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Global Audiological Devices Market

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

This report analyzes the worldwide markets for Audiological Devices both by value (US$ Thousands) and by volume (Thousand Units) 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 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 64 companies including many key and niche players such as -

Cochlear Limited
GN ReSound A/S
Med-EL Medical Electronics
Otovation LLC
Sonova Holding AG

Table Of Contents

Global Audiological Devices Market



I. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS
Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation and Reporting Level I-2
Quantitative Techniques and Analytics I-3
Product Definitions and Scope of Study I-3
Hearing Aids I-3
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-4
Hearing Aid Analyzers I-5
Other Measurement/Testing Devices I-5
Cochlear Implants I-5
Bone Anchored Hearing Aids (BAHA) Implants I-5


II. EXECUTIVE SUMMARY

1. GLOBAL MARKET OVERVIEW AND ANALYSIS II-1
Curtain Raiser II-1
Developed Markets Dominate Sales, Developing Countries Drive
Momentum II-2
Hearing Aids - The Dominant Product Segment II-2
Volume Sales of Hearing Aids On a Positive Note II-3
Behind-the-ear Hearing Aids Corner Lion's Share of Global
Hearing Aids Market II-4
Cochlear Implants - The Fastest Growing Product Segment II-4
Emerging Economies: Opportunities in Store II-5
Table 1: Healthcare Spending as a Percentage of GDP across
Major Countries (2012) (includes corresponding Graph/Chart) II-6

2. MARKET GROWTH DRIVERS and CONSTRAINTS II-7
High Global Prevalence of Hearing Degeneration II-7
Table 2: Distribution of Disabling Hearing Loss Worldwide:
2013 (includes corresponding Graph/Chart) II-7
A Snapshot of Global Hearing Loss Statistics II-8
Table 3: World Moderate-to-Severe Hearing Impaired
Population for Years 2006 through 2015 (includes
corresponding Graph/Chart) II-8
Rising Prevalence of Age-Related Hearing Loss II-9
Table 4: Percentage Share of Global Population by Age Group,
Worldwide: 2025 (includes corresponding Graph/Chart) II-9

Table 5: Global Population Statistics for the 65+ Age Group
(Male and Female) for Major Countries/Regions: 2013 (includes
corresponding Graph/Chart) II-10

Table 6: Global Aging Population by Age Group: 1975-2050
(includes corresponding Graph/Chart) II-11

Table 7: Global 65+ Population by Geographic Region (%
Growth 2013-2020) (includes corresponding Graph/Chart) II-11

Table 8: Top Countries by Life Expectancy at Birth Among Men
and Women (2012) II-12
Increasing Hearing Impairment among Younger Population II-12
Overcoming Social Stigma - Critical to Boost Penetration II-13
Table 9: World Hearing Loss Population Breakdown by Severity:
2013 (includes corresponding Graph/Chart) II-13

Table 10: Penetration of Hearing Systems: Breakdown for Users
and Non-Users of Hearing Systems (includes corresponding
Graph/Chart) II-14
Table 11: World Hearing Aid Adoption Rate for Years 2006-2015
(includes corresponding Graph/Chart) II-14
Table 12: World Adoption Rate of Hearing Aids by Region - US,
EU, Asia-Pacific and Rest of World for Years 2005, 2010, 2015
and 2020 (includes corresponding Graph/Chart) II-15
Table 13: Hearing Aid Penetration Rate in Select Countries (
includes corresponding Graph/Chart) II-16
Better Reimbursement Structure Improves Penetration of Hearing
Aids II-16
A Review of Subsidy/Reimbursement System for Hearing Aids in
Select Regional Markets II-17
Product Mix and Poor Economic Outlook to Hold Back Prices II-18
An Analysis of Hearing Aid Cost Structure II-18
Table 14: Hearing Aid Industry Value Chain: Cost and Value
Addition By Segment (includes corresponding Graph/Chart) II-19
Strong Growth Potential in Emerging Markets II-19
Binaural Fittings Market to Grow II-20
Table 15: World Binaural Fitting Rates by Region - US, EU,
Asia-Pacific and Rest of World for Years 2005, 2010, 2015 and
2020 (includes corresponding Graph/Chart) II-20

3. INSIGHT INTO TECHNOLOGICAL ADVANCEMENTS II-21
Digital Technology Takes Precedence II-21
Market Moves towards Miniaturization II-22
RIC/RITE Hearing Aids Gain Share II-22
Consumers Demand More Value-Added Features II-23
Customization - the Driving Force behind Product Specialization II-23
Hearing Aids and the World of Connectivity II-24
Bluetooth Technology - Enabling Connectivity of HAs with
Other Media Devices II-24
Exciting Possibilities Afforded by Hearing Aid Compatible
Smartphones II-24
Hearing Aid Compatibility with Phones - A Review of the
Technology and Laws in the US II-25
Mobile Hearing Apps Ecosystem Continues to Expand II-26
Google Glass- Heralding A New Revolution II-26
Invisible Devices - A New Class of Products on the Market II-27
Disposable Hearing Aids II-27
Researchers Discover Potential Technique for Restoring Hearing
Ability II-27

4. HEARING IMPLANTS - MARKET REVIEW II-28
Primer II-28
Expanding Aging Population Drives Sales of Cochlear Implants II-28
Table 16: Global Cochlear Implants Market by Age Group
(2012): Percentage Breakdown of New Patients in the Age
Groups of Above 80 Years, 65-80 Years, 50-64 Years, 30-49
Years, 18-29 Years, 3-17 Years, and Below 3 Years (includes
corresponding Graph/Chart) II-29
Low Penetration of CI Implants - Opportunity Indicator II-29
Cochlear Implants Reimbursements: A Review (Recent Past) II-29
Manufacturers Eye Emerging Markets to Offset Slow Growth in
Developed Markets II-30
Bilateral Implantation Catching Up II-30
Table 17: Global Market for Cochlear Implants by Type (2013):
Percentage Breakdown of Value Sales for Unilateral and
Bilateral Cochlear Implants (includes corresponding
Graph/Chart) II-30
Diversity Exists in Adoption of Regional Binaural Hearing Devices II-31
Robust Prospects for BAHI in Developed Markets II-31
Table 18: World Recent Past, Current and Future Analysis for
Bone-Anchored Hearing Aids (BAHA) by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) II-32

5. COMPETITIVE LANDSCAPE II-33
Handful of Players Dominate the Worldwide Audiological Devices
Marketplace II-33
Hearing Aid Market II-33
Table 19: Leading Players in the Global Hearing Aid Market
(2013): Percentage Breakdown of Sales for GN ReSound,
Siemens, Sonovo, Starkey, Widex, William Demant, and Others
(includes corresponding Graph/Chart) II-33
Hearing Aids Market: Products and Distribution Presence of
Key Competitors II-33
Product Mix of Leading Players in the Hearing Aids Market II-34
Leading Hearing Aid Brands by Company II-34
Hearing Aid Markets Witnesses Shuffle in Rankings II-34
Consolidation Activity Continues in the Hearing Aid Industry II-35
MandA en route (1990s-2013) - Making of Big 7 in the Global
Hearing Aids Market II-35
Consolidation Activity in the Hearing Aids Industry: Select
Key Acquisitions 2006-2014 II-36
Sonova's Ascent to the Top II-36
William Demant New Product Roll-Outs to Widen Share II-37
GN ReSound Pins Hopes on Resound Alera II-37
The Road Ahead for Siemens II-38
Product Diversification - the New Mantra to Beat Competition II-38
Vertical Integration Catches Impetus in Hearing Aid Industry II-38
Higher RandD Costs and Patent Situation II-39
Measurement/Testing Devices II-39
Table 20: Global Audiolgical Measurement/Testing Devices
Market by Leading Players (2013): Market Share Breakdown for
GN Otometrics, Natus, Rion, William Demant, and Others
(includes corresponding Graph/Chart) II-39
Hearing Implants Market II-40
Cochlear Faces Strong Competition II-40
Table 21: Leading Players in the Global Cochlear Implant
Market (2013): Percentage Breakdown of Unit Sales for
Advanced Bionics, Cochlear, Med El, and William
Demant/Neurelec (includes corresponding Graph/Chart) II-41
Cochlear Running Virtual Monopoly in the BAHI Market II-41
Cost advantages to Assist Sonova in CI Implants II-42
Advanced Bionics to Make Further Advances in Implants Market II-42
Chinese Manufacturers Make a Foray in to Cochlear Implants
Market II-42

6. DISTRIBUTION MARKET DYNAMICS II-43
Major Distribution Channels for Hearing Aid Manufacturers II-43
Public Organizations II-43
Independent Audiologists II-43
Large Retail Chains and Independent Retail Stores II-44
Direct Sales Outlets II-44
Amplifon Dominates the Hearing Aid Retail Market II-44
Still Room for Further Consolidation II-45
Table 22: Leading Retailers of Hearing Aids Worldwide (2013):
Percentage Breakdown of Sales for Independent Retail Stores,
Public Health Schemes, Manufacturers' Retail Stores, and
Retail Chains (includes corresponding Graph/Chart) II-45

7. PRODUCT OVERVIEW II-46
Audiology: A Prologue II-46
Human and Technical Aids II-46
Audiological Devices II-46
Classification of Audiological Devices II-46
Hearing Aids II-47
History of Hearing Aids II-47
Types of Hearing Aids II-48
Behind-The-Ear (BTE) II-48
Advantages II-48
Disadvantages II-48
Open-Fit Mini Behind-The-Ear II-48
In-the-Ear (ITE) II-48
Advantages II-49
Disadvantages II-49
In-the-Canal (ITC) II-49
Advantages II-49
Disadvantages II-49
Completely-in-the Canal (CIC) II-49
Advantages II-50
Disadvantages II-50
Broader Classification of Hearing Aids II-50
Conventional Hearing Aids II-50
Programmable Hearing Aids II-51
Digital Hearing Aids II-51
Technology - Analog Vs. Digital II-51
Disposable Hearing Aids II-51
Hearing Aids Batteries II-51
Common Problems Associated with Use of Hearing Aids II-52
Common Cold Affects Functioning of Hearing Aids II-52
Hygiene Problems Associated with Hearing Aids II-52
Prevention of Transmission II-52
Trends in Hearing Aids and Hearing Aids Batteries Market II-52
Measurement/Testing Devices II-53
Otoscopes II-53
Video Otoscopes II-53
Audiometers II-53
Audiogram II-54
Working of an Audiogram II-54
Audiogram Interpretation II-54
Audiometric Tests II-55
Impedance Analyzers II-55
Hearing Aid Analyzers II-55
Other Measurement/Testing Devices II-55
Cochlear Implants II-55
Cochlear Implant Technology II-55
Beneficiaries of Cochlear Implant II-56
Cochlear Implants Found Effective in Children II-56
Bone Anchored Hearing Aids (BAHA) Implants II-56

8. AN INSIGHT INTO THE HUMAN AUDITORY SYSTEM II-57
The Hearing Process II-57
Nature And Types of Hearing Loss II-57
Determining the Level of Hearing Impairment II-58
Hearing Impairments II-58
Conductive Hearing Loss II-58
Sensor Neural Hearing Loss (SNHL) II-58
Noise Induced Hearing Loss II-59
Congenital Hearing Loss II-59
Common Causes of Hearing Loss II-59
Presbycusis II-59
Diseases II-60
Treatment II-61
Treatment for SNHL II-61
Sound Amplification Through Hearing Aids II-61
Ear Surgery II-61
Stapedectomy II-62
Tympanoplasty II-62
Ear Tube Surgery and Myringotomy II-62
Ear Surgery for Perforated Eardrum II-62
Ear Surgery for Tumors II-63
Ear surgery for Congenital Ear Defects II-63
Other Ear Surgeries II-63
Cochlear Implants II-63
Tinnitus II-63
Hearing Conservation Programs II-64
Strategies to Control Noise - Administrative and Engineering
Controls II-64
Regulatory Steps Initiated in Europe II-64
Effective Hearing Conservation Program - Characteristics II-64

9. PRODUCT INNOVATIONS/INTRODUCTIONS II-65
MED-EL Unveils SYNCHRONY Cochlear Implant System II-65
Natus Medical Introduces Echo-Screen III Hearing Screener II-65
Cochlear to Introduce Nucleus Profile in Europe II-65
Cochlear Secures US FDA Approval for Aqua+ Accessory II-65
Cochlear Awarded US FDA Approval for Nucleus Hybrid II-65
Starkey Launches Halo Hearing Aid II-65
Oticon Releases Ria And The Nera Hearing Care Devices II-65
Beltone Unveils Beltone First Hearing Aid II-65
GN ReSound Introduces ReSound LiNX Hearing Aid II-66
Advanced Bionics Unveils Naída CI Q70 in Canadian and Europe
and Markets II-66
Otovation Launches Amplitude® D Screening Audiometer II-66
Advanced Bionics Secures US FDA Approval for Naída CI Q70 II-66
Molex Releases Balanced Armature Audio Receivers II-66
Starkey Unveils 3 Series Wireless Hearing Aid II-66
Cochlear Receives CE Mark Approval for Nucleus 6 System II-66
Widex India Introduces Dream Range of Hearing Care Devices in
Bengaluru II-66
Phonak Releases Phonak Naída Q and Phonak Audeo Q II-66
Neuromonics Introduces Neuromonics Sanctuary II-67
Analog Devices Unveils ADMP801 MEMS Microphone for Hearing Aids II-67
Able Planet Unveils PS1600BTE Behind-the-Ear Amplifier with
Linx DSP II-67
Oticon Introduces Oticon Alta Hearing Aid II-67
GN ReSound Releases ReSound Control Hearing Aid App II-67
Sonitus Medical Announces European Launch of SoundBite Hearing
System II-67
Widex Introduces SUPER VSD Hearing Aid II-67
MED-EL Receives US FDA and CE Mark Approvals for RONDO Processor II-67
Phonak Unveils Phonak Quest Platform II-67
Phonak Introduces CROS 13 and CROS H2O II-68
Phonak Rolls Out nano Micro-In-Canal Hearing Aid II-68
Siemens Hearing Instruments Introduces Micon Processor II-68
Oticon Launches Oticon Intigai II-68
Widex Launches IIC Hearing Aid II-68
Panasonic Healthcare Launches R1-W Series II-68
Siemens Launches Eclipse Hearing Aid II-68
Siemens Unveils New Advanced BestSound Technology, XCEL II-68
Widex Launches Widex Super220 and Widex Super440 Hearing Aids II-68
Advanced Bionics Receives U.S FDA Approval for ClearVoiceâ„¢ II-68

10. RECENT INDUSTRY ACTIVITY II-69
Sonova Holding Announces Plans for Acquiring Comfort Audio II-69
Siemens to Publicly List Audiology Business II-69
Sophono, Inc. Partners Hangzhou Nurotron Bio-technology II-69
Neuromonics and AuDConnex Ink Reseller Contract II-69
Neuromonics and American Hearing Aid Associates Sign Reseller
Contract II-69
William Demant Takes Over Neurelec SA II-69
Starkey Laboratories Announces Rebranding as Starkey Hearing
Technologies II-69
Amplifon Acquires Majority Stake of Maxtone II-69

11. FOCUS ON SELECT GLOBAL PLAYERS II-70
Cochlear Limited (Australia) II-70
GN ReSound A/S (Denmark) II-70
Med-EL Medical Electronics (Austria) II-71
Otovation LLC (USA) II-71
Siemens Audiologische Technik GmbH (Germany) II-72
Sonova Holding AG (Switzerland) II-72
Advanced Bionics Corporation (US) II-73
Phonak AG (Switzerland) II-73
Starkey Hearing Technologies (US) II-73
Widex A/S (Denmark) II-74
William Demant Holding A/S (Denmark) II-74
Bernafon AG (Switzerland) II-75
Sonic Innovations, Inc. (US) II-75
Neurelec SA (France) II-75
Oticon A/S (Denmark) II-76

12. GLOBAL MARKET PERSPECTIVE II-77
Table 23: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-77

Table 24: 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$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-78

Table 25: World 15-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 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-79

Table 26: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-80

Table 27: 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$ Thousand for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-81

Table 28: World 15-Year Perspective 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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-82

Table 29: World Recent Past, Current and 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$ Thousand for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-83

Table 30: 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$ Thousand for Years 2006 through
2012 (includes corresponding Graph/Chart) II-84

Table 31: World 15-Year Perspective 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 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-85

Table 32: World Recent Past, Current and 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 Revenues Figures in US$ Thousand for Years 2013 through
2020 (includes corresponding Graph/Chart) II-86

Table 33: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-87

Table 34: World 15-Year Perspective 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 2006, 2014 and 2020 (includes corresponding Graph/Chart) II-88

Table 35: World Recent Past, Current and 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$ Thousand for Years 2013 through
2020 (includes corresponding Graph/Chart) II-89

Table 36: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-90

Table 37: World 15-Year Perspective 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 2006, 2014 and 2020 (includes corresponding Graph/Chart) II-91

Table 38: World Recent Past, Current and 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 Revenues Figures in US$ Thousand for Years 2013 through
2020 (includes corresponding Graph/Chart) II-92

Table 39: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-93

Table 40: World 15-Year Perspective 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 2006, 2014 and 2020 (includes corresponding Graph/Chart) II-94

Table 41: World Recent Past, Current and 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$ Thousand for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-95

Table 42: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-96

Table 43: World 15-Year Perspective 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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-97

Table 44: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) II-98

Table 45: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-99

Table 46: World 15-Year Perspective 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 2006, 2014 and 2020 (includes corresponding Graph/Chart) II-100

Table 47: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-101

Table 48: 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$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-102

Table 49: World 15-Year Perspective for Measurement/ Testing
Devices by Product Segment - Percentage Breakdown of Revenues
for Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-103

Table 50: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-104

Table 51: 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$ Thousand for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-105

Table 52: World 15-Year Perspective 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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-106

Table 53: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-107

Table 54: 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$ Thousand for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-108

Table 55: World 15-Year Perspective 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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-109

Table 56: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-110

Table 57: 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$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-111

Table 58: World 15-Year Perspective 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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-112

Table 59: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) II-113

Table 60: 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$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-114

Table 61: World 15-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 2006, 2014 and
2020 (includes corresponding Graph/Chart) II-115

Table 62: World Recent Past, Current and 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$ Thousand for Years 2013 through
2020 (includes corresponding Graph/Chart) II-116

Table 63: 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$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-117

Table 64: World 15-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 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-118

Table 65: World Recent Past, Current and 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$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-119

Table 66: 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$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-120

Table 67: World 15-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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-121
Volume Analytics II-122
Table 68: World Recent Past, Current and 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 2013 through 2020 (includes
corresponding Graph/Chart) II-122

Table 69: 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 Volume Sales in Thousand Units for Years
2006 through 2012 (includes corresponding Graph/Chart) II-123

Table 70: World 15-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 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-124


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Outlook III-1
Recession in Retrospective III-1
Expanding Patient Pool, Technological Advancements to Buoy
Market Growth III-2
Table 71: Distribution of Hearing Loss by Type (includes
corresponding Graph/Chart) III-2
Table 72: Distribution of Heading Aids Penetration by
Hearing Loss Condition (includes corresponding Graph/Chart) III-2
RIC/RITE Hearing Aids Usurp Market for Traditional BTE III-3
In-the-ear Hearing Aids Market Poised for Revival III-3
Digital Products Gain Ground III-4
Demographic Dynamics of Hearing Loss and Tinnitus III-4
Table 73: Hearing Impaired Population in the US for Years
2000-2020 (includes corresponding Graph/Chart) III-4
Aging Population Drives Hearing Loss Prevalence III-5
Table 74: US Elderly Population: Expected Growth Rates
Over the Years 2005-2030 (includes corresponding
Graph/Chart) III-5

Table 75: Percentage Breakdown of Severe to Profound
Hearing Impaired Population in the US by Age Group: 2013
(includes corresponding Graph/Chart) III-6
Children and Youth Population Record Increasing Hearing Loss III-6
Table 76: Hearing Loss Prevalence in the US by Age Group
(2013): Percentage of Individuals with Hearing Loss
Relative to the General Population (includes corresponding
Graph/Chart) III-7
Undetected and Untreated Hearing Loss - A Chronic Issue III-7
Table 77: Hearing Aid Adoption Rate in the US by Age Group:
2013 (includes corresponding Graph/Chart) III-8

Table 78: US Binaural Hearing Aid Adoption Rates by Age
Group: 2013 (includes corresponding Graph/Chart) III-8
Occupation-Related Hearing Impairments Steadily Rises III-9
Table 79: Average Hearing Loss Incidence Induced in
Individuals at Age 50 years due to High Noise Exposure at
Workplace (includes corresponding Graph/Chart) III-9
High Device and Fitting Cost Chokes Market Growth III-10
Lack of Reimbursement - A Major Deterrent for Market
Penetration III-10
Insurance Mandates on Hearing Aids in Select States of the US III-11
A Focus on Medicaid Regulations in the US: Coverage on
Hearing Aids by State III-13
Table 80: US Out-Of-Pocket Payments for Hearing Aids by
Type: Average Retail Prices for BTE, ITC and ITE for Years
2005, 2010 and 2015F (includes corresponding Graph/Chart) III-15
Medicare to End Coverage for Bone-anchored Hearing Devices? III-15
Distribution Landscape III-15
Table 81: Major Distribution Sources of Hearing Aids in the
US: 2013 (includes corresponding Graph/Chart) III-16
US Hearing Aid Market Witnesses Seismic Shift in Retail
Sales Dynamics III-16
Forward Integration of Manufacturers - The New Rage III-17
A Focus on DTC Market in Hearing Aids III-17
Online Sales of Hearing Aids - A New Controversy Brewing III-17
US Veterans Affairs Market for Hearing Aids - An Insight III-18
Table 82: US Veteran Administration Hearing Devices Market
by Type (2013): Percentage Breakdown of Unit Sales for
Hearing Aids and Other Devices (includes corresponding
Graph/Chart) III-19

Table 83: Major Suppliers of Hearing Aids to the US Veteran
Administration (2013): Percentage Breakdown of Units
Shipments by Company (includes corresponding Graph/Chart) III-19
Veteran Affairs Purchases Expected to Surge with US Troops
Pullout from Iraq and Afghanistan III-19
Hearing Implant Market - An Overview III-19
Cochlear Implants on the Road to Widespread Adoption III-20
Signs of Maturity Emerge in the US Pediatric Cochlear Market III-20
Competitive Scenario III-20
Player Dominance Varies by Type of Device III-20
Table 84: Leading Players in the US Cochlear Implants
Market (2013) - Percentage Share Breakdown of Sales for
Cochlear Ltd., Advanced Bionics, and MED-EL (includes
corresponding Graph/Chart) III-21
Players in ABR/ OAE Analyzers III-21
Table 85: Leading Players in the US ABR/OAE Analyzers
Market (2013): Percentage Breakdown of Sales for Natus
Medical, Grason Stadler, and Others (includes
corresponding Graph/Chart) III-21
Regulatory Overview III-22
Safe Medical Devices Act (SDMA) III-22
Hearing Aid Compatibility Act 1988 III-22
American Disabilities Act (ADA) III-22
Federal Hearing Conservation Amendment III-22
ANSI Standards for the US III-22
FDA Mulls Re-Drawing Approval Policies III-23
Recent Product Launches III-23
Strategic Corporate Activity III-25
Select Key Players III-25
B.Market Analytics III-28
Table 86: The US Recent Past, Current and 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$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-28

Table 87: 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$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) III-29

Table 88: The US 15-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 2006, 2014 and 2020
(includes corresponding Gramph/Chart) III-30

Table 89: The US Recent Past, Current and Future Analysis for
Hearing Aids: Annual Volume Sales in Thousand Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) III-31

Table 90: The US Historic Review for Hearing Aids: Annual
Volume Sales in Thousand Units for Years 2006 through 2012
(includes corresponding Graph/Chart) III-31

2. CANADA III-32
A.Market Analysis III-32
Outlook III-32
B.Market Analytics III-33
Table 91: Canadian Recent Past, Current and 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$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-33

Table 92: 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$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) III-34

Table 93: Canadian 15-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 2006, 2014 and 2020
(includes corresponding Graph/Chart) III-35

Table 94: Canadian Recent Past, Current and Future Analysis
for Hearing Aids: Annual Volume Sales in Thousand Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) III-36

Table 95: Canadian Historic Review for Hearing Aids: Annual
Volume Sales in Thousand Units for Years 2006 through 2012
(includes corresponding Graph/Chart) III-36

3. JAPAN III-37
A.Market Analysis III-37
Outlook III-37
Regulatory Environment III-37
Distribution System III-37
Product launch III-38
Rion Co. Ltd. - A Key Japanese Manufacturer III-38
B.Market Analytics III-39
Table 96: Japanese Recent Past, Current and 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$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-39

Table 97: 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
Revenues Figures in US$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) III-40

Table 98: Japanese 15-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 2006, 2014 and 2020
(includes corresponding Graph/Chart) III-41

Table 99: Japanese Recent Past, Current and Future Analysis
for Hearing Aids: Annual Volume Sales in Thousand Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) III-42

Table 100: Japanese Historic Review for Hearing Aids: Annual
Volume Sales in Thousand Units for Years 2006 through 2012
(includes corresponding Graph/Chart) III-42

4. EUROPE III-43
A.Market Analysis III-43
Outlook III-43
European Market Holds Strong Growth Potential for Hearing Aids III-43
Table 101: Hearing Impaired Population in Select European
Countries (includes corresponding Graph/Chart) III-44

Table 102: Binaural Fitting Rates in Select European
Countries/Regions: 2013 (includes corresponding
Graph/Chart) III-44
A Glimpse of the Competitive Environment in European Hearing
Devices Market III-45
Cochlear Implants Market III-45
Regulatory Environment III-45
Reimbursement Issues III-46
Standards for Hearing Protection III-46
B.Market Analytics III-47
Table 103: European Recent Past, Current and Future Analysis
for Audiological Devices by Geographic Region - France,
Germany, Italy, UK, Spain, Russia and Rest of Europe Markets
Independently Analyzed with Annual Revenues Figures in US$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-47

Table 104: European Historic Review for Audiological Devices
by Geographic Region - France, Germany, Italy, UK, Spain,
Russia and Rest of Europe Markets Independently Analyzed
with Annual Revenues Figures in US$ Thousand for Years 2006
through 2012 (includes corresponding Graph/Chart) III-48

Table 105: European 15-Year Perspective for Audiological
Devices by Geographic Region - Percentage Breakdown of
Revenues for France, Germany, Italy, UK, Spain, Russia and
Rest of Europe Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) III-49

Table 106: European Recent Past, Current and 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$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-50

Table 107: 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
Revenues Figures in US$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) III-51

Table 108: European 15-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 2006, 2014 and 2020
(includes corresponding Graph/Chart) III-52

Table 109: European Recent Past, Current and Future Analysis
for Hearing Aids: Annual Volume Sales in Thousand Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) III-53

Table 110: European Historic Review for Hearing Aids: Annual
Volume Sales in Thousand Units for Years 2006 through 2012
(includes corresponding Graph/Chart) III-53

4a. FRANCE III-54
A.Market Analysis III-54
Outlook III-54
Key Statistics III-54
Table 111: French Binaural Hearing Aid Adoption Rates by
Age Group: 2013 (includes corresponding Graph/Chart) III-54

Table 112: French Hearing Aid Retail Market (2013):
Percentage Breakdown of Sales for Retail Chains, Purchase
Groups and Independent Retail Stores (includes
corresponding Graph/Chart) III-54
Strategic Corporate Activity III-55
Neurelec Sa - A Key French Implant Manufacturer III-55
B.Market Analytics III-56
Table 113: French Recent Past, Current and 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$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-56

Table 114: French Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind-the-Ear,
In-the-Ear, In-the-Canal and Comp

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