Table of Contents
1 Table of Contents
1 Table of Contents 2
1.1 List of Tables 8
1.2
List of Figures 10
2 Introduction 12
2.1 What Is This Report About?
12
3 Definitions of Markets Covered in This Report 13
3.1 Patient
Monitoring 13
3.2 Wireless Ambulatory Telemetry Monitoring 13
3.2.1
Hospital Ambulatory 13
3.2.2 Cardiac Rehabilitation 13
3.3
Multiparameter Patient Monitoring 13
3.3.1 Critical Care Monitors 13
3.3.2 Perioperative Care Monitors 13
3.4 Remote Patient Monitoring 13
3.5 Non-Invasive Blood Pressure Monitors 14
3.5.1 Mercury Sphygmomanometer
14
3.5.2 Aneroid Sphygmomanometer 14
3.5.3 Automatic Sphygmomanometer
14
3.6 Micro- Electromechanical Systems (MEMS) 14
4 Healthcare Sector
Review 15
4.1 Healthcare Sector 15
4.2 Healthcare Expenditure 15
4.3 Healthcare Infrastructure 18
4.3.1 Healthcare Personnel Data 18
4.3.2 Healthcare Facilities Data 20
4.4 Healthcare Policy 25
5
Regulation System 26
5.1 Regulation System 26
5.2 Medical Equipment
Approval Process 26
5.2.1 Classification of Medical Devices 26
5.3
Conformity Assessment Process 35
5.3.1 Class I devices 35
5.3.2 Class
IIa devices 36
5.3.3 Class IIb devices 37
5.3.4 Class III devices
38
5.4 Post Market Surveillance 39
6 Pricing and Reimbursement 40
6.1 SHI 40
6.1.1 Private Health Insurance 40
6.1.2 Diagnosis Related
Groups (DRG) 40
7 Distribution Structure 41
8 Patient Monitoring In
Germany 42
8.1 Patient Monitoring, Cross Country Comparison, Revenue ($
mn), 2000-2015 42
8.2 Patient Monitoring, Germany, Overall Revenue ($ mn),
2000-2015 44
8.3 Patient Monitoring, Germany, Category Volume (Units),
2000-2015 50
8.4 Patient Monitoring, Germany, Company Share (2007-2008)
52
9 Micro-Electromechanical Systems In Germany 53
9.1
Micro-Electromechanical Systems Overall Revenue (2000-2015) 53
9.2
Micro-Electromechanical Systems Overall Volume (2000-2015) 55
9.3
Micro-Electromechanical Systems Average Price (2000-2015) 57
9.4
Micro-Electromechanical Systems Distribution Share (2007-2008) 58
9.5
Micro-Electromechanical Systems, Germany, Company Share (2007-2008) 59
10
Multiparameter Patient Monitoring In Germany 60
10.1 Multiparameter
Patient Monitoring Overall Revenue (2000-2015) 60
10.2 Multiparameter
Patient Monitoring Overall Volume (2000-2015) 62
10.3 Multiparameter
Patient Monitoring Average Price (2000-2015) 64
10.4 Multiparameter
Patient Monitoring Distribution Share (2007-2008) 65
10.5 Multiparameter
Patient Monitoring, Germany, Company Share (2007-2008) 66
11 Non-Invasive
Blood Pressure Monitors In Germany 67
11.1 Non-Invasive Blood Pressure
Monitors Overall Revenue (2000-2015) 67
11.2 Non-Invasive Blood Pressure
Monitors Overall Volume (2000-2015) 69
11.3 Non-Invasive Blood Pressure
Monitors Average Price (2000-2015) 71
11.4 Non-Invasive Blood Pressure
Monitors Distribution Share (2007-2008) 72
11.5 Non-Invasive Blood
Pressure Monitors, Germany, Company Share (2007-2008) 73
12 Remote Patient
Monitoring In Germany 74
12.1 Remote Patient Monitoring Overall Revenue
(2000-2015) 74
12.2 Remote Patient Monitoring Overall Volume (2000-2015)
76
12.3 Remote Patient Monitoring Average Price (2000-2015) 78
12.4
Remote Patient Monitoring Distribution Share (2007-2008) 79
12.5 Remote
Patient Monitoring, Germany, Company Share (2007-2008) 80
13 Wireless and
Ambulatory Monitoring In Germany 81
13.1 Wireless and Ambulatory
Monitoring Overall Revenue (2000-2015) 81
13.2 Wireless and Ambulatory
Monitoring Overall Volume (2000-2015) 83
13.3 Wireless and Ambulatory
Monitoring Average Price (2000-2015) 85
13.4 Wireless and Ambulatory
Monitoring Distribution Share (2007-2008) 86
13.5 Wireless and Ambulatory
Monitoring, Germany, Company Share (2007-2008) 87
14 Overview of Key
Companies in Germany Patient Monitoring Market 89
14.1 Welch Allyn Inc.
89
14.1.1 Company Overview 89
14.2 Terumo Corporation 89
14.2.1
Company Overview 89
14.3 St. Jude Medical, Inc. 90
14.3.1 Company
Overview 90
14.4 Siemens Healthcare 90
14.4.1 Company Overview 90
14.5 Schiller AG 91
14.5.1 Company Overview 91
14.6 Philips Healthcare
91
14.6.1 Company Overview 91
14.7 OSI Systems, Inc. 92
14.7.1
Company Overview 92
14.8 OMRON HEALTHCARE Co., Ltd. 93
14.8.1 Company
Overview 93
14.8.2 OMRON HEALTHCARE Co., Ltd. Pipeline Products 93
14.8.2.1 OMRON HEALTHCARE Co., Ltd. Pipeline Products By Equipment Type 93
14.8.2.2 OMRON HEALTHCARE Co., Ltd. Pipeline Products By Development Stage
93
14.8.2.3 OMRON HEALTHCARE Co., Ltd. Pipeline Products By Therapy Area
94
14.8.2.4 OMRON HEALTHCARE Co., Ltd. Pipeline Products By News Summary
94
14.9 Nihon Kohden Corporation 95
14.9.1 Company Overview 95
14.10 Mindray Medical International Limited 95
14.10.1 Company Overview
95
14.11 Microlife Corporation 96
14.11.1 Company Overview 96
14.12 Medtronic, Inc. 97
14.12.1 Company Overview 97
14.13 HARTMANN
GROUP 97
14.13.1 Company Overview 97
14.14 GE Sensing & Inspection
Technologies 98
14.14.1 Company Overview 98
14.15 GE Healthcare 99
14.15.1 Company Overview 99
14.15.2 GE Healthcare Pipeline Products 99
14.15.2.1 GE Healthcare Pipeline Products By Equipment Type 99
14.15.2.2
GE Healthcare Pipeline Products By Development Stage 100
14.15.2.3 GE
Healthcare Pipeline Products By Therapy Area 100
14.15.2.4 GE Healthcare
Pipeline Products By Clinical Trials 100
14.15.2.5 GE Healthcare Pipeline
Products By News Summary 100
14.16 Edwards Lifesciences Corporation
101
14.16.1 Company Overview 101
14.17 Draegerwerk AG & Co. KGaA
102
14.17.1 Company Overview 102
14.17.2 Drager Medical AG & Co. KG
Pipeline Products 102
14.17.2.1 Drager Medical AG & Co. KG Pipeline
Products By Equipment Type 102
14.17.2.2 Drager Medical AG & Co. KG
Pipeline Products By Development Stage 102
14.17.2.3 Drager Medical AG &
Co. KG Pipeline Products By Therapy Area 102
14.18 Datascope Corporation
103
14.18.1 Company Overview 103
14.19 Boston Scientific Corporation
103
14.19.1 Company Overview 103
14.20 BIOTRONIK GmbH & Co. KG 104
14.20.1 Company Overview 104
14.21 A&D Medical / LifeSource 104
14.21.1 Company Overview 104
15 Financial Deals Landscape 105
15.1
Acquisition 105
15.1.1 Draegerwerk To Acquire The Remaining Interest In
Drager Medical From Siemens 105
15.2 Partnerships 106
15.2.1 Covidien
Enters Into An Agreement With Drager Medical 106
16 Recent Developments
107
16.1 Strategy And Business Planning 107
16.1.1 Oct 01, 2008: Roche
Invests CHF215 Million In Diagnostics Facility At Penzberg, Munich 107
16.2 Research And Development 107
16.2.1 Oct 01, 2008: Roche Invests
CHF215 Million In Diagnostics Facility At Penzberg, Munich 107
16.3
Product News 108
16.3.1 Aug 12, 2008: Draeger Launches New Wireless
Infinity M300 Patient-Worn Monitor 108
17 Appendix 109
17.1 Global
Markets Direct Research Methodology 109
17.2 Secondary Research 110
17.3 Primary Research 110
17.4 Models 111
17.5 Forecasts 111
17.6
Expert Panel Validation 111
17.7 Currency Conversion 112
17.8 Contact
Us 113
17.9 Disclaimer 113
1.1 List of Tables
Table 1:
Healthcare Expenditure in Germany, (€m), 2000 – 2006 15
Table
2: Healthcare Personnel by Region in Germany, 2007 18
Table 3: Doctors by
Specialty in Germany, 2000-2004 19
Table 4: Hospitals by Region in
Germany, 2004 20
Table 5: Hospitals and Beds by Region in Germany, 2007
21
Table 6: Rehabilitation Centers by Region in Germany, 2004 22
Table
7: Rehabilitation Center Beds by Region in Germany, 2004 23
Table 8:
Discharges by Diagnosis in Germany, 2004 24
Table 9: Patient
Monitoring, Cross Country Comparison, Revenue ($ mn), 2000-2015 43
Table
10: Patient Monitoring, Germany, Overall Revenue ($ mn), 2000-2015 44
Table 11: Patient Monitoring, Germany, Cross-Category Analysis, 2000-2015
45
Table 12: Patient Monitoring, Germany, Overall Revenue ($ mn),
Historic, 2000-2008 47
Table 13: Patient Monitoring, Germany, Overall
Revenue ($ mn), Forecast, 2008-2015 49
Table 14: Patient Monitoring,
Germany, Category Volume (Units), 2000-2015 50
Table 15: Patient
Monitoring, Germany, Category Volume (Units), Historic, 2000-2008 50
Table
16: Patient Monitoring, Germany, Category Volume (Units), Forecast,
2008-2015 51
Table 17: Patient Monitoring, Germany, Company Share by
Revenue ($ mn), 2007-2008 52
Table 18: Micro-Electromechanical
Systems, Germany, Revenue ($ mn), Historic, 2000-2008 53
Table 19:
Micro-Electromechanical Systems, Germany, Revenue ($ mn), Forecast, 2008-2015
54
Table 20: Micro-Electromechanical Systems, Germany, Volume
(Units), Historic, 2000-2008 55
Table 21: Micro-Electromechanical
Systems, Germany, Volume (Units), Forecast, 2008-2015 56
Table 22:
Micro-Electromechanical Systems, Germany, Average Price ($), Historic,
2000-2008 57
Table 23: Micro-Electromechanical Systems, Germany,
Average Price ($), Forecast, 2008-2015 57
Table 24:
Micro-Electromechanical Systems, Germany, Distribution Share by Revenue ($mn),
2007-2008 58
Table 25: Micro-Electromechanical Systems, Germany,
Company Share by Revenue ($ mn), 2007-2008 59
Table 26:
Multiparameter Patient Monitoring, Germany, Revenue ($ mn) by Segment,
Historic, 2000-2008 60
Table 27: Multiparameter Patient Monitoring,
Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 61
Table 28:
Multiparameter Patient Monitoring, Germany, Volume (Units) by Segment,
Historic, 2000-2008 62
Table 29: Multiparameter Patient Monitoring,
Germany, Volume (Units) by Segment, Forecast, 2008-2015 63
Table 30:
Multiparameter Patient Monitoring, Germany, Average Price ($), Historic,
2000-2008 64
Table 31: Multiparameter Patient Monitoring, Germany,
Average Price ($), Forecast, 2008-2015 64
Table 32: Multiparameter
Patient Monitoring, Germany, Distribution Share by Revenue ($mn), 2007-2008
65
Table 33: Multiparameter Patient Monitoring, Germany, Company
Share by Revenue ($ mn), 2007-2008 66
Table 34: Non-Invasive Blood
Pressure Monitors, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008
67
Table 35: Non-Invasive Blood Pressure Monitors, Germany, Revenue
($ mn) by Segment, Forecast, 2008-2015 68
Table 36: Non-Invasive
Blood Pressure Monitors, Germany, Volume (Units) by Segment, Historic,
2000-2008 69
Table 37: Non-Invasive Blood Pressure Monitors, Germany,
Volume (Units) by Segment, Forecast, 2008-2015 70
Table 38:
Non-Invasive Blood Pressure Monitors, Germany, Average Price ($), Historic,
2000-2008 71
Table 39: Non-Invasive Blood Pressure Monitors, Germany,
Average Price ($), Forecast, 2008-2015 71
Table 40: Non-Invasive
Blood Pressure Monitors, Germany, Distribution Share by Revenue ($mn),
2007-2008 72
Table 41: Non-Invasive Blood Pressure Monitors, Germany,
Company Share by Revenue ($ mn), 2007-2008 73
Table 42: Remote
Patient Monitoring, Germany, Revenue ($ mn), Historic, 2000-2008 74
Table
43: Remote Patient Monitoring, Germany, Revenue ($ mn), Forecast,
2008-2015 75
Table 44: Remote Patient Monitoring, Germany, Volume
(Units), Historic, 2000-2008 76
Table 45: Remote Patient Monitoring,
Germany, Volume (Units), Forecast, 2008-2015 77
Table 46: Remote
Patient Monitoring, Germany, Average Price ($), Historic, 2000-2008 78
Table 47: Remote Patient Monitoring, Germany, Average Price ($),
Forecast, 2008-2015 78
Table 48: Remote Patient Monitoring, Germany,
Distribution Share by Revenue ($mn), 2007-2008 79
Table 49: Remote
Patient Monitoring, Germany, Company Share by Revenue ($ mn), 2007-2008 80
Table 50: Wireless and Ambulatory Monitoring, Germany, Revenue ($ mn) by
Segment, Historic, 2000-2008 81
Table 51: Wireless and Ambulatory
Monitoring, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 82
Table 52: Wireless and Ambulatory Monitoring, Germany, Volume (Units) by
Segment, Historic, 2000-2008 83
Table 53: Wireless and Ambulatory
Monitoring, Germany, Volume (Units) by Segment, Forecast, 2008-2015 84
Table 54: Wireless and Ambulatory Monitoring, Germany, Average Price ($),
Historic, 2000-2008 85
Table 55: Wireless and Ambulatory Monitoring,
Germany, Average Price ($), Forecast, 2008-2015 85
Table 56: Wireless
and Ambulatory Monitoring, Germany, Distribution Share by Revenue ($mn),
2007-2008 86
Table 57: Wireless and Ambulatory Monitoring, Germany,
Company Share by Revenue ($ mn), 2007-2008 88
Table 58: OMRON
HEALTHCARE Co., Ltd. Pipeline Products by Equipment Type 93
Table 59:
OMRON HEALTHCARE Co., Ltd. Pipeline Products By Development Stage 93
Table
60: OMRON HEALTHCARE Co., Ltd. Pipeline Products By Therapy Area 94
Table 61: OMRON HEALTHCARE Co., Ltd. Pipeline Products By News Summary
94
Table 62: GE Healthcare Pipeline Products by Equipment Type 99
Table 63: GE Healthcare Pipeline Products By Development Stage 100
Table 64: GE Healthcare Pipeline Products By Therapy Area 100
Table
65: GE Healthcare Pipeline Products By Clinical Trials 100
Table 66:
GE Healthcare Pipeline Products By News Summary 100
Table 67:
Drager Medical AG & Co. KG Pipeline Products by Equipment Type 102
Table
68: Drager Medical AG & Co. KG Pipeline Products By Development Stage
102
Table 69: Drager Medical AG & Co. KG Pipeline Products By Therapy
Area 102
Table 70: Draegerwerk To Acquire The Remaining Interest In
Drager Medical From Siemens 105
Table 71: Covidien Enters Into An
Agreement With Drager Medical 106
Table 72: USD to Local Currency,
Average Exchange Rate 2008 112
1.2 List of Figures
Figure 1:
Healthcare Expenditure Sources in Germany, 2006 16
Figure 2: Healthcare
Financing Framework in Germany, 2007 17
Figure 3: Flowchart for
Classification of Non-invasive Devices in Germany, 2007 27
Figure 4:
Flowchart for Classification of Invasive Devices in Germany, 2007 28
Figure 5: Flowchart for Classification of Invasive Devices in Germany, 2007
29
Figure 6: Classification of Invasive Devices in Germany, 2007 30
Figure 7: Classification of Invasive Devices in Germany, 2007 31
Figure 8:
Flowchart for Classification of Active Devices in Germany, 2007 32
Figure
9: Flowchart for Classification of Active Devices in Germany, 2007 33
Figure 10: Flowchart for Classification of Devices except Non-invasive,
Invasive and Active Devices in Germany, 2007 34
Figure 11: Conformity
Assessment of Class-I Medical Devices in Germany, 2007 35
Figure 12:
Conformity Assessment of Class-IIa Medical Devices in Germany, 2007 36
Figure 13: Conformity Assessment of Class-IIb Medical Devices in Germany, 2007
37
Figure 14: Conformity Assessment of Class-III Medical Devices in
Germany, 2007 38
Figure 15: Patient Monitoring, Cross Country
Comparison, Revenue ($ mn), 2000-2015 42
Figure 16: Patient
Monitoring, Germany, Overall Revenue ($ mn), 2000-2015 44
Figure 17:
Patient Monitoring, Germany, Cross-Category Analysis, 2000-2015 45
Figure
18: Patient Monitoring, Germany, Overall Revenue ($ mn), Historic,
2000-2008 46
Figure 19: Patient Monitoring, Germany, Overall Revenue
($ mn), Forecast, 2008-2015 48
Figure 20: Patient Monitoring,
Germany, Company Share (%), 2008 52
Figure 21:
Micro-Electromechanical Systems, Germany, Revenue ($ mn), Historic, 2000-2008
53
Figure 22: Micro-Electromechanical Systems, Germany, Revenue ($
mn), Forecast, 2008-2015 54
Figure 23: Micro-Electromechanical
Systems, Germany, Volume (Units), Historic, 2000-2008 55
Figure 24:
Micro-Electromechanical Systems, Germany, Volume (Units), Forecast, 2008-2015
56
Figure 25: Micro-Electromechanical Systems, Germany, Company Share
(%), 2008 59
Figure 26: Multiparameter Patient Monitoring, Germany,
Revenue ($ mn) by Segment, Historic, 2000-2008 60
Figure 27:
Multiparameter Patient Monitoring, Germany, Revenue ($ mn) by Segment,
Forecast, 2008-2015 61
Figure 28: Multiparameter Patient Monitoring,
Germany, Volume (Units) by Segment, Historic, 2000-2008 62
Figure 29:
Multiparameter Patient Monitoring, Germany, Volume (Units) by Segment,
Forecast, 2008-2015 63
Figure 30: Multiparameter Patient Monitoring,
Germany, Company Share (%), 2008 66
Figure 31: Non-Invasive Blood
Pressure Monitors, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008
67
Figure 32: Non-Invasive Blood Pressure Monitors, Germany, Revenue
($ mn) by Segment, Forecast, 2008-2015 68
Figure 33: Non-Invasive
Blood Pressure Monitors, Germany, Volume (Units) by Segment, Historic,
2000-2008 69
Figure 34: Non-Invasive Blood Pressure Monitors,
Germany, Volume (Units) by Segment, Forecast, 2008-2015 70
Figure 35:
Non-Invasive Blood Pressure Monitors, Germany, Company Share (%), 2008 73
Figure 36: Remote Patient Monitoring, Germany, Revenue ($ mn), Historic,
2000-2008 74
Figure 37: Remote Patient Monitoring, Germany, Revenue
($ mn), Forecast, 2008-2015 75
Figure 38: Remote Patient Monitoring,
Germany, Volume (Units), Historic, 2000-2008 76
Figure 39: Remote
Patient Monitoring, Germany, Volume (Units), Forecast, 2008-2015 77
Figure
40: Remote Patient Monitoring, Germany, Company Share (%), 2008 80
Figure 41: Wireless and Ambulatory Monitoring, Germany, Revenue ($ mn) by
Segment, Historic, 2000-2008 81
Figure 42: Wireless and Ambulatory
Monitoring, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 82
Figure 43: Wireless and Ambulatory Monitoring, Germany, Volume (Units) by
Segment, Historic, 2000-2008 83
Figure 44: Wireless and Ambulatory
Monitoring, Germany, Volume (Units) by Segment, Forecast, 2008-2015 84
Figure 45: Wireless and Ambulatory Monitoring, Germany, Company Share
(%), 2008 87
Figure 46: Global Markets Direct Methodology 109
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