U.S. MARKETS FOR CRITICAL CARE PATIENT MANAGEMENT PRODUCTS

414 Pages | 122 Exhibits | 2004 Analysis | Forecasts Through 2012

OVERVIEW:
Critical care units are the most expensive sites in the U.S. healthcare system, accounting for 30% to 40% of an acute care hospital's total budget. Despite the costs involved, critical care is one of the fastest-growing specialties in healthcare, as hospitals continue to assign an increasing proportion of their beds to patients with life-threatening conditions who require significant levels of monitoring and specialized care.

Factors such as the growing acuity of hospital inpatients, the aging of the U.S. population, and shortened hospital lengths-of stay have created a U.S. market for critical care patient monitoring products that was valued at nearly $1.2 billion in 2002. Growing at a compound annual rate of 8.9%, sales of these products are expected to reach an estimated $2.8 billion in the year 2012.

This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. market for critical care patient monitoring products.

Covered topics in this report include cerebral blood gas monitors, emerging technologies in vital signs monitoring, intracranial pressure monitors, issues in critical care, level-of-consciousness monitoring, modular patient monitoring systems, noninvasive cardiac output monitoring, portable patient monitoring systems, pulmonary artery catheters, and telemetry patient monitoring systems.

TABLE OF CONTENTS:

EXECUTIVE SUMMARY

i.     Overview of the Critical Care Environment

a.   Common Conditions Treated/Procedures Performed in the Critical Care Environment    

b.   Critical Care Unit Staffing

c.   Healthcare Facility Statistics and Patient Demographics

d.   Managed Care

e.   National Healthcare Expenditures

f.     Products Used in the Critical Care Setting

ii.     Drug/Fluid Delivery and Infusion Therapy

iii.   Airway Management and Ventilation

iv.   Point-of-Care Blood Testing

v.   Temperature Management

vi.   Temporary Cardiopulmonary Support

vii. Transfusion Management

 

1. OVERVIEW OF THE CRITICAL CARE ENVIRONMENT

1.1 Conditions Treated in the Critical Care Unit

1.2 Critical Care Unit Staffing

1.2.1 Intensivists

1.2.2 Nurses and Other Allied Healthcare Professionals

1.3 Critical Care Units, by Size and Type

1.4 Equipment and Products Used in the Critical Care Setting

1.4.1 Invasive and Noninvasive Equipment and Products

1.4.2 Transport Equipment and Products

1.5 Critical Access Hospital Designation

1.6 Issues Affecting Critical Care Delivery

1.6.1 Patient Demographics

1.6.2 Managed Care

1.6.3 Health Insurance Premiums

1.6.4 Medical Technology

1.6.5 Mergers and Acquisitions

1.6.6 Healthcare Personnel Shortages

1.6.7 Product Evaluation Committees

1.6.8 Trends in Critical Care Products Purchasing

 

2. DRUG/FLUID DELIVERY AND INFUSION THERAPY

2.1 Clinical Overview

2.2 Infusion Therapy Products

2.2.1 Vascular Access Devices

2.2.1.1 Short Peripheral Catheters

2.2.1.1.1 Market Forecast

2.2.1.1.2 Competitive Analysis

2.2.1.2 Midline Catheters

2.2.1.2.1 Market Forecast

2.2.1.2.2 Competitive Analysis

2.2.1.3 Peripherally Inserted Central Catheters

2.2.1.3.1 Market Forecast

2.2.1.3.2 Competitive Analysis

2.2.1.4 Central Venous Catheters

2.2.1.4.1 Market Forecast

2.2.1.4.2 Competitive Analysis

2.2.2 Infusion Pumps/Administration Sets

2.2.2.1 Volumetric Infusion Pumps/Administration Sets

2.2.2.1.1 Market Forecast

2.2.2.1.2 Competitive Analysis

2.2.2.2 Syringe Infusion Pumps/Administration Sets

2.2.2.2.1 Market Forecast

2.2.2.2.2 Competitive Analysis

2.2.3 Gravity Infusion Systems

2.2.3.1 Market Forecast

2.2.3.2 Competitive Analysis

 

3. AIRWAY MANAGEMENT AND VENTILATION

3.1 Mechanical Ventilators

3.1.1 Ventilator Operating Principals

3.1.2 Ventilator-Related Complications

3.1.3 Ventilators

3.1.3.1 Adult and Pediatric Ventilators

3.1.3.1.1 Products/Technologies

3.1.3.1.2 Market Forecast

3.1.3.1.3 Competitive Analysis

3.1.3.2 Neonatal Ventilators

3.1.3.2.1 Products/Technologies

3.1.3.2.2 Market Forecast

3.1.3.2.3 Competitive Analysis

3.2 Manual Resuscitators

3.2.1 Products/Technologies

3.2.2 Market Forecast

3.2.3 Competitive Analysis

3.3 Anesthesia and Respiratory Masks

3.3.1 Products/Technologies

3.3.2 Market Forecast

3.3.2.1 Cushion Masks

3.3.2.2 Disposable Oxygen Masks

3.3.2.3 Disposable Aerosol Masks

3.3.3 Competitive Analysis

3.4 Laryngeal Mask Airways

3.4.1 Products/Technologies

3.4.2 Market Forecast

3.4.3 Competitive Analysis

 

4. POINT-OF-CARE BLOOD TESTING

4.1 Quality Control and Point-of-Care Blood Testing

4.2 Regulatory Issues and Point-of-Care Blood Testing

4.3 Information Systems Interfacing and Point-of-Care Blood Testing

4.4 Point-of-Care Blood Testing in the Critical Care Setting

4.4.1 Point-of-Care Blood Gas/Electrolyte Tests

4.4.1.1 Products/Technologies

4.4.1.2 Market Forecast

4.4.1.3 Competitive Analysis

4.4.2 Point-of-Care Cardiac Marker Tests

4.4.2.1 Types of Cardiac Marker Tests

4.4.2.1.1 Creatine Kinase-MB

4.4.2.1.2 Myoglobin

4.4.2.1.3 Troponin-I and Troponin-T

4.4.2.1.4 B-Type Natriuretic Peptide

4.4.2.2 Products/Technologies

4.4.2.3 Market Forecast

4.4.2.4 Competitive Analysis

4.4.3 Point-of-Care Coagulation Tests

4.4.3.1 Types of Coagulation Tests

4.4.3.1.1 Activated Clotting Time

4.4.3.1.2 Activated Partial Thromboplastin Time

4.4.3.1.3 Bleeding Time

4.4.3.1.4 Prothrombin Time

4.4.3.1.5 Thrombin Clotting Time

4.4.3.1.6 Platelet Count/Function Determination

4.4.3.2 Products/Technologies

4.4.3.3 Market Forecast

4.4.3.4 Competitive Analysis

4.4.4 Point-of-Care Blood Glucose Tests

4.4.4.1 Products/Technologies

4.4.4.1.1 Meters

4.4.4.1.2 Test Strips

4.4.4.1.3 Lancing Devices

4.4.4.2 Market Forecast

4.4.4.3 Competitive Analysis

 

5. TEMPERATURE MANAGEMENT

5.1 Temperature Measurement

5.1.1 Standards of Accuracy

5.1.2 Digital Thermometers

5.1.3 Infrared Thermometers

5.2 Ear/Tympanic Thermometers

5.2.1 Advantages and Disadvantages

5.2.2 Products/Technologies

5.2.3 Market Forecast

5.2.4 Competitive Analysis

5.3 Electronic Thermometers

5.3.1 Advantages and Disadvantages

5.3.2 Products/Technologies

5.3.3 Market Forecast

5.3.4 Competitive Analysis

5.4 Liquid Crystal/Dot Matrix Thermometers

5.4.1 Advantages and Disadvantages

5.4.2 Products/Technologies

5.4.3 Market Forecast

5.4.4 Competitive Analysis

5.5 Temporal Artery Thermometers

5.5.1 Market Forecast

5.5.2 Competitive Analysis

5.6 Glass Thermometers

5.6.1 Advantages and Disadvantages

5.6.2 Products/Technologies

5.6.3 Market Forecast

5.6.4 Competitive Analysis

5.7 Hyperthermia and Hypothermia Management Devices

5.7.1 Hyperthermia and Hypothermia Etiology and Epidemiology

5.7.1.1 Complications Associated with Hypothermia

5.7.1.2 Inadvertent Hypothermia

5.7.1.3 Therapeutically Induced Hypothermia

5.7.2 Products/Technologies

5.7.2.1 Passive External Rewarming Products

5.7.2.2 Active External Rewarming Products

5.7.2.3 Active Internal Rewarming Products

5.7.2.4 Extracorporeal Rewarming Products

5.7.2.5 Active External Patient-Cooling Products

5.7.3 Market Forecast

5.7.4 Competitive Analysis

 

6. TEMPORARY CARDIOPULMONARY SUPPORT

6.1 Cardiac Assist Devices

6.2 Intra-Aortic Balloon Pumps

6.2.1 Clinical Applications

6.2.2 Techniques and Complications

6.2.3 Products/Technologies

6.2.4 Market Forecast

6.2.5 Competitive Analysis

6.3 Ventricular Assist Systems

6.3.1 Clinical Applications

6.3.2 Complications

6.3.3 Products/Technologies

6.3.4 Market Forecast

6.3.5 Competitive Analysis

6.4 Blood Pumps

6.4.1 Clinical Applications

6.4.1.1 Coronary Artery Bypass Graft Surgery

6.4.1.1.1 On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery

6.4.1.1.2 Less-Invasive Coronary Artery Bypass Grafting Techniques

6.4.2 Products/Technologies

6.4.2.1 Roller Pumps

6.4.2.2 Centrifugal Pumps

6.4.3 Market Forecast

6.4.4 Competitive Analysis

6.5 Oxygenators

6.5.1 Clinical Applications

6.5.2 Products/Technologies

6.5.2.1 Bubble Oxygenators

6.5.2.2 Membrane Oxygenators

6.5.3 Market Forecast

6.5.4 Competitive Analysis

 

7. TRANSFUSION MANAGEMENT

7.1 Banked Blood Supply

7.2 Allogeneic and Autologous Blood Transfusions

7.3 Blood Bank Product Safety and Testing Protocols

7.4 Blood Components

7.5 Patients Requiring Blood Transfusions

7.6 Blood Salvage Systems

7.6.1 Blood Salvage Applications

7.6.2 Blood Salvage Costs

7.6.3 Blood Salvage Risks

7.6.4 Products/Technologies

7.6.5 Market Forecast

7.6.6 Competitive Analysis

7.7 Blood Substitutes

7.7.1 Products/Technologies

7.7.2 Market Forecast

7.8 Plasma Volume Expanders

7.8.1 Colloid Solutions

7.8.1.1 Albumin

7.8.1.2 Plasma Protein Fraction

7.8.1.3 Hydroxyethyl Starch

7.8.1.4 Dextran

7.8.1.5 Gelatin

7.8.2 Crystalloid Solutions

7.8.2.1 Normal Saline

7.8.2.2 Dextrose Solutions

7.8.2.3 Hartmann's Solution

7.8.3 Products/Technologies

7.8.4 Market Forecast

7.8.5 Competitive Analysis

 

8. COMPANY PROFILES

8.1     Abbott Laboratories

8.2     ALARIS Medical Systems, Inc.

8.3     Arizant, Inc.

8.4     Arrow International, Inc.

8.5     C.R. Bard, Inc.

8.6     Baxter International, Inc.

8.7     Becton, Dickinson and Company

8.8     Datascope Corporation

8.9     Haemonetics Corporation

8.10 i-STAT Corporation

8.11 The Laryngeal Mask Company/LMA International LTD

8.12 Roche Diagnostics/F. Hoffmann-La Roche LTD

8.13 Sorin Group/Sorin SPA

8.14 Thoratec Corporation    

8.15 Tyco International LTD

 

APPENDIX:   COMPANY LISTING

 

LIST OF EXHIBITS

 

Exhibit ES-1:       2002, United States, Critical Care Site Summary

Exhibit ES-2:       United States, Resident Population, by Age, Selected Years, 1990-2020

Exhibit ES-3:       National Expenditures for Healthcare Services and Supplies, by Category, 1980 and 2001

Exhibit ES-4:       Critical Care Patient Management Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-5:       Drug/Fluid Delivery and Infusion Therapy Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-6:       Airway Management and Ventilation Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-7:       Point-of-Care Blood Testing Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-8:       Temperature Management Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-9:       Temporary Cardiopulmonary Support Products, Market Forecast, 2002, 2007, and 2012

Exhibit ES-10:     Transfusion Management Products, Market Forecast, 2002, 2007, and 2012

 

Exhibit 1-1:           Selected Critical Care Nursing and Allied Healthcare Responsibilities

Exhibit 1-2:         United States, Inpatient Facilities, Selected Years, 1975-2001

Exhibit 1-3:           2002, United States, Critical Care Site Summary

Exhibit 1-4:           National Expenditures for Healthcare Services and Supplies, by Category, 1980 and 2001

Exhibit 1-5:           United States, Resident Population, by Age, Selected Years, 1990-2020

 

Exhibit 2-1:           Vascular Access Devices, Market Forecast, by Type, 2002-2012

Exhibit 2-2:           Short Peripheral Catheters, Market Forecast, 2002-2012

Exhibit 2-3:           2002, Short Peripheral Catheters Market, Share by Supplier        

Exhibit 2-4:           Midline Catheters, Market Forecast, 2002-2012

Exhibit 2-5:           2002, Midline Catheters Market, Share by Supplier

Exhibit 2-6:           Peripherally Inserted Central Catheters, Market Forecast, 2002-2012

Exhibit 2-7:           2002, Peripherally Inserted Central Catheters Market, Share by Supplier

Exhibit 2-8:           Central Venous Catheters, Market Forecast, 2002-2012

Exhibit 2-9:           2002, Central Venous Catheters Market, Share by Supplier

Exhibit 2-10:         Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-11:         Administration Sets for Use With Syringe and Volumetric Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-12:         2004, Selected Volumetric Infusion Pumps

Exhibit 2-13:         Volumetric Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-14:         Administration Sets for Use with Volumetric Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-15:         2002, Volumetric Infusion Pumps/Administration Sets Market, Share by Supplier

Exhibit 2-16:         2004, Selected Syringe Infusion Pumps

Exhibit 2-17:         Syringe Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-18:         Administration Sets for Use with Syringe Infusion Pumps, Market Forecast, 2002-2012

Exhibit 2-19:         2002, Syringe Infusion Pump Products Market, Share by Supplier

Exhibit 2-20:         Gravity Infusion Systems, Market Forecast 2002-2012

Exhibit 2-21:         2002, Gravity Infusion Systems Market, Share by Supplier

 

Exhibit 3-1:           Advantages and Disadvantages of Common Ventilator Breath Sequences

Exhibit 3-2:           Advantages and Disadvantages of Common Ventilator Operation Modes

Exhibit 3-3:           Ventilator Products, Market Forecast, by Type, 2002-2012

Exhibit 3-4:           Adult and Pediatric Ventilators, Market Forecast, 2002-2012

Exhibit 3-5:           2002, Adult and Pediatric Ventilators Market, Share by Supplier                  

Exhibit 3-6:           Neonatal Ventilators, Market Forecast, 2002-2012

Exhibit 3-7:           2002, Neonatal Ventilators Market, Share by Supplier

Exhibit 3-8:           Manual Resuscitators, by Type, Market Forecast, 2002-2012

Exhibit 3-9:           Disposable Manual Resuscitators, Market Forecast, 2002-2012

Exhibit 3-10:         Reusable Resuscitators, Market Forecast, 2002-2012

Exhibit 3-11:       2002, Disposable Resuscitators Market, Share by Supplier

Exhibit 3-12:         2002, Reusable Resuscitators Market, Share by Supplier

Exhibit 3-13:         Anesthesia and Respiratory Masks, Market Forecast, by Type, 2002-2012

Exhibit 3-14:         Disposable Cushion Masks, Market Forecast, 2002-2012

Exhibit 3-15:         Reusable Cushion Masks, Market Forecast, 2002-2012

Exhibit 3-16:         Disposable Oxygen Masks, Market Forecast, 2002-2012

Exhibit 3-17:         Disposable Aerosol Masks, Market Forecast, 2002-2012

Exhibit 3-18:         2002, Anesthesia and Respiratory Masks Market, Share by Supplier

Exhibit 3-19:         Laryngeal Mask Airways, Selected Features

Exhibit 3-20:         Laryngeal Mask Airways, Market Forecast, by Type, 2002-2012

Exhibit 3-21:         Disposable Laryngeal Mask Airways, Market Forecast, 2002-2012

Exhibit 3-22:         Reusable Laryngeal Mask Airways, Market Forecast, 2002-2012

 

Exhibit 4-1:           Advantages of Point-of-Care Blood Testing

Exhibit 4-2:           Possible Alternatives to Extensive Point-of-Care Blood Testing

Exhibit 4-3:           Point-of-Care Testing Issues in the Hospital Setting

Exhibit 4-4:           Required Characteristics for Waived Tests Under the Clinical Laboratory Improvement Amendments of 1988

Exhibit 4-5:           Point-of-Care Blood Tests Commonly Performed in the Critical Care Setting

Exhibit 4-6:           2004, Selected Point-of-Care Blood Gas/Electrolyte Analyzers

Exhibit 4-7:           Point-of-Care Blood Gas/Electrolyte Testing Products, Market Forecast, 2002-2012

Exhibit 4-8:           2002, Point-of-Care Blood Gas/Electrolyte Testing Products Market, Share by Supplier

Exhibit 4-9:           2004, Selected Point-of-Care Cardiac Marker Testing Products

Exhibit 4-10:         Point-of-Care Cardiac Marker Testing Products, Market Forecast, by Type, 2002-2012

Exhibit 4-11:         Point-of-Care Acute Myocardial Infarction Marker Testing Products, Market Forecast, 2002-2012

Exhibit 4-12:         Point-of-Care Congestive Heart Failure Marker Testing Products, Market Forecast, 2002-2012

Exhibit 4-13:         2002, Point-of-Care Cardiac Marker Testing Products Market, Share by Supplier

Exhibit 4-14:         Point-of-Care Coagulation Testing Products, Market Forecast, 2002-2012

 

Exhibit 4-15:         2002, Point-of-Care Coagulation Testing Products Market, Share by Supplier

Exhibit 4-16:         2004, Selected Point-of-Care Blood Glucose Testing Products

Exhibit 4-17:         Point-of-Care Blood Glucose Testing Products, Market Forecast, 2002-2012

Exhibit 4-18:         2002, Point-of-Care Blood Glucose Testing Products Market, Share by Supplier

 

Exhibit 5-1:           Noninvasive Thermometers, Market Forecast, by Type, 2002-2012

Exhibit 5-2:           Noninvasive Thermometers, Market Share, by Type, 2002-2012

Exhibit 5-3:           Ear/Tympanic Thermometers, Market Forecast, 2002-2012

Exhibit 5-4:           2002, Ear/Tympanic Thermometers Market, Share by Supplier

Exhibit 5-5:           Electronic Thermometers, Market Forecast, 2002-2012

Exhibit 5-6:           2002, Electronic Thermometers Market, Share by Supplier

Exhibit 5-7:           Liquid Crystal Thermometers, Market Forecast, 2002-2012

Exhibit 5-8:           2002, Liquid Crystal Thermometers Market, Share by Supplier

Exhibit 5-9:           Temporal Artery Scanner Thermometers, Market Forecast, 2002-2012

Exhibit 5-10:         Glass Thermometers, Market Forecast, by Type, 2002-2012        

Exhibit 5-11:         2002, Glass Thermometers Market, Share by Supplier

Exhibit 5-12:         Levels of Hypothermia

Exhibit 5-13:         Selected Complications Associated with Hypothermia

Exhibit 5-14:         Criteria for the Ideal Hyperthermia/Hypothermia Treatment Product

Exhibit 5-15:         2004, Selected Hyperthermia and Hypothermia Treatment Products

Exhibit 5-16:         Hyperthermia and Hypothermia Treatment Products, Market Forecast, 2002-2012

Exhibit 5-17:         2002, Hyperthermia and Hypothermia Treatment Products Market, Share by Supplier

 

Exhibit 6-1:           Mechanical Cardiac Assist Device Applications

Exhibit 6-2:           Primary Indications for Intra-Aortic Balloon Pump Therapy

Exhibit 6-3:           Intra-Aortic Balloon Pumps, Controllers and Disposables, Market Forecast, 2002-2012

Exhibit 6-4:           Intra-Aortic Balloon Pump Controllers, Market Forecast, 2002-2012

Exhibit 6-5:           Intra-Aortic Balloon Pump Disposables, Market Forecast, 2002-2012

Exhibit 6-6:           2002, Intra-Aortic Balloon Pumps Market, Share by Supplier

Exhibit 6-7:           Heart Transplantation, Historical Procedure Volumes, 1990-2001

Exhibit 6-8:           2004, Selected Ventricular Assist Devices

Exhibit 6-9:           Ventricular Assist Devices, Market Forecast, 2002-2012

Exhibit 6-10:         2002, Ventricular Assist Devices Market, Share by Supplier

Exhibit 6-11:         Open-Heart Surgery, Procedure Volumes Forecast, by Type, 2002-2012

Exhibit 6-12:         Roller Pump Consoles, Market Forecast, 2002-2012            

Exhibit 6-13:         Disposable Centrifugal Pumps, Market Forecast, 2002-2012

Exhibit 6-14:         2002, Roller Pump Consoles Market, Share by Supplier

Exhibit 6-15:         2004, Selected Oxygenators

Exhibit 6-16:         Oxygenators, Market Forecast, 2002-2012

Exhibit 6-17:         2002, Oxygenators Market, Share by Supplier

 

Exhibit 7-1:           Allogeneic and Autologous Blood Units, Transfusion Forecast, 2002-2012

Exhibit 7-2:           Blood Demand by Condition/Procedure

Exhibit 7-3:           Selected Surgical Procedures and Blood Salvage

Exhibit 7-4:           Total and Partial Hip Replacements, Procedure Volumes Forecast, 2002-2012

Exhibit 7-5:           Primary and Revision Knee Replacements, Procedure Volumes Forecast, 2002-2012

Exhibit 7-6:           Blood Salvage Products, Market Forecast, 2002-2012

Exhibit 7-7:           2004, Selected Blood Substitute Products

Exhibit 7-8:           Possible Indications for Blood Substitute Products, by Condition/Event

Exhibit 7-9:           Blood Substitutes, Market Forecast, 2002-2012

Exhibit 7-10:         2004, Selected Plasma Volume Expanders, by Indication

Exhibit 7-11:         2004, Selected Plasma Volume Expanders and Their Manufacturers

Exhibit 7-12:         Plasma Volume Expanders, Market Forecast, 2002-2012



COMPANIES COVERED:

  1. Abbott Laboratories
  2. ALARIS Medical Systems, Inc.
  3. Arizant, Inc.
  4. Arrow International, Inc.
  5. C.R. Bard, Inc.
  6. Baxter International, Inc.
  7. Becton, Dickinson and Company
  8. Datascope Corporation
  9. Haemonetics Corporation
  10. i-STAT Corporation
  11. The Laryngeal Mask Company/LMA International LTD
  12. Roche Diagnostics/F. Hoffmann-La Roche LTD
  13. Sorin Group/Sorin SPA
  14. Thoratec Corporation
  15. Tyco International LTD
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