Japanese Manufacturer III-45
B.Market Analytics III-46
Table 89: 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 Revenues Figures in US$
Million for Years 2010 through 2018 (includes corresponding
Graph/Chart) III-46

Table 90: 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 2005 through 2009
(includes corresponding Graph/Chart) III-47

Table 91: Japanese 14-Year Perspective for Audiological
Devices by Product Segment - Percentage Breakdown of
Revenues 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 Years 2005, 2011 & 2018
(includes corresponding Graph/Chart) III-48

Table 92: Japanese Market for Hearing Aids: Annual Sales
Figures in Thousand Units for Years 2010 through 2018
(includes corresponding Graph/Chart) III-49

4. EUROPE III-50
A.Market Analysis III-50
Outlook III-50
European Hearing Aid Market - An Overview III-50
Hearing Aids - A Peek into Technology and Penetration Dynamics III-50
Would Economic Woes in Europe affect Demand for Hearing Aids? III-51
A Glimpse of the Competitive Environment in European Hearing
Devices Market III-51
Key Statistics III-51
Table 93: Hearing Impaired Population in Select European
Countries (includes corresponding Graph/Chart) III-51

Table 94: Binaural Fitting Rates in Select European
Countries/Regions: 2011 (includes corresponding
Graph/Chart) III-52
Cochlear Implants Market III-52
Regulatory Environment III-52
Private Sector Offers Lucrati