MSP 9801 - US Medical Telemetry Markets Report
Table of Contents
List of tables and Figures VI
Copyright Notice VIII
Executive Overview 1
Research Methodology 1
Industry Studies are Live Documents 1
Intended Audience 2
Scope of Report 2
Vendor Profiles Included 2
Product Profiles 3
Expanded Use of Telemetry Systems 3
Therapies and Diagnosis Expanding 3
Telemetry Helps Avert Unwarranted ICU Admissions 4
Telemetry Replacement Cycles 4
Frequency Band for New Patient-Worn System 4
Proposed FCC Rule Changes 4
Portables Utilizing Wireless LANs Increasing 4
Telemetry Gets 12-Lead Monitoring 5
Telemetry Applications Expanding 5
Benefits of Medical Telemetry 5
Medical Telemetry Market Size 6
Telemetry Expands World Wide 6
Telemetry Monitoring Undergoes a Paradigm Change 7
Premier Selects Two Vendors for Monitoring Contracts 8
Where They Are and Where They Are Going 8
Historic Telemetry Market Evolution 9
Analog Systems Established the Market 9
Digital Telemetry Systems Emerged in 1990s 9
Which Frequency Band - VHF or UHF? 9
VHF Operation and Challenges 9
UHF Design Challenges 10
In Summary 11
Components of Hospital Telemetry Market 13
Patient-worn Transmitters 13
Bidirectional Transceiver Introduced as Patient-Worn Devices 13
Patient-Worn Vendors Move to 900 MHz. 13
Battery Capacity Limits Operating Time 13
Portable Monitors with Wireless LANs 14
Wireless Links For Staff POC Terminals 14
Personal, Portable Nursing Stations To Emerge 14
Overall Potential in US Market 15
Average Size of Telemetry Systems Increasing Dramatically in US 15
Bandpass - ECG Waveform Dilemma 15
Overall Market Increasing, US Share Increasing Disproportionately 15
Emergence of Spread Spectrum Telemetry Technology 16
1990s - Ushers in the Decade of Change 16
Migration from VHF to UHF to Spread Spectrum Underway 16
More Parameters Monitored 17
New Parameters Introduced for Non-Cardiac Patients 18
Spread Spectrum Telemetry Technology Developed for Military Applications 18
Emergence of Spread Spectrum Wireless LAN Designs 20
New Technology Means New OEM Suppliers 20
Issues Regarding Use of SS Technology in Medicine 21
Markets Driving SS Development 21
SS Wireless Device Availability Expanding 22
Implications for Telemetry System Replacements and Upgrades 23
Vendors Modify Core Telemetry Technologies 23
European Telemetry Markets Impact Future US Products 26
Harmonization with Telemetry Requirements in the EC and Japan 26
Integration of Existing Markets 29
Patient-Worn System Battery Issues 32
Length of Stay/Battery Life Trade-Off 32
Operating Times of Various Suppliers 33
Computing Battery Operating Costs 33
Additional Parameters 34
Pulse Oximetry & Non-Invasive Blood Pressure Drive the Market 34
Summary of Desirable Transmitter Features 35
Telemetry Enhances Patient Mobility 37
Telemetry in Recovery Areas 37
Patient-Worn Telemetry - Product Considerations 39
Competitive Positions in the Segment 39
Product Costs 40
Big Discounts on HP Systems - Pre Viridia 41
Nihon-Kohden - Bottom Basement Pricing 41
Protocol Augments Propaq 41
Telemetry Growth Potential 43
Telemetry Central Stations Merge with Hardwired Centrals 44
Introduction of "Full Disclosure" ECG Products 45
Full Disclosure Replaces Holter Monitoring, Reducing Costs 46
Automated Arrhythmia Processing 46
Single-lead Versus Multi-lead Arrhythmia Processing 46
ST Segment Monitoring 47
Multi-Lead (Vector) Displays Evolve 47
Patient Location Capabilities - Not Mandatory 48
HP First to Use Cellular Paging for Nurse Alert 48
First Viable Patient Location System Introduced by Marquette 48
ECG Display at Bedside 48
Dramatic Change in Central Station Configurations 49
Distributed, Hand-Held Central Station on Horizon 49
Telemetry System Nursing Staffing Requirements 49
Clinical Information Systems Workstations 50
Configuring Your System 50
Signal Compression 52
Identification Codes 52
Bedside Waveform Displays 52
Antenna System Design 53
Tunable Systems in the VHF Band 54
Multi-Path Interference 54
System Frequency Response 54
Locating Patients 55
Personal, Portable Central Stations Emerge 55
Increase in Size of Telemetry Units 55
Multi-Band Telemetry Systems 56
Portable Monitors With Wireless LANs 57
Thermo/MDE Created This Market 57
Major Portable Monitor Companies 57
Applications for Portable Monitors 58
Direct Admit to General Ward or Sub-Acute Units 58
Early Discharge from ICU 58
Transport for Diagnostic Testing 58
Patient Holding in Emergency Departments and Other Areas 59
Characteristics of Portable Monitors 59
Portable Monitor Display Technology 60
Telemetry Transceiver Capabilities 60
Battery Operating Time -- How Much is Enough? 61
Important Suppliers of Portable Systems 61
Portable Monitor Product Requirements 62
Creating A Waveform Without Surveillance Lapses 63
Prep Time - Transport Monitor Scenario 63
Telemetry Segment Market Forecasts 65
US Economy Enters Recession in Next Two Years 65
Rate of Medical Inflation to Moderate, Then Recover 65
Replacement Cycle Will Lengthen 65
Introduction of New Technology Drives Up Average Selling Prices 65
Patient-Worn Systems for Cardiac Related Patients 66
Other Patient-Worn Telemetry Markets 66
Vendor Profiles 69
Vitalcom (Formerly Accucore) 69
Market Conditions 69
THE VITALCOM SOLUTION 69
Corporate History 70
Previous Sales/Marketing Strategy 70
CUSTOMERS 72
The New Strategy - "Back to the Future" 72
Interfaces to Merlin and Eagle 73
Product Innovations in Patient-Worn Telemetry Systems 73
Core Technologies 74
Outlook 75
Criticare Systems 77
Corporate Background 77
Position in the Market 77
History of Innovation 77
Recent Introductions & Established Products 78
Outlook 81
J&J Medical (formerly Critikon) 85
Corporate Background 85
Position in the Market 85
Recent Product Introductions 85
Established Products 86
Datascope 89
OEM Relationships 89
Corporate History/Background 89
Product Innovations 90
Cardiac Assist Devices 90
Hemostat Products (Europe) 91
Patient Monitoring Products 91
FUKUDA DENSHI 95
Corporate History 95
Position in the Market 95
Recent Product Introductions 95
Established Products 96
DS-502 96
DS-503 96
DS-3300 Modular Monitoring System 96
Video Technology 97
User Interface 97
Model IB-3300 Module Box 97
Model AU-3310 & 3320 Recorders 97
System Capabilities 97
Outlook 97
Hewlett-Packard 98
Corporate History 99
Market Position 100
Telemetry Products 100
Other Established Product 106
Significant Corporate Innovations 107
Component Monitoring System - Four Bedside Flavors 107
Life Sensing Instruments, Inc. (LSI) 115
Position in the Market 115
Products Offered 115
MARQUETTE Electronics 117
Corporate History 117
Position in the Market 117
Overall Product Line 119
Recent Product Additions 119
Established Products 123
Corporate Outlook 132
Medical Data Electronics (MDE)/Thermo 135
Corporate History 135
Position in the Market 135
Outlook 137
MENNEN MEDICAL/Clal Electronics (Israel) 139
Corporate History 139
OEM Relationships 139
Position in the Market 139
History of Innovation 140
Product Line Available 141
Ensemble 141
Telemetry 141
Outlook in the Market 142
Nellcor/Puritan-Bennett (Division of Mallinkrodt) 144
Corporate History 144
Recent Financial Performance 144
Acquisitions 145
Position in the Market 145
History of Innovation 145
Recent Product Introductions 146
Established Products 147
Outlook 148
NIHON-KOHDEN 149
Corporate History 149
1997 AACN - NTI Product "Work in Progress" Update 149
History of Innovation 150
Position in the Market 150
Products Available 151
Telemetry Products 153
Protocol Systems, Inc. 155
Position in the Market 155
Recently Introduced Products 156
Established Products 156
Data Transportability 157
New Central Station Enhancements 158
Outlook 158
Quinton Instruments (Div. Am. Home Products) 159
Company Information 159
Position in the Market 159
SIEMENS Medical electronics, Inc. (SME) 161
OEM Arrangements 161
Recent Financial Performance 161
Corporate Relationships 161
Corporate Restructuring 162
Position in the Market 162
1996 Product Announcements 162
Innovations of the Next Generation 162
Pods, Not Modules Anymore & A Simple, Intuitive User Interface 163
Docking Stations For Monitor and Recorder 163
A Crisp, Clear, Color Display 164
A Rotary Control Knob - Enhanced With Dedicated Keys 164
This System Well Documented 164
In With the New, Out With the Old 164
Central Station On Its Way From Brussels 165
"Virtual" Mouse Pointers 165
Bedside Waveform Review At Central 165
Marketing Challenges Siemens Faces In US 165
Siemens’ Woes in the US Market 165
Established Products 166
Outlook 167
SPACELABS, Inc. 169
OEM Relationships 169
Corporate Milestones 169
Position in the Market 169
Recently Introduced Products 170
Established Products 170
Outlook 174
ZYMED 175
Corporate History 175
Position in the Market 175
History of Innovation 176
Outlook 176
Table 1 - Therapies Received by Patients Monitored on Telemetry 3
Figure 2 - Expanding Telemetry Applications 5
Figure 3 - Telemetry Benefits To Managed Care 6
Figure 4 - VHF Band Characteristics 9
Figure 5 - Spread Spectrum versus Narrow Band Diagram 16
Table 6 - Potential Spread Spectrum OEM Suppliers 21
Figure 7 - Monitoring Company Core Technology Comparison 24
Figure 8 - Issues with 2.4 GHz. for Patient-Worn Telemetry Applications 31
Figure 9 - Operating Times of Various Suppliers 33
Figure 10 - Desirable Patient-Worn Transmitter Functionality 36
Figure 11 - History of Introduction of Current Telemetry Systems 39
Figure 12 - Digital Telemetry System Costs (No Discount) 42
Figure 13 - Medical Features Offered by Patient-Worn Telemetry System Suppliers 45
Figure 14 - Digital Telemetry Product Requirements 51
Figure 15 - Multi-Parameter Portable Telemetry Systems 56
Figure 16 - Major Suppliers and Their Products 57
Figure 17 - Uses of portable monitors with WLAN telemetry links 58
Figure 18 - Disadvantages of Transport Monitors 59
Figure 19 - Typical Portable with WLAN Capabilities (Courtesy NK) 60
Figure 20 - Comparison of Portable and Bedside Monitors 60
Figure 21 - Telemetry Capabilities of Portable Monitor Suppliers 61
Figure 22 - Portable Monitor Product Requirements 62
Table 23 - US Market Projections for Ambulatory Cardiac Related Monitoring 66
Table 24 - In-patient Non-Cardiac, Patient-Worn Telemetry Market Forecast 67
Figure 25 - Combined US Market for Patient Worn Telemetry Systems 67
Table 26 - Recent Vitalcom Financial Results 70
Table 27 - Criticare Systems’ Revenues 77
TABLE 28 - CRITICARE History of Innovations 78
TABLE 29- Selected Products Available from CRITICARE 80
TABLE 30 - Selected J&J Medical Monitoring Products and Capabilities 87
Table 31 - Datascope Recent Financial Results 89
TABLE 32 - Selected DATASCOPE Product Innovations 90
TABLE 33- Selected DATASCOPE Monitoring Products 91
TABLE 34- Selected Fukuda Denshi Monitoring Products 96
Table 35 - Recent Financial Performance 99
TABLE 36 - Selected HP Corporate Relationships 99
TABLE 37- Selected HP Medical Interfaces 100
TABLE 38- Hewlett Packard Product Introduction 107
TABLE 39 - HP Bedside Monitoring Displays Available 108
TABLE 40- CMS Modules Currently Available 109
TABLE 41 - Some Merlin System Capabilities 111
TABLE 42 - HTS Telemetry System Features 115
TABLE 43 - Bedside Monitors From Life Sensing 116
Table 44 - Marquette Medical Recent Financial Results 117
TABLE 45- MARQUETTE History of Innovation 118
Table 46 - Overview of Marquette Medical's Product Line 119
TABLE 47 - Modules Compatible with Unity 126
TABLE 48 - Tram Modules and Their Capabilities 127
TABLE 49 - System Software Levels & Features 128
TABLE 50 - Features Common to ALL Software Versions 129
TABLE 51 - MDE Product Configurations 136
TABLE 52- OEM Relationships 139
TABLE 53 - MENNEN MEDICAL’s Product Innovations 140
TABLE 54- Mercury Product Configurations and Options 141
TABLE 55 - Mercury Optional Features 141
TABLE 56 - Horizon Model 1100 & 1110 Configurations 142
Table #57 - Nellcor financial Performance 144
TABLE 58 - Nellcor History of Innovation 146
TABLE 59- Available Products from Nellcor 148
TABLE 60- Nihon Kohden’s Product Innovations 150
TABLE 61- Selected NIHON-KOHDEN’s Bedside/Transport Products 151
TABLE 62 - NIHON-KOHDEN Modular Bedsides 151
TABLE 63 - Selected NIHON-KOHDEN’s Modules 151
TABLE 64 - Configurations of the Life Scope 6 & 7 Monitors 153
TABLE 65 - Selected PROTOCOL SYSTEMS Product Configurations 157
Figure 66 - Siemens Old and New Monitoring Product Line 164
TABLE 67 - SIEMENS Digital VHF "All-Band" Tunable Telemetry 166
TABLE 68 - Selected SPACELABS Parameter Modules 171
TABLE 69 - SPACELABS Full Disclosure Capabilities 173
TABLE 70 - SPACELABS’ Large Screen Displays 173
TABLE 71 - ZYMED T8010 Telemetry System Capabilities 176