Table 1 - Scope of Markets Segments Covered in this Report

 1

Table 2 - External Factors Influencing the US Patient Monitoring Markets

 2

Table 3 – Internal Factors Driving the US Patient Monitoring Market

 2

Table 4 – Other Factors Affecting US Monitoring Markets

 4

Table 5 – Penetration of US ORs by Aspect Medical from 1997 until Q1 1999

 7

Table 6 - Assumed Penetration of Masimo SET Technology

 8

NEW Table 7 – Trend in US Hospital Closings – 1985 Thru 1997

 8

NEW Table 8 – Projected Number of US Hospitals During Forecast Period

 8

© Figure 9 – Aging of Installed US Monitoring Base

 11

Table 10 – Overall US Hospital Patient Monitoring Market Forecast

 13

Figure 11 – Approximate US Patient Monitoring Vendor Market Shares

 14

Table 12 - Overview of US Healthcare Providers Who Utilize Patient Monitors

 15

Figure 13 – Approx Distribution by Clinical Unit of US Monitoring Orders Placed in 1998

 16

Figure 14 – Share of Cumulative Installed Base of Monitors in US Hospitals as of 1998

 17

Table 15 – Estimates of GDP (US$ Billions) & Population During Forecast Period

 20

Table 16 - Population, GDP & HC Expenditure Trends for Decade of 1990’s

 21

Figure 17 - Trends in Physician & Other Healthcare Expenditures

 21

Figure 18 - Trends of Individual Components Normalized by Year

 22

Figure 19 - Billed Charges for Medical Conditions in the US in 1987

 24

Figure 20 - © Trends in Cost of Inpatient Care From 1980 Through 1994 ($'s)

 25

Figure 21 - Indicators of Growth in Medical Industry 1991 Through 1994

 26

Table 22 - Selected Medicare In-Patient Principle Diagnosis in 1997

 27

Table 23 - Distribution of 1997 Medicare Funds in SS Hospitals by Service

 28

Table 24 - Projected Number of Beds Per 250,000 Population Under Managed Care Scenario

 29

Table 25 - Actions Taken By Hospitals to Re-engineer

 29

Table 26 - Growth of Medicare HMOs by State

 30

Table 27 – Cumulative Reductions in Federal Reimbursement to Hospitals Under BBA

 31

Figure 28 - 5 Yearly Trend in Annual Receipts/Revenue for the Health Service Industries ($ Mio

 32

Figure 29  Historical Consumer Versus Medical Price Index

 33

Figure 30  - 15 Year Employment Projections by DOL

 35

Figure 31 - Selected Non-Federal Healthcare Workers Trends by State, 1988 To 1994

 35

Figure 32 - Projected Growth in Non-Federal Healthcare Employment 1994 Through 2005

 37

Figure 33 - No of Physicians, by Selected Activity - 1970 Through 1994

 37

Figure 34 - Population Growth in the US 1990 vs 2010

 38

Table 35 - Nursing Home Population by Age Group

 39

Figure 36 - Age Distribution for Elderly from 1970 Through 2000

 39

Figure 37 - Population Growth Projections by State & Geographic Area

 40

Table 38 – Selected Not-for-Profit Hospital Buying Groups

 43

Table 39 – Selected For-Profits Group Purchasing Organizations

 44

Table 40 – Selected Government-Controlled Healthcare Provider Groups

 44

Table 41 – Core Competencies of Major US Monitoring Companies

 52

NEW Table 42 – Recent Trends and Market Share Positions of Selected Monitoring Suppliers

 53

Table 43 – Product Concepts of Major US Monitoring Companies

 55

Table 44 – Evolution of Vendor Product Lines and Market Directions

 59

Table 45 – Selected Monitoring Companies Expanding Their Product Lines by Acquisition

 60

Table 46 – Breadth of POC CPR Offerings of Selected Companies

 61

NEW © Figure 47 – Worldwide OS Market Shares Comparison of NT and UNIX – Mid Year 1998

 66

New Figure 48 – Interdependence of Features in Voice Recognition Systems

 75

Table 49 – Selected Masimo OEM SET™ Oximetry Vendors

 89

NEW © Table 50 – Frequency That ACC Members Perform Invasive Procedures

 93

NEW © Table 51 –Frequency That ACC Members Perform Non-Invasive Procedures

 94

Table 52 – Common Complications of PA/Vascular Monitoring

 95

NEW © Figure 53 – Connection between Right & Left Heart Across Lungs

 95

Figure 54 – Deltex Doppler Esophegeal CO Monitor

 97

Table 55 – Parameters Which PiCCO MONITORS CONTINUOUSLY

 104

Table 56 – Parameters Which PiCCO Derives or Estimates

 104

NEW © Figure 57 – Background & Clinical Studies on Pulse Contour Cardiac Output

 104

NEW © Fig 58 : Comparison of EVLW and the ratio of the arterial oxygen partial pressure and the inspiratory oxygen fraction (PaO2/FiO2)

 106

New © Fig 59 : Schematic cross-section through a septal lung capillary

 106

New  © Fig 60 - Close relationship between mortality and extravascular lung water in patients with multiple trauma (Sturm, 1990)

 107

NEW © Fig 61 - Comparison of ICU stay and ventilation days (Mitchell JP, et al.; 1992)

  108

Figure 62 – Finer Analysis of US Hospital ICU Types

 114

Figure 63 – Hill-Rom’s EpiCare Porter – Rotating Power Column and Bed Mover

 116

NEW Figure 64 – 1998 Worldwide Monitoring Market Size

 117

New Figure 65 – 1998 US ICU Market Size

 117

NEW Table 66 – Sources of Patients Admitted to ICUs

 118

NEW Table 67 – Distribution of Patients’ Pre-Existing Conditions At ICU Admission

 118

NEW Table 68 – Severity of Patients When Admitted to ICUs

 118

NEW Table 69 – Primary Dx of ICU Trauma Patients at Admission

 119

NEW Table 70 – Primary Dx of ICU Non-Trauma Patients at Admission

 119

© Table 71 - Typical Length of Stay and ICU Utilization for Various ICD-9 Codes

 120

NEW © Table 72 – Selected Parameters for Selected DRGs in US Hospitals

 121

NEW Figure 73 – Cost per day for ICU Patients at the Univ of Wisconsin Hospital

 122

NEW Table 74 – Cost of Post Operative Complications in ICU, Johns Hopkins Analysis of 46 Non-Federal Hospitals in Maryland

 123

Figure 75- Composition of Adult & Pediatric ICUs in US Hospitals (By Installed Units)

 124

Table 75 - Suppliers Found in US Surgical Intensive Care Units

 124

Table 76 – Ranking of Suppliers of Mixed and Other ICU Monitoring Systems (Adult – All Types)

 126

Figure 77 – Distribution of ICU Unit Sizes (Monitored Beds) US Hospitals

 127

Table 78 – Ranking of Vendors by Cumulative CCU Beds Installed

 128

Figure 79 – Distribution of CCU Unit Sizes (Monitored Beds) US Hospitals

 129

Figure 80 – 1999 RICU Market shares of Selected Vendors – US Hospitals

 130

NEW Table 81 – 1997 US Hospital Neonatal & ICU Units and Beds

 131

Figure 82- Cumulative Market Ranking of US Neonatal (Level 3) ICU Vendors

 132

Figure 83- Cumulative Market Ranking of US Neonatal (Level 2) Intermediate Vendors

 132

Figure 84- Cumulative Market Ranking of US Hospital Pediatric ICU Vendors

 133

Figure 85 – Distribution of Neonatal ICUs Unit Sizes in US Hospitals

 134

Table 86 – SCCM Sample of ICUs from 1998 IMPACT Database

 134

Table 87 – Change in ICU Units and Beds by Specialty from 1996 to 1999

 135

Figure 88 – Distribution of ICU Unit Sizes – US Hospitals –Mixed ICU Types

 137

Figure 89 - Size Distribution of Coronary Care Units

 138

Table 90 – Gross Breakdown of ICUs in US Hospitals (Unpublished SCCM data)

 139

Table 91 – Market Forecast for all adult ICUs in US Hospitals (Not RealityÔ Updated)

 141

Table 92 – Market Forecast for all Neonatal and Pediatric ICUs in US Hospitals (Not RealityÔ Updated)

 141

Table 93 – Consolidated Market Forecast for all ICUs in US Hospitals (Not RealityÔ Updated)

 142

Figure 94 – 13 Year Trend of US Hospital-based Surgeries

 143

Table 95 – Cumulative Vendor Rankings in US Hospital OR Suites

 144

NEW Table 96 – Trends in US Hospital ORs

 145

Figure 97 – Size Distributions of Operating Room Suites in US Hospital Surgeries

 146

NEW Table 98 – No of US Hospital ORs and Surgical Procedures – 1998 Thru 2003

 146

NEW Table 99 – Projected Number of US Hospital PACU Beds During Forecast Period

 147

NEW © Table 100 - 10 Most Expensive Surgical Procedures & 10 With Longest Recovery

 148

Table # 101 - Detailed Medicare Surgical Demographics

 149

Table # 102 - Potential for Shift in Surgical Procedures to Day Surgery

 151

Table 103 – Vendor Ranking in US Hospital PACUs

 151

Figure 104 – Distribution of Monitored Beds in US Hospital PACUs

 152

Table 105 - 5 year Forecast of US Hospital Market for BIS Monitors

 153

Table 106 – Forecast for BIS Monitoring Sales and Revenues in US Perioperative Segment

 153

Table 107 – Consolidated Summary of the US Inpatient OR Component of the Perioperative Monitoring Market (Including BIS Technology)

 154

Table 108 – Consolidated Summary of the US Inpatient PACU/Recovery Room Component of the Perioperative Monitoring Market

 154

Table 109 – Consolidated Summary of the US Inpatient Perioperative Monitoring Market

 154

Figure 110 – Size Distribution of Medical Telemetry Units in US Hospitals

 157

Table 111 – Ranking of Medical Telemetry Suppliers (Cumulative Installed Units)

 158

Figure 112 - VHF Band Characteristics

 159

Figure 113 - Expanding Telemetry Applications

 162

Table 114 - Therapies Received by Patients Monitored on Telemetry

 162

Figure 115 - Operating Times of Various Suppliers

 170

Figure 116 - Desirable Patient-Worn Transmitter Functionality

 172

Figure 117 - History of Introduction of Current Telemetry Systems

 174

Figure 118 – Selected US Telemetry System Vendor’s Share of CUMULATIVE Installed Base

 177

Figure 119 - Typical Portable with WLAN Capabilities (Courtesy NK)

 179

Figure 120 - Comparison of Portable and Fixed Bedside Monitors

 180

Figure 121 - Uses of portable monitors with WLAN telemetry links

 180

Figure 122 - Disadvantages of Transport Monitors

 181

Figure 123 – Wireless Portable Monitor Product Requirements

 183

Table 124  - Potential Spread Spectrum OEM Suppliers

 184

Figure 125 - Monitoring Company Core Technology Comparison

 185

Figure 126 - Telemetry Capabilities of Portable Monitor Suppliers

 186

Figure 127 - Digital Telemetry Product Requirements

 187

Figure 128 - Medical Features Offered by Patient-Worn Telemetry System Vendors

 189

NEW Table 129 – Growth in Progressive/Telemetry Units According to the AHA

 196

NEW Table 130 – Increase in the Number of Telemetry Channels Shipped by Marquette, 1995 – 1999

 197

Figure 131 - Digital Telemetry System Costs (No Discount)

 199

Table 132 - US Market Projections for Ambulatory Cardiac Related Monitoring

 200

Table 133 - In-patient Non-Cardiac, Patient-Worn Telemetry Market Forecast

 201

Figure 134 - Combined US Market for Patient Worn Telemetry Systems

 202

Figure 132- Vendor Ranking for Transport Market in US Hospitals

 203

Figure 135 - 10-year Trends In Emergency Segment

 205

NEW Table 136 – Change in Emergency Departments and Beds by Specialty from 1996 to 1997

 206

New Figure 137 - 10 Year Trend in Emergency Departments and Trauma Centers

 206

Table 138 - Overview of Community Hospital Emergency Medicine Segment

 207

Figure 139 – Size of Monitored ED Beds in US Hospitals

 208

Table 140 – Emer Dept Cumulative Vendor Rankings in US Hospitals

 208

Figure 141 - Where Patients Regularly Receive Primary Care

 210

Figure 142 - COSTS DISTRIBUTION OF EMERGENCY SERVICES

 211

Source: James D Mills Memorial Lecture

 211

Table 143 - Breakdown of Selected Conditions Seen in Emergency Departments

 212

NEW Figure 144 – 1997 US Component of WW Emergency Department Monitoring Market

 213

NEW Figure 145 – 1998 US Worldwide Emergency Department Monitoring Market

 213

Table 146 - Overview of the Pre-Hospital EMS Market Segment

 214

Table 147 - Milestones of Pre-Hospital Trip Report Documentation

 215

NEW Table 148 - US Chest Pain Center Growth Projections for 2000 - 2004

 221

Figure 149 – Growth in US Trauma Centers and Rooms

 222

Table 150 – Forecast for US Trauma Center Monitors

 222

NEW Figure 151 – Trend of Non-Trauma Hospitals with Emergency Departments

 223

Table 152 – Forecast for Non Trauma Center Emergency Department Monitoring

 223

NEW Table 153 – Consolidated Forecast of the US Emergency Department Monitoring Market Segment

 224

Table 154 – 1999 “Other Monitored Areas” Cumulative Vendor Rankings in US Hospitals

 225