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Cardiac Event Ambulatory Monitors and Recorders: Market Shares, Strategies, and Forecasts, Worldwide, 2013 to 2018 - Product Image

Cardiac Event Ambulatory Monitors and Recorders: Market Shares, Strategies, and Forecasts, Worldwide, 2013 to 2018

  • Published: February 2013
  • Region: Global
  • 316 Pages
  • Wintergreen Research, Inc

FEATURED COMPANIES

  • AT&T
  • Biotronik
  • eCardio
  • LifeLine Medical
  • Philips
  • VRI Digi
  • MORE

Cardiac Event Recording and monitors are evolving as a services industry. Patients do not pay directly for units, they are provided by a clinician and the clinician is reimbursed by CMS in the US as a fee for service. In this manner the vendors participate in the services market. The cardiac event recording services industry is fragmented and characterized by a large number of smaller regional hospital and home care service providers.

Consideration of Cardiac Event Recorder Market Forecasts indicates that markets at $197.8 million in 2012 will reach $862.7 million by 2018. Growth comes as more emphasis is put on early diagnosis and prevention of disease. Heart failure patients participating in home based programs get called back from nurse within 20 minutes of transmitting readings. This is similar to the response time available in a hospital and positions products in the large and growing telemedicine market space.

For a patient that has arrhythmia and a device detects symptoms, there is the ability to take life saving action. Quick response brings the matter to the attention of the clinician often without patient involvement, helping better serve the patient. Advice READ MORE >

Cardiac Event Ambulatory Monitors And Recorders: Executive Summary

The study is designed to give a comprehensive overview of the ambulatory cardiac event Monitors And Recorders: equipment market segment. Research represents a selection from the mountains of data available of the most relevant and cogent market materials, with selections made by the most senior analysts. Commentary on every aspect of the market from independent analysts creates an independent perspective in the evaluation of the market. In this manner the study presents a comprehensive overview of what is going on in this market, assisting managers with designing market strategies likely to succeed.

Ambulatory Cardiac Event Monitors Executive

Summary

Cardiac Event Recording Market Driving Forces

Cardiac Event Recorder Market Shares

LifeWatch V, an Android-Based Smartphone

CardioNet

Cardiac Event Recorder Market Forecasts

Ambulatory Cardiac Event Monitors: Market Description and Market Dynamics

1. Cardiac Event Monitoring Market Description and Market Dynamics

1.1 Cardiac Event Monitoring

1.1.1 Cardiac Arrhythmia Definitions

1.1.2 Atrial Fibrillation

1.1.3 Ventricular Tachycardia.

1.1.4 Syncope

1.1.5 Traditional Arrhythmia Monitoring Technologies

1.2 Cardiac Event Monitors

1.2.1 Manual-Trigger Loop Event Monitors

1.2.2 Cardiac Event Recorders

1.3 Holter Monitors

1.4 Remote Monitoring as Standard of Care

1.4.1 Telemonitoring Systems Premise

1.4.2 Sedentary Get Exercise And Heart Failure Patients

Pay Attention To Swelling In Their Feet, Ankles Or Legs

1.4.3 Telemonitoring Systems Improve Home Health Care

1.4.4 Vital Signs And Health Status Are Measured Daily

1.4.5 Telemonitoring at Home

1.5 Telemedicine

1.5.1 Nursing Stations

1.5.2 Telemedicine Services

1.5.3 Service Provider Adoption of Tele-Monitoring

1.5.4 Telemedicine Delivery Mechanisms

1.5.5 Telemedicine Point-To-Point Connections

1.5.6 High Definition Video Communication

1.6 Telemonitors Customized To Meet Individual Needs

1.7 US Makes Telemedicine Priority

1.7.1 Federal Funding for Telemedicine

1.7.2 US Telemedicine Medicare –

1.7.3 US Veterans Health Administration (VA) Use of

Telemonitoring

1.7.4 Telemonitoring Demonstrates Positive Results In

Improving Health Care And Reducing Costs Of Veterans

1.7.5 US VA Tele-monitoring Targeted Innovation:

1.8 Tele-Monitor Devices

1.8.1 Customizing Tele-Monitors

1.8.2 Intel® Health Care Management Security

1.9 Telemonitoring Research

1.9.1 New England Journal of Medicine Research

1.9.2 NEJM Has Published Several Letters That Critique The Study

1.9.3 25 Studies of Remote Monitoring Of Patients

With Chronic Heart Disease

1.9.4 Bosch Health Buddy Desktop Research

1.10 Physician Notification on CHF

1.11 US Patient Protection and Affordable Care Act

1.12 Federal, State, Local, And Foreign Laws Compliance

1.12.1 Government Regulation of Medical Devices

1.12.2 Before And After A Medical Device Is

Commercially Distributed, Ongoing Responsibilities

Under FDA Regulations

1.12.3 Tele-monitoring Third-Party Reimbursement

1.13 Health Information Privacy HIPAA Requirements

1.13.1 HIPAA Enforcement

1.13.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules

1.14 Postacute Care Co-ordination: Healthcare Reform Readmission Penalties

1.14.1 Federal Crimes Under The Health Insurance Portability and Accountability Act HIPAA

1.15 Partners Mass General Cardiologist Program for High Risk

Heart Failure Patients

Cardiac Event Ambulatory Monitors And Recorders: Market Shares and Market Forecasts

This section selectively describes market shares, forecasts, segments, and regional revenue. Numbers are the result of primary research in all cases. Selected companies are described from an independent analyst perspective with a thumbnail sketch or analysis of their market numbers or commentary on their strengths and weaknesses. Some of the analysis is focused on looking at the topic segment by segment, including company descriptive analyses by segment and subsegment.

2. Cardiac Event Ambulatory Monitors and Recorders: Market Shares and Forecasts

2.1 Cardiac Event Recording Market Driving Forces

2.2 Cardiac Event Recorder Market Shares

2.2.1 LifeWatch V, an Android-Based Smartphone

2.2.2 CardioNet

2.2.3 CardioNet Monitoring

2.2.4 CardioNet Central Monitoring Station/Data Transmission Network

2.2.5 CardioNet Monitoring Physician Notification

2.2.6 CardioNet Monitoring Other Arrhythmia Monitoring Services

2.2.7 CardioNet Future Uses for MCOT™ Monitoring Platform

2.2.8 CardioNet Monitoring Advanced Technology

2.2.9 CardioNet Monitoring Wireless Data Transmission Network

2.2.10 CardioNet Monitoring Research and Development

2.2.11 Philips

2.2.12 Savi CardioPAL –

2.2.13 iRhythm / Zio® Event Card

2.2.14 Reka

2.2.15 REKA E100 Received FDA Clearance

2.3 Cardiac Event Monitor Market Shares, Units and Dollars, Worldwide

2.4 Cardiac Event Recorder Market Forecasts

2.5 US Veterans Administration (VA) Tele-monitoring of Congestive Heart Failure (CHF)

2.5.1 Congestive Heart Failure

2.5.2 Diabetes Chronic Illness Numbers

2.5.3 Incidence of Chronic Disease

2.5.4 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending

2.5.5 Surgical Procedures::US and Worldwide

2.6 Total Number Of Surgical Procedures And Market Penetration of Surgical Robots

2.6.1 Clinical Staff / Patient Ratios: Physician Shortages

2.6.2 Telemonitoring Market Driving Forces

2.6.3 Measures of Tele Monitoring Effectiveness

2.6.4 Home Patient Monitoring Supports Patient Education

2.6.5 Wireless Telemonitoring Devices

2.6.6 Implantation of Patient-Activated Cardiac Event Recorder

2.6.7 Medical Conditions Treated by Cardiac Event Recorders

2.7 Telemedicine Market Driving Forces

2.8 Cardiac Event Recording Pricing

2.9 Cardiac Event Recorder Regional Market Segments

Cardiac Event Ambulatory Monitors And Recorders: Product Description

This section describes selected companies and selected products. Products for this market segment are described with attention to the most significant aspect of features and functions in this category of product. The juxtaposition of a range of different product descriptions from a single market category provides a really good way to access market directions and achieve market competitive analysis. This section is arranged in three pieces: immersive products, conference room products, and end point products. Company products are described in the appropriate sections, meaning a company is mentioned several times in the chapter in different places.

3. Cardiac Event Ambulatory Monitors and Recorders: Product Description

3.1 Philips Event Recorder Monitors

3.1.1 Philips CardioCare Cellular Event Monitor

3.1.2 Philips RT20 Event Monitor –

3.1.3 Philips ER910 Event Monitor

3.2 CardioNet

3.2.1 CardioNet FDA Marketing Clearance

3.2.2 CardioNet

3.3 Card Guard / Instromedix

3.3.1 Instromedix Heartrak Smart

3.4 eCardio

3.4.1 eCardio Billing

3.5 iRhythm / Zio® Event Card

3.6 Reka e100

3.7 Cardiac Event Recorder Services

3.7.1 Philips CardioCare Cellular Event Monitoring Service

3.8 Lifewatch Services

3.8.1 LifeWatch V, an Android-Based Smartphone

3.9 Defibrillator / Event Monitor Devices

3.9.1 Philips HeartStart MRx Monitor/Defibrillator for EMS Cardiac Event Ambulatory Monitors And Recorders: Technology

4. Cardiac Event Monitor Technology

4.1 Cardiac Event Monitor Lead Placement

4.2 Reimbursement and Code Chart

4.2.1 Codes For Billing And Reimbursement For Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States

4.2.2 US CMS Medicare Health Net, Inc. Considers The Use Of Implantable Loop Recorder Cardiac Event Monitors

4.2.3 Implantation of Cardiac Event Recorder

4.2.4 Patient-Activated Cardiac Event Recorder Primary Diagnosis Allowed

4.2.5 Cardiac Event Monitors That Are Deemed Not Medically Necessary

4.3 Cardiac Event Recorder Validation and Use Cases

4.3.1 Event Monitor Indications For Use

4.4 Event Monitoring Studies

4.4.1 Scripps Telemonitoring

4.4.2 Scripps iRhythm / Zio® Event Card

4.4.3 Kaiser Telemonitoring Study Shows Improvement in Patients

4.4.4 Lifewatch Case Studies

4.4.5 LifeStar ACT Case Study

4.4.6 Viterion Home Health Outcomes in a CHF Population:

4.4.7 CardioNet Monitoring Randomized Clinical Study

4.4.8 CardioNet's Monitoring Experience

4.4.9 CardioNet Monitoring Other Studies

4.4.10 iRhythm Zio Event Recorder Customer Testimonial

4.5 Government Regulation

4.5.1 U.S. Food and Drug Administration.

4.5.2 Health Care Fraud and Abuse

4.5.3 The Patient Protection and Affordable Care Act.

4.5.4 Health Insurance Portability and Accountability

Act of 1996 (HIPAA).

4.5.5 Medicare

4.5.6 Facilities

4.5.7 Event Monitor Vendor Environmental Regulation

Cardiac Event Ambulatory Monitors And Recorders: Company Profiles

This section selectively describes company strategies, partners, acquisitions, and revenue by segment and regional revenue when available. Companies are described by looking at what is most interesting about that company. The descriptions collectively give a sense of market directions within the industry segment. The alphabetical listing of company thumbnail sketches provides an accessible way to find out what is going on in any particular company.

5. Cardiac Event Ambulatory Monitors and Recorders: Company Profiles

5.1 AT&T

5.1.1 AT&T Revenue

5.1.2 AT&T Wireless

5.1.3 AT&T Services and Products

5.1.4 AT&T Voice Service –

5.1.5 AT&T Innovative Data Services

5.1.6 AT&T Business Customers

5.1.7 AT&T Data/Broadband

5.1.8 AT&T Business Secure Mobile Threats

5.1.9 AT&T Mobile Security

5.1.10 AT&T and VRI To Offer Managed Remote Telemonitoring Service

5.2 Biotronik

5.2.1 Biotronik Electrotherapy

5.2.2 Biotronik Vascular Intervention

5.2.3 Biotronik CHF Study

5.3 Cardionet

5.3.1 American Medical Association ("AMA") Has Established Billing Codes

5.3.2 CardioNet Strategy

5.3.3 Cardionet Revenue

5.3.4 Cardionet Relationship With nPhase, formerly Qualcomm

5.3.5 Cardionet, Inc. To Acquire Cardiocore Lab, Inc. For $23.5 Million

5.3.6 CardioNet Monitoring Second Quarter 2012 Revenue

5.3.7 CardioNet, Settled The Patent Infringement Action Brought by LifeWatch Services, Inc., and Card Guard Scientific Survival, Ltd. (“Lifewatch”)

5.4 eCardio

5.5 iRhythm / Zio

5.6 LifeLine Medical

5.7 Lifewatch

5.7.1 Lifewatch / Card Guard / Instromedix

5.7.2 LifeWatch / Lifestar ACT Products

5.7.3 LifeStar ACT Ex Functions

5.7.4 LifeWatch Services

5.7.5 LifeWatch and Blue Shield of California

5.7.6 LifeWatch Call Center in San Francisco, California

5.7.7 LifeWatch joint development with U.S. Medical Technology Developer Ansar Monitoring Services

5.7.8 LifeWatch First Quarter Of 2012 Revenues

5.7.9 Lifewatch Key Revenue Figures per Quarter

5.8 Philips

5.8.1 Philips Revenue

5.8.2 Philips

5.8.3 Phiips Visicu

5.8.4 Philips Addresses Healthcare Landscape

5.8.5 Philips/Respironics Monitoring Solution Powered By

Cinterion TC65i:

5.8.6 Philips Sales

5.8.7 Philips Healthcare

5.8.8 Royal Philips Electronics / Respironics

5.8.9 Philips Respironics

5.8.10 Philips Respironics

5.9 Reka

5.10 VRI

5.10.1 VRI Digi Pal

5.10.2 VRI partnership with Robert Bosch Healthcare

5.10.3 VRI Digi Pal

5.10.4 VRI

5.11 Windstream

5.12 Selected Providers for Emergency Medical Care Monitoring

List of Tables and Figures

Cardiac Event Ambulatory Monitors And Recorders: Executive Summary

Table ES-1

Cardiac Event Recording Market Driving Forces

Figure ES-2

Cardiac Event Recording Market Shares, Dollars, Worldwide, 2012

Table ES-3

Cardiac Event Monitor Market Shares, Dollars, Worldwide, 2012

Figure ES-4

LifeWatch V, an Android-Based Smartphone

Figure ES-5

Cardiac Event Recording Market Shares, Dollars, US, 2012

Figure ES-6

Cardiac Event Recorder Market Forecasts, Dollars,

Worldwide, 2013-2018

Cardiac Event Ambulatory Monitors And Recorders: Market Description and Market Dynamics

Figure 1-1

Remote Monitoring as Standard of Care

Table 1-2

Telemedicine Nursing Stations Typical Telemonitoring Questions

Table 1-3

Remote Patient Monitoring Device Uses

Table 1-4

Clinical Assessment and Response to Alert Provided by Telemonitor

Table 1-4 (Continued)

Clinical Assessment And Response To Alert Provided By Telemonitor

Table 1-5

Clinical Assessment And Actions Taken To Alert Provided By Telemonitor

Table 1-6

Telehealth Solutions Benefits

Table 1-7

Monitoring Used To Take Measurements In Homecare Settings

Table 1-8

Monitoring Measurement Functions In Homecare Settings

Table 1-9

Bosch Recommendations for Innovation Funded By The VA

Table 1-10

Intel Health Guide Functions

Table 1-11

Intel® Health Care Management Suite of Software Tools

Table 1-11

NEJM Letters That Critique The Telemonitoring Study

Table 1-12

Physician Notification on CHF Using “SBAR”

Table 1-13

US Healthcare Coverage Legislation Functions

Table 1-14

FDA Enforcement Actions And Remedies

Table 1-15

HIPAA Information Covered entities

Table 1-16

HIPAA Information That Needs to Be Private

Table 1-17

HIPAA Information Sharing by Health Care Providers

Table 1-18

HIPAA Information Sharing Prohibitions

Table 1-19

HIPAA Information Managed via Court Order

Figure 1-20

HIPAA Privacy and Security Rule and Compliant Process

Cardiac Event Ambulatory Monitors And Recorders: Market Shares and Market Forecasts

Table 2-1

Cardiac Event Recording Market Driving Forces

Figure 2-2

Cardiac Event Recording Market Shares, Dollars, Worldwide, 2012

Table 2-3

Cardiac Event Monitor Market Shares, Dollars, Worldwide, 2012

Figure 2-4

Cardiac Event Recording Market Shares, Dollars, US, 2011

Table 2-5

Cardiac Event Monitor Market Shares, Dollars, US, 2011

Table 2-6

CardioNet Monitoring Device Product Enhancements

Table 2-7

Cardiac Event Monitor Market Shares, Units and Dollars,

Worldwide, 2011

Table 2-8

Cardiac Event Monitor Market Shares, Units and Dollars, US, 2012

Figure 2-9

Cardiac Event Recorder Market Forecasts, Dollars,

Worldwide, 2012-2018

Figure 2-10

Cardiac Event Recording Vendor Portion of Patient Services

Market Forecasts Dollars, Worldwide, 2013-2018

Table 2-11

Cardiac Event Recording Device and Patient Services Market

Forecasts Units and Dollars, Worldwide, 2013-2018

Table 2-12

Cardiac Event Recording Device and Patient Services Market

Forecasts Units and Dollars, US, 2013-2018

Figure 2-13

Congestive Heart Failure (CHF) Patients Worldwide, Forecasts,

Number, 2012-2018

Figure 2-14

Diabetes Patients Worldwide, Forecasts, Number, 2013-2018

Table 2-15

Number of Patients with Disease Conditions Requiring

Wheelchairs, By Diagnosis, Number, Worldwide, 2013-2018

Table 2-16

Total Number Of Surgical Procedures Performed In Us:

Table 2-17

Total Number Of Surgical Procedures Performed Worldwide:

Table 2-18

US and Worldwide Robotic Surgery Target Procedures:

Table 2-19

Actual Intuitive Surgical Surgeries: Prostate

Table 2-20

Actual Intuitive Surgical Surgeries: Hysterectomy

Table 2-21

Titan Medical Target Robotic Surgeries, Worldwide

Table 2-22

Robotic Surgeries Possible by Medical Condition

Table 2-23

Telemonitoring Market Driving Forces

Table 2-24

Tele-Monitoring Critical Issues Addressed

Table 2-25

Medical Conditions Treated by Cardiac Event Recorders

Table 2-26

Factors Likely To Create Shift To Event Monitoring

Table 2-27

Telemedicine Adoption Rate Issues And Concerns

Figure 2-28

Telemedicine Market Factors

Figure 2-29

Cardiac Event Monitor Regional Market Segments, Dollars, 2012

Table 2-30

Cardiac Event Recorder Regional Market Segments, 2012

Cardiac Event Ambulatory Monitors And Recorders: Product Description

Figure 3-1

Philips CardioCare Cellular Event Monitor

Figure 3-2

Philips RT20 Event Monitor -

Figure 3-3

Philips ER910 Event Monitor -

Table 3-4

Philips ER910 Event Monitor -

Table 3-5

CardioNet Monitoring Indications for Use

Table 3-6

CardioNet Contraindicatios For Use In The Following Patients:

Figure 3-7

CardioNet Cardiac Event Recorder Services

Figure 3-8

Instromedix Cardiac Event Recorders

Table 3-9

eCardion Event Monitors

Figure 3-10

eCardio Device

Table 3-11

REKA E100: Cardia Event Recorder Benefits

Table 3-12

Philips Services Implementation

Table 3-13

Philips HeartStart MRx Monitor/Defibrillator Features

Table 3-14

Philips HeartStart MRx Monitor/Defibrillator Rugged and

Reliable Functions

Table 3-15

Philips HeartStart MRx Monitor/Defibrillator Intuitive And

Ease Of-Use Features

Figure 3-16

Philips HeartStart MRx Monitor/Defibrillator

Cardiac Event Ambulatory Monitors And Recorders: Technology

Figure 4-1

Cardiac Event Monitor Lead Placement

Table 4-2

CMS Medicare program Cardiac Event Monitor Requirements

Table 4-3

Codes For Billing And Reimbursement for Holter Monitoring,

Cardiac Event Monitoring, and Pacemaker Monitoring in the

United States

Table 4-4

Cardiac Event Recorder Use Cases

Figure 4-5

Scripps Lifewatch Telemonitoring Device Array

Table 4-6

Lifewatch Case Study: 83 Year Old Female

Table 4-7

Sample Studies of LifeStar ACT Syncope Patient Presentations and

Solutions (Age 85)

Table 4-8

Sample Studies of LifeStar ACT Syncope Patient Outcome (Age 85)

Table 4-9

Sample Studies of LifeStar ACT Heart Block Patient

Presentations and Solutions (Age 55)

Table 4-10

LifeStar ACT Monitor For Following Conditions

Cardiac Event Ambulatory Monitors And Recorders: Company Profiles

Table 5-1

AT&T Mobile Security Benefits

Table 5-2

Biotronik Electrotherapy Devices

Table 5-3

Biotronik Electrotherapy Devices

Table 5-4

LifeWatch LifeStar ACT III Platinum Functions

Table 5-5

LifeStar ACT Ex Functions

Table 5-6

LifeStar ACT Ex Standard Features

Table 5-7

LifeStar ACT Enhanced Daily Reporting Features

Table 5-8

Philips Positions To Simplify Global Healthcare

Delivery For The Long Term

Table 5-9

Philips Healthcare Delivery Product Positioning

Figure 5-10

Philips Healthcare Positioning

Figure 5-11

Philips Healthcare Equipment Order Intake Trends

Figure 5-12

Philips Revenue Market Segments

Figure 5-13

Philips Employee, Manufacturing, and Research Profile

Figure 5-14

Philips Continuing Sales Growth in Emerging Markets

Figure 5-15

Philips Gaining Share And Leadership in Emerging Markets

Figure 5-16

Philips Delivering Margin Improvement and Decreasing

Manufacturing Overhead

Figure 5-17

Philips Healthcare Information Systems Market Shares

Table 5-18

VRI Units Monitored

Table 5-19

VRI Services to Partners

- CardioNet
- Lifewatch
- Philips
- AT&T
- AT&T and VRI
- Biotronik
- American Medical Association ("AMA")
- eCardio
- iRhythm / Zio
- LifeLine Medical
- Lifewatch / Card Guard /Instromedix
- Reka
- VRI Digi
- Windstream

Note: Product cover images may vary from those shown

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