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The worldwide multi-parameter patient monitoring market is estimated at approximately $2 billion. Although it is a price-competitive market, primarily driven by replacement sales, the home healthcare and remote monitoring markets will grow at an accelerated rate. There has been a high level of corporate consolidation in recent years, where acquisitions are expected to continue-particularly with smaller players possessing unique technologies having appeal to the larger companies. The development of smaller, portable and lower-cost monitors will continue as well. What's more, interoperability, networking and connectivity to other devices and information systems will continue to grow in importance and prevalence. As such, an aging population will result in an increased demand for healthcare services in general, including monitoring devices. This TriMark Publications report reviews the design, manufacturing and marketing of patient monitors, focusing on multi-parameter patient monitors used in critical care, peri-operative (operating room, post-anesthesia care unit, ambulatory surgery centers), emergency room and transport. There are multitudes of single parameter monitors such as blood pressure monitors, glucose meters, stand-alone pulse oximeters, end tidal carbon dioxide monitors and so forth, that are not the focus of this report. The primary objective of this analysis is to provide information on the leading manufacturers of multi-parameter patient monitors along with an overview of their product offerings and to outline trends in the patient monitoring marketplace.

1. 1. Introduction 5
2. 1.1 Executive Summary 5
3. 1.2 Scope 5
4. 1.3 Methodology 5
6. 2. Technologies and Products 6
7. 2.1 Product Introduction 6
8. 2.2 Industry Trends 6
9. 2.2.1 Price Pressures 6
10. 2.2.2 Supplier Consolidation 6
11. 2.2.3 Standards, Regulatory Bodies and Accreditation 7
12. 2.2.4 Home Health Care Market 7
13. 2.3 Product Trends and Technologies 8
14. 2.3.1 Advanced Monitoring Parameters 8
15. 2.3.2 Data Interfaces and Interoperability 8
16. 2.3.3 Integrated Healthcare Enterprise 9
17. 2.3.4 Telemonitoring 9
18. 2.3.5 Ease of Use 10
19. 2.3.6 Pulse Oximetry 10
20. 2.3.7 Telemetry 11
21. 2.3.8 Clinical Solutions 11
23. 3. Company Overview and Product Offering by Manufacturer 12
24. 3.1 Introduction 12
25. 3.1.1 Market Shares 13
26. 3.2 Analogic Corporation 13
27. 3.2.1 Company Overview 13
28. 3.2.2 Product Offering 14
29. 3.3 B. Braun 14
30. 3.3.1 Company Overview 14
31. 3.3.2 Product Offering 14
32. 3.4 BCI 14
33. 3.5 CAS Medical Systems, Inc. 14
34. 3.5.1 Company Overview 14
35. 3.5.2 Product Offering 15
36. 3.6 Colin Medical Instruments Corporation 15
37. 3.6.1 Company Overview 15
38. 3.6.2 Product Offering 15
39. 3.7 Criticare Systems 16
40. 3.7.1 Company Overview 16
41. 3.7.2 Product Offering 17
42. 3.8 Datascope 17
43. 3.8.1 Company Overview 17
44. 3.8.2 Product Offering 17
45. 3.9 Datex-Ohmeda 18
46. 3.9.1 Company Overview 18
47. 3.9.2 Product Offering 18
48. 3.10 Draeger Medical 18
49. 3.10.1 Company Overview 18
50. 3.10.2 Product Offering 19
51. 3.11 Fukuda Denshi Group 19
52. 3.11.1 Company Overview 19
53. 3.11.2 Product Offering 20
54. 3.12 GE Healthcare 20
55. 3.12.1 Company Overview 20
56. 3.12.2 Product Offering 21
57. 3.13 Invivo/MDE 22
58. 3.13.1 Company Overview 22
59. 3.13.2 Product Offering 22
60. 3.14 Lohmeier 22
61. 3.15 Medical Data Electronics 22
62. 3.16 Medrad 22
63. 3.16.1 Company Overview 22
64. 3.16.2 Product Offering 23
65. 3.17 Mindray 23
66. 3.17.1 Company Overview 23
67. 3.17.2 Product Offering 23
68. 3.18 Nihon Kohden 24
69. 3.18.1 Company Overview 24
70. 3.18.2 Product Offering 24
71. 3.19 Philips Medical Systems 25
72. 3.19.1 Company Overview 25
73. 3.19.2 Product Offering 26
74. 3.20 Schiller A.G. 26
75. 3.20.1 Company Overview 26
76. 3.20.2 Product Offering 26
77. 3.21 Siemens Medical Solutions 27
78. 3.22 Smiths Medical 27
79. 3.22.1 Company Overview 27
80. 3.22.2 Product Offering 27
81. 3.23 Spacelabs Medical 27
82. 3.23.1 Company Overview 27
83. 3.23.2 Product Offering 28
84. 3.24 Welch Allyn 29
85. 3.24.1 Company Overview 29
86. 3.24.2 Product Offering 30
88. 4. Patient Monitoring Market 31
89. 4.1 Market Overview 31
90. 4.1.1 Projections 31
91. 4.1.1.1 Patient Monitors 31
92. 4.1.1.2 Oximeters 34
93. 4.1.1.3 Portable Monitors 37
94. 4.1.1.4 Neurological Monitors 37
95. 4.1.1.5 Anesthesia Monitors 38
96. 4.1.1.6 Telemetry Systems 39
97. 4.1.1.7 Important Players in the Segment 40
98. 4.1.1.8 Reimbursement Practices 47
99. 4.2 U.S. Patient Monitoring Market 48
100. 4.2.1 Trends Affecting the U.S. Patient Monitoring Equipment Industry 48
101. 4.2.2 U.S. Market Drivers 49
102. 4.2.3 U.S. Market Restraints 49
103. 4.3 European Patient Monitoring Market 49
104. 4.3.1 European Trends and Drivers 50
105. 4.3.2 European Market Restraints 51
106. 4.4 Asia/Pacific Patient Monitoring Market 51
107. 4.4.1 China 51
108. 4.4.2 Japan 52
109. 4.4.3 India 52
110. 4.4.4 Korea 52
111. 4.5 Rest of World Patient Monitoring Market 53
113. 5. Market Drivers 54
114. 5.1 Aging Patient Population 54
115. 5.2 Hunger and Obesity 55
116. 5.3 Nursing Shortage 56
117. 5.4 Shift From Hospital To Out-patient Care 56
118. 5.5 Other Hospital-Based Drivers 57
119. 5.6 Healthcare Rationing 58
120. 5.7 Electronic Health Records 58
121. 5.8 Reducing Medical Errors 59
122. 5.9 Consumerism 60
123. 5.10 Home Health Care / Remote Patient Monitoring 60
125. 6. Strategic Corporate Developments 62
127. 7. Company Profiles 63
128. 7.1 CAS Medical Systems 63
129. 7.1.1 Principal Products and Services 63
130. 7.1.2 Blood Pressure Monitors and Blood Pressure Measurement Technology 63
131. 7.1.3 Cardio-Respiratory Monitor 63
132. 7.1.3.1 Event-Link® Monitoring System 63
133. 7.1.3.2 Apnea Product Line 64
134. 7.1.3.3 Neonatal Supplies 64
135. 7.1.3.4 Klear-Trace Electrodes 64
136. 7.1.4 Financial Information Relating to Sales 64
137. 7.2 Colin Medical Instruments Corp. 65
138. 7.3 Criticare Systems Inc. 65
139. 7.3.1 Marketing and Sales 67
140. 7.4 Datascope Corporation 68
141. 7.4.1 Cardiac Assist/Monitoring Products 68
142. 7.4.2 Interventional Products/Vascular Grafts 68
143. 7.5 Datex-Ohmeda 69
144. 7.6 Draeger Medical 69
145. 7.7 Fukuda Denshi 70
146. 7.8 Invivo/MDE 70
147. 7.8.1 Magnetic Resonance Imaging 71
148. 7.9 Medical Data Electronics 72
149. 7.10 Mindray 72
150. 7.11 Nihon Kohden 72
151. 7.12 Philips Medical Systems 72
152. 7.13 Siemens Medical Systems 74
153. 7.14 Spacelabs Medical 75
154. 7.15 Welch Allyn 75
156. Appendix 1. Group Purchasing Organizations 76
158. Appendix 2. Foundation for eHealth Initiative / Connecting for Health 81
160. Appendix 3. Company Directory and Manufacturers Internet Links 86
162. Appendix 4. Abbreviations 90
165. INDEX OF FIGURES
167. Figure 1: Worldwide Market Shares 13
168. Figure 2: U.S. Hospital Installed Base Market Shares, 2000 13
169. Figure 3: Criticare 2003 International Sales by Region 16
170. Figure 4: Philips Medical 2002 Sales by Region 26
171. Figure 5: Worldwide Market Segmentation - High, Mid and Low-End Products 45
172. Figure 6: Total Worldwide Patient Monitoring Market by Segment 46
173. Figure 7: Worldwide Markets Patient Monitors, Clinical Measurements, Clinical Information Systems and Networking 2002 46
174. Figure 8: U.S. Revenue Projections Through 2008 48
175. Figure 9: European Medical Technology Market by Country 50
176. Figure 10: Percent of Respondents Who Consider Hospital Competition to be Very or Vitally Important 57
177. Figure 11: Corporate Acquisition Timeline 62
180. INDEX OF TABLES
182. Table 1: Websites for Other Manufacturers 12
183. Table 2: Overall Global Patient Monitor Market, 1998-2003 31
184. Table 3: Overall Global Patient Monitor Market Projections, 1998-2009 31
185. Table 4: Selected Patient Monitoring System's SAM - Growth Rate Analysis in the U.S. 32
186. Table 5: Estimated Market Share Analysis for Top Three Suppliers - Patient Monitoring Market Segments (SAM) in the U.S. 32
187. Table 6: Average Equipment Selling Price for each Market Segment in the U.S. 33
188. Table 7: Technology Synopsis for each Market Segment in the U.S. 33
189. Table 8: Commonly Monitored Parameters in the U.S. 33
190. Table 9: Oximeters - U.S. and International Sales 34
191. Table 10: Portable Monitors - U.S. and International Sales 34
192. Table 11: Neurological Monitors - U.S. and International Sales 35
193. Table 12: Anesthesia Monitor Markets 35
194. Table 13: U.S. Anesthesia Monitor Markets 35
195. Table 14: Telemetry Systems - U.S. and International 35
196. Table 15: Selected Patient Monitoring System's SAM - Growth Rate Analysis in the U.S. 35
197. Table 16: Projected Sales and Growth of Oximetry SAM in the U.S. 36
198. Table 17: Projected Sales and Growth of Oximeter SAM in the U.S. 36
199. Table 18: Estimated ASP (Average Sales Price) for Oximetry SAM in the U.S. 36
200. Table 19: Projected Sales and Growth for Portable Monitor SAM in the U.S. 37
201. Table 20: Projected Sales and Growth of Patient Monitor SAM in the U.S. 37
202. Table 21: Estimated ASP (Average Sales Price) for Patient Monitor SAM in the U.S. 37
203. Table 22: Projected Sales and Growth for Neurological Monitor SAM in the U.S. 38
204. Table 23: Projected Sales and Growth for Neurological Monitor SAM in the U.S. 38
205. Table 24: Estimated ASP (Average Sales Price) for Neurological Monitor SAM in the U.S. 38
206. Table 25: Projected Sales and Growth of Anesthesia Monitor SAM in the U.S. 38
207. Table 26: Projected Sales and Growth of Anesthesia Monitor SAM in the U.S. 39
208. Table 27: Estimated ASP (Average Sales Price) for Anesthesia Monitor SAM in the U.S. 39
209. Table 28: Projected Sales and Growth of Telemetry System SAM in the U.S. 40
210. Table 29: Projected Sales and Growth of Telemetry System SAM in the U.S. 40
211. Table 30: Estimated Average Sales Price for Telemetry System SAM in the U.S. 40
212. Table 31: U.S. Market Definition - Instrumentation Only in 2003 41
213. Table 32: Oximeter SAM - U.S. in 2003 41
214. Table 33: Portable Monitor SAM - U.S. in 2003 42
215. Table 34: Neurological Monitor SAM - U.S. in 2003 43
216. Table 35: Anesthesia Monitor SAM - U.S. in 2003 43
217. Table 36: Telemetry SAM - U.S. in 2003 44
218. Table 37: Summary of Market Projections 47
219. Table 38: Population Dynamics in the U.S. 54
220. Table 39: Senior Citizen Use of Medical Services in the U.S. 54
221. Table 40: Impact of Aging Population on Patient Monitoring Demand in the U.S. 54
222. Table 41: Trends In Percent of Overweight and Obese Adults - Ages 20 Years and Above in the U.S. 56
223. Table 42: Nursing Staffing Levels Contribute to Incidents 56
224. Table 43: Increase in Number of Freestanding Surgery Centers 57
225. Table 44: Drivers for Remote Patient Monitoring 61
226. Table 45: Barriers to Remote Patient Monitoring 61
227. Table 46: Forecast for U.S. Remote Patient Monitoring Devices 61
228. Table 47: Philips Medical Systems Key Data 2001/02 74
229. Table 48: Worldwide Philips Medical Systems Key Data 2000/01 74
230. Table 49: Top Five Largest Group Purchasing Organizations by Purchasing Dollars 76
231. Table 50: Top Ten GPOs by Number of Hospital Members (Psychiatric and Rehabilitation Hospitals Included) by Total Number of Hospital Members 76