Preliminary Table of Contents
Report Methodology 1
Definitions of Market Components 1
Segmentation By Type of Anesthesia Workstations 1
Market Size Determination Methodology 1
Installed Base 2
Growth Markets 2
Forecast Accuracy 2
Market Forecast Trends 3
Compound Annual Growth Rate (CAGR) 4
Alliances and Partnerships 4
Respiratory Gas and Vital Signs Monitoring Combinations 4
Anesthesia Workstation and Monitoring Equipment Alliances 4
US Implications of Datex-Engstrom Merger 4
Announcement that BOC Seeks to Sell Ohmeda 5
Market Segmentations For Report 5
Segmentation of New and Used Equipment - Reseller Market 5
Competitive Split/Market Shares - Ohmeda and NAD 5
Components of the Market 6
Accuracy of Data for Various Components 6
Market Modeling Approach 6
Potential For Fine Tuning the Study 7
Anesthesia workstations Pricing 7
Known Range or Error Remaining 8
Medical Price Inflation 8
Unit Volume Forecast 8
Equipment Replacement Cycle 8
Summary of the US Anesthesia Workstations Market 9
Issues Surrounding the Used Equipment Market 9
Issues Surrounding The Number of Instrumented ORs in FSSCs 10
FSSC Component of the Market 10
Animal Research Component of the Market 11
Hospital Component of the Market 11
Overview of US Healthcare Market Trends 13
Trends Affecting The Market Are LONG-TERM in Nature 13
Overview of US Hospital-Based Market Trends 13
Number of Operating Suites in US Hospitals 13
Trends in US Hospital Operating Suites 13
Procedures Shift To Same-Day Surgeries in Hospitals 14
Many Same Day Surgeries Performed Using IV Anesthesia 15
Trend in US Hospital Closures 16
Overview of Free Standing Surgical Centers (FSSC) 16
Overview of Outpatient Surgical Procedures Performed 17
Projection of ANESTHESIA WORKSTATIONS Required For FSSC 18
Vaporizers Used on ANESTHESIA WORKSTATIONS 18
Inpatient Setting - Number of Vaporizers 19
Outpatient Setting - Number of Vaporizers 19
Replacement Cycle for ANESTHESIA WORKSTATIONS 19
Specific Factors Which Might Accelerate Replacement Cycle 19
Bulk Phased Military Procurement Planned 19
Cycle Could Accelerate And Become Technology Driven - Given the Right New Product(s) 20
Patient Status Tracking Monitor 20
Logical Technology Integration 20
Number of Units Sold is Declining Very Slowly as Replacement Cycle Lengthens 20
Replacement Cycles of Other Anesthesia Workstations Components 21
Integrated Solutions Will Invigorate The Market 21
Methods of Differentiating New ANESTHESIA WORKSTATIONS in the US Market 22
Requirement For Information Systems in the Perioperative Surgical Setting 22
Perioperative Information Systems Market in US 22
Other External Market Drivers 24
Healthcare Expenditure Is a Political Issue 24
Managed Care Overview 24
Implications and Goals of Managed Care 24
Goals of Managed Care 24
Risk for Health Care Increasingly Shifting to Providers 25
Providers Form Managed Care Networks 25
Physician Specialties Threatened By Managed Care 25
Excess Supply of Specialty Physicians in US Managed Care Market 25
Over Supply Affects Many Specialties 25
Physicians Per 100,000 Population 26
Physicians By Specialty in US - Anesthesiologists in OFFICE Based Practices. 27
Perioperative Information Systems Needed to Manage the OR Resources and Costs 28
Outcome Measures Across the Continuum of Care 29
Focus of Peri-Operative Information Systems Shifts Under Managed Care 29
OR Information Systems Provide "Drill Down" Detail and Enforce "Critical Pathways" 30
Present Size of the OR Information Systems Market 30
Potential for Growth of OR Information Systems 31
Corporate Profiles 32
Andros 32
Location 32
Corporate History 32
Position in the Market 33
Products Offered 33
Breath Watch 34
Outlook 34
Aspect Medical Systems 35
Location 35
Corporate Background 35
History of Innovation 35
Position in the Market 35
Products Available 36
Outlook During Forecast Period 36
BCI International, Inc. 37
Contact Information 37
Corporate History 37
Position in the Market 38
Recent Product Additions 38
Other Products of Interest 39
Corporate Outlook 41
Criticare Systems 42
Contact Information 42
Selected OEM Relationships 42
Company Overview 42
Overview 43
Position In The Market 43
New Products 44
Other Products 46
Outlook 47
Datascope 48
Contact Information 48
OEM Relationships 48
Corporate History/Background 48
Product Announcements 49
Cardiac Assist Devices 49
Hemostat Products (Europe) 50
Patient Monitoring Products 50
Passport LCD and EL 50
Passport’s Newest Family Member 50
Central Station Systems 51
Multinex Monitor with/without Agent ID 52
Newest Product Introductions 53
Corporate Outlook 53
Hewlett-Packard Company Medical Products Group (MPG) 55
Key Personnel 55
Corporate History 55
Sales Force Structure Decentralized, Order Processing Centralized 57
World Wide Web 57
Integration/Interface to 3rd Party Products 57
History of Innovation 57
Key Accounts & Group Contracts 59
Interfaces to Competitive Products 59
Market Position - US and Worldwide 59
HP UNVEILS NEW FLEXIBLE-FINANCING PRODUCT SUITE 59
Patient Encounter Pricing 60
Total Cost of Ownership Study 61
Technology Protection Program 61
U.S. Pricing and Availability 61
HP Offers Upgrade Service Package for CMS Patient-Monitoring Customers 61
Fetal Monitoring 62
Patient Worn Telemetry 62
PorTable Monitors with Wireless LAN 62
Product Development Cycle 62
Products Overview 63
Telemetry Products 63
NEW - Viridia Telemetry - (HP Model M2600A) 63
Cardiology Products - Recent Additions 67
ICU and CIS Strengths 69
Component Monitoring System 70
CMS Bedside Monitors 70
Other CMS Components 70
Distributed Architecture 70
M-Series Parameter Modules 71
Greatly Enhanced Connectivity 72
Central Station Capabilities 72
Waveform Display 72
Alarm Identification 73
Documentation 73
Arrhythmia Monitoring 73
ST Segment Monitoring 73
Event Notification and Alarm Validation 73
Alarm Documentation 74
Beat Detection 74
Ventricular Fibrillation 74
Patients with Pacemakers 74
Trends 74
Full-Disclosure Capabilities 75
Digital Telemetry Products 76
Model M1275A Component Transport System 76
M3 – Transport Monitor (Not Available In The US Market) - Anesthetic Agent Products 76
Carevue Family of Clinical Information Systems 77
What is Carevue 9000? 77
Clinical Information System Market Position 77
HP Ultrasound Position 77
Fetal Monitoring Position 78
Intrapartum, Multiple Fetus Monitors 79
Electrocardiology Business Unit 79
Palm Vue System 79
HP Discount Strategy 79
Purchasing Group Contracts & Marketing Alliances 80
Service/support 80
Overall Outlook for HP 81
InVivo Corp. (Div. of Safetytek Corp). 82
Contact Information 82
Medical Division Location 82
Former Company Names: 82
EXECUTIVE OFFICERS OF THE COMPANY 82
Corporate History 82
Recent Financial Performance 82
RESEARCH 83
Position in the Market 84
History of Innovation 84
Recent Product Introductions 85
Omega 5600 86
Other Products Available 86
Millennia High-Acuity PorTable Monitor 86
Telemetry Option for Millennia 87
Recorder Option 87
Centurion Central Station 87
Model 4500 Plus 87
SVS 87
SCOUT 87
MRI Market 88
Outlook 88
MARQUETTE Electronics 89
Contact Information 89
Corporate History 89
Recent Acquisitions & Strategic Alliances 90
National Accounts 90
Position in the Market 90
Continued Development of Clinical Information Systems 90
Increase Penetration of International Markets 90
Patient Monitoring 91
Recent Product Additions 92
The Solar 8000
Eagle Series 4000, 3000 93
Solar 1000 93
Newest APEX Transmitters 93
Patient Locating Devices 94
Established Products 95
Models 145, 150 & 155 95
Models 151, 118 & 340 95
Model 330 95
Unity Network Components 98
TramScope® Bedside Displays 98
Centralscope™ 12 Central Station 98
Direct Digital Writer (DDW) 99
Tram-Rac® Module Housings 99
Trim Knob® Remote Controls 99
Multi-Parameter Modules 99
SvO2 Module 100
Telemetry Module 100
Tram Bricks Available 100
Mentor™ User Support System 101
MARS™ Full-Disclosure Neonatal & Unity Workstations 101
Unity System Software 102
LAN Paging System 103
Alarm Display Unit 103
Monitoring Review Terminal (MRT-II) 103
Respiration and Anesthesia Care Products 103
Advantage™/Transcope® Interface (NEW) 103
MGA-1100 Monitor 104
Advantage/Lifewatch™ Plus 104
MGA-IR Mainstream and Sidestream Capnometers 104
Managed Use Program 104
Corporate Outlook 104
Nellcor/Puritan-Bennett/Mallinckrodt 106
Contact Information 106
Corporate History 106
Recent Financial Performance 107
Position in the Market 107
History of Innovation 107
Recent Product Introductions 108
New Nellcor PorTable (International Markets - OEM from Analogics, Inc.) 108
Nellcor UltraCap SA02 / ETC02 109
Established Products 109
OXIMETRY 109
CAPNOGRPHY 110
AGENT ANALYZER 110
BLOOD PRESSURE 110
N-1000 110
Outlook 111
NOVAMETRIX, Inc. 113
Location 113
Corporate Background 113
OEM Agreements 113
Recent Financial Performance 113
Corporate History 114
International Sales 114
Position in the Market 115
Products 115
The Big 5 115
Tele-Sat Model 116
Tidal Wave 116
OXYPLETH 116
Model 515B and Model 515C (with plethysmogram) 116
TCO2M Model 860 117
CO2SMO-Plus 117
Vent(Check) 117
VenTrak(R) Model 1550 118
COMPETITION (will stick this up there after you edit it) 118
Outlook 118
SIEMENS Medical electronics, Inc. (SME) 120
OEM Arrangements 120
Recent Financial Performance 120
Corporate Relationships 121
Corporate Restructuring 121
Position in the Market 121
Recent Additions 121
Bedside Monitors 121
Bedside Safety - Excellent, Unsurpassed! 122
Pods, Not Modules Anymore & A Simple, Intuitive User Interface 122
Docking Stations For Monitor and Recorder 123
A Trim Knob By Any Other Name - Enhanced With Dedicated Keys 123
This System Well Documented 123
In With the New, Out With the Old 124
Central Station is ViewStation 124
"Virtual" Mouse Pointers 124
Bedside Waveform Review At Central 125
Infinity Telemetry 125
National Accounts/Group Purchasing 126
Established Products 126
OR Products 126
Clinical Information Sytems (CIS) 126
Outlook 126
Spacelabs Medical, Inc. 127
Contact Information 127
Overview 127
Acquisitions 127
Recent Financial Performance 128
Product Warranties 128
Research and Development 128
Sales Strategy 128
Selected OEM Relationships 129
Position in the Market 129
International Markets 129
Patient Monitoring Markets 129
Telemetry Markets 130
Clinical Information Systems 130
Principal Products 131
Recently Introduced Or Acquired Products 131
PC Ranger 131
PC Scout 131
Fetal Monitor 131
Intesys Clinical Information System (New Chartmaster) is Care Master 132
Established Products 132
Universal Clinical Workstation (UCW) 132
Parameter Modules 132
UCW Scout Ranger 133
Models 90322 and 90323 Network Recorders 133
UHF Digital Patient-Worn Telemetry Products 133
2.4GHZ. WLAN For PorTable Monitor 134
Remote Data Access 134
Full Disclosure ECG Systems 134
Universal Flexport 134
Large Screen Remote Displays 135
Monitoring Network 135
Customer Support & Warranty 135
Competition 135
Outlook 136
Table/List of Figures and Tables
Table 1 - Total US NEW Anesthesiology Workstation Market Revenues, Units and Growth 9
Table 2 - FSSC Component of Market (Based on Growth & Replacement Units) 11
Table 3 - Trend in Operating Rooms and Gas Machines Sold (1990-1996) 12
Table 4 - Hospital Component of Anesthesia Workstation Market 12
Table 5 - Trend in Growth of US Hospital Operating Suites Since 1985 14
Table 6 - Five-Year Trends of Inpatient and Outpatient Surgeries in US Hospitals 15
Table 7 - Trend Over Last 5 Years of Number of US Hospitals 16
Figure 8 - Growth of Free Standing Surgical Centers and OR Suites in US 17
Table 9 - Surgical Procedures Performed in the FSSC Setting 17
Table 10 - Replacement Cycles for Perioperative Equipment 21
Table 11 - Physicians and Nurses By State 27
Table 12 - Physicians By
Selected Specialty/Activity 28Table 13 - Andros Recent Selected Financial Trends 33
Table 15 - Capabilities of Current BCI Products 40
Table 16 - Recent Siemens US Revenues - Patient Monitoring Products 42
Table 17 - Datascope Recent Financial Results 48
Table 18 - Selected DATASCOPE Product Innovations 49
Table 19- Selected DATASCOPE Monitoring Products 50
Table 20 - Recent Financial Performance 56
Table 21 - Selected HP Corporate Relationships 57
Table 22- Hewlett Packard Product Introduction 57
Table 23- Selected HP Medical Interfaces 59
Table 24 - HP Bedside Monitoring Displays Available 70
Table 25 - Some M-Series System Capabilities 71
Table 26- CMS Modules Currently Available 71
Table 28 - Invivo Recent Financial Performance 83
Table 29 - 1996 Quarterly Results 83
Table 30 - Invivo Product Innovations 85
Table 31 - Marquette Medical Recent Financial Results 90
Table 32- MARQUETTE History of Innovation 92
Model 330 Telemetry - Advanced Features for Convenience of Use: 96
Table 33 - Modules Compatible with Unity 100
Table 34 - Tram Modules and Their Capabilities 101
Table 35 - System Software Levels & Features 102
Table 36 - Features Common to ALL Software Versions 102
Table 37 - Recent Worldwide Nellcor Performance (Not including Mallinkrodt) 107
Table 38 - Nellcor History of Innovation 108
Table 39- Available Products from Nellcor 111
Table 40 - NOVAMETRIX Recent Financial Trends 114
Table 41 - NOVAMETRIX Monitoring Products 115
Table 42 - Recent Siemens US Revenues - Patient Monitoring Products 120
Figure 43 - Siemens Old and New Monitoring Product Line 124
Table 44 - SIEMENS Digital Infinity VHF, UHF "All-Band" Tunable Telemetry 125
Table 45 - Spacelabs Recent Financial Performance. 128
Table 46 - Selected Spacelabs Medical Parameter Modules 133
Table 47 - Spacelabs Medical Full Disclosure Capabilities 134
Table 48 - Spacelabs Medical’ Large Screen Displays 135