MHEALTH AND HOME MONITORING

Transcription

1 Index Table of Contents Table of Contents... i List of Figures... x Executive summary The challenge of chronic diseases Introduction The ageing world population Lifestyle-related diseases Common chronic diseases Cardiac arrhythmia Ischemic diseases Hypertension Sleep apnoea Chronic respiratory diseases Diabetes Hyperlipidaemia Healthcare providers and reimbursement systems Healthcare in Asia-Pacific Healthcare in Europe Healthcare in North America Regulatory environment Regulatory environment in Europe Regulatory environment in the US Regulatory environment in other major markets International standardisation mhealth platforms Overview of the mhealth market mhealth market segments Connectivity options for medical devices STRATEGIC M2M RESEARCH SERIES i

2 2.1.3 The mhealth technology value chain mhealth connectivity solutions Alphabet Apple Ericsson Deutsche Telekom edevice KORE MedM Microsoft Orange Healthcare PTC Qualcomm Life Telenor Connexion Vodafone mhealth care delivery platforms AT&T Bepatient Domicalis ERT (Exco InTouch) Get Real Health Medixine OpenTeleHealth S3 Connected Health Tactio Health Verklizan Physiological monitoring solution providers Medical devices and remote monitoring Medical device revenues by market segment Overview of the remote patient monitoring market Cardiac rhythm management Overview of the CRM device market ii STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

3 3.2.2 Use cases for CRM monitoring Remote monitoring solution providers Abbott (St. Jude Medical) Biotronik Boston Scientific Medtronic MicroPort (LivaNova) Remote ECG monitoring Overview of the remote ECG monitoring device market Use cases for remote ECG monitoring Remote monitoring solution providers Aerotel Medical Systems AliveCor BioTelemetry CardioComm Solutions GE Healthcare irhythm Technologies LevMed Preventice Solutions ScottCare TZ Medical Zenicor Blood pressure monitoring Overview of the blood pressure monitoring device market Use cases for blood pressure monitoring Remote monitoring solution providers A&D Medical ihealth Labs Microlife Omron Healthcare Rossmax Welch-Allyn STRATEGIC M2M RESEARCH SERIES iii

4 3.5 Coagulation monitoring Overview of the coagulation monitoring device market Use cases for blood coagulation monitoring Remote monitoring solution providers CoaguSense Helena Laboratories iline Microsystems Instrumentation Laboratory (Accriva Diagnostics) Roche Diagnostics Siemens Healthineers Sleep therapy monitoring Overview of the sleep therapy device market Use cases for sleep therapy monitoring Remote monitoring solution providers Fisher & Paykel Healthcare Drive DeVilbiss Healthcare Löwenstein Medical Technology Philips Sleep and Respiratory Care ResMed SRETT SomnoMed Home sleep diagnostics Overview of the home sleep diagnostics market Use cases for home sleep diagnostics Remote monitoring solution providers Cadwell Laboratories CleveMed Compumedics Infoscan Natus Medical NovaSom Nox Medical iv STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

5 SleepMed SOMNOmedics Blood oxygen monitoring Overview of the blood oxygen monitoring device market Use cases for blood oxygen monitoring Remote monitoring solution providers ChoiceMMed Masimo Nonin Medical Airflow monitoring Overview of the air flow monitoring device market Use cases for airflow monitoring Remote monitoring solution providers Adherium AstraZeneca Circassia Pharmaceuticals Clement Clarke International Medical International Research Ndd Medizintechnik nspire Health Propeller Health Respiri Sibelmed Vitalograph Glucose level monitoring Overview of the glucose monitoring device market Use cases for glucose monitoring Remote monitoring solution providers Abbott Diabetes Care Ascensia Diabetes Care BodyTel Dexcom STRATEGIC M2M RESEARCH SERIES v

6 Glooko Insulet Johnson & Johnson Medtronic Diabetes Group QuiO Roche Diabetes Care Senseonics Telcare Voluntis WellDoc Other Implantable medical devices Home hemodialysis Telerehabilitation Thermometers and weight scales Mental health Cholesterol monitoring Medication, AED and integrated monitoring solution providers Telehealth and multiparameter monitoring solutions Overview of the telehealth solutions market Use cases for telehealth solutions Telehealth solution providers Aeon Global Health Care Innovations H2AD Ideal Life LindaCare Livongo Health Medtronic Care Management Services Medvivo Optum Philips Enterprise Telehealth vi STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

7 Resideo Technologies (Honeywell Life Care Solutions) SHL Telemedicine Telefónica Tunstall Healthcare Group Vitaphone Medication compliance monitoring Overview of the medication compliance monitoring market Use cases for medication compliance monitoring Compliance monitoring solution providers AdhereTech Compliance Meds Technologies DayaMed Evondos InRange Systems Medicpen Merck Group Philips Lifeline Proteus Digital Health Connected automated external defibrillators Overview of the connected defibrillator market Use cases for automated external defibrillators Connected solutions providers AEDMAP Almas Industries Cardia International CardiLink Laerdal Medical Metrax Nihon Kohden Philips Patient Care and Monitoring Solutions Physio-Control Pyrescom STRATEGIC M2M RESEARCH SERIES vii

8 Schiller Zoll Medical Corporation Market analysis and forecasts Market forecasts Cardiac rhythm management Sleep therapy Telehealth and multiparameter monitoring ECG monitoring Glucose level monitoring Medication compliance monitoring Other medical devices Revenue forecasts Medical monitoring devices mhealth connectivity solutions Care delivery platforms mhealth care programs Market drivers and barriers An ageing population is raising medical costs Obesity epidemic and increasing non-communicable disease prevalence The generational technology barrier is disappearing Alignment of financial incentives Transformation to value-based care Increased focus on disease prevention Substitutes to medical monitoring A slowly changing industry Digitalisation of PSTN networks and decommission of 2G/3G networks Industry trends and analysis Consumerisation of medical-grade mhealth devices and apps From frequent readings to AI-driven patient engagement Major pharmaceutical companies prepare large-scale rollouts BYOD is becoming a popular and viable option The global adoption of telehealth is ramping up viii STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

9 5.4.6 Integrations are becoming crucial in the health data ecosystem Compliance monitoring is a major driver behind home monitoring Glossary List of Companies STRATEGIC M2M RESEARCH SERIES ix

10 Index List of Figures Figure 1.1: Population estimates by age group ( )... 4 Figure 1.2: Prevalence of metabolic syndrome conditions among adults (2014)... 5 Figure 1.3: Direct and indirect costs of chronic diseases (US+EU)... 7 Figure 1.4: Number of people suffering from chronic diseases (EU/US ) Figure 1.5: Share of the population covered by private health insurance (2015) Figure 1.6: Healthcare expenditure per capita by country (OECD 2016) Figure 1.7: Total and per capita healthcare expenditure by country (2015) Figure 1.8: Healthcare spending by type of service and product (US 2016) Figure 2.1: mhealth market segments Figure 2.2: Connected medical devices and the provision of care Figure 2.3: Overview of the mhealth technology value chain Figure 2.4: Main focus areas of mhealth connectivity solution providers Figure 2.5: Example of apps that can be connected to Google Fit Figure 2.6: HealthGO+ and HealthGO Mini by edevice Figure 2.7: MedM mobile applications Figure 2.8: Examples of HealthVault-certified devices Figure 2.9: Examples of mhealth software products and platforms Figure 2.10: Bepatient s ehealth Platform patient dashboard Figure 2.11: The Ellie home dashboard Figure 2.12: Medixine Suite Figure 2.13: The core modules of the TactioRPM mobile app Figure 3.1: Medical device market revenues by segment (World ) Figure 3.2: Connected medical devices by segment (World 2017) Figure 3.3: Implantable cardiac rhythm management vendor market shares (2017) Figure 3.4: Examples of implantable CRM devices Figure 3.5: Examples of remote monitoring devices Figure 3.6: Market shares for remote monitoring of CRM implants (2017) Figure 3.7: The Merlin.net interface and Merlin@home transmitter x STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

11 Figure 3.8: CardioMessenger devices Figure 3.9: Latitude NXT Wave wireless communicator Figure 3.10: MCT sensor and monitor from BioTelemetry (CardioNet) Figure 3.11: Implantable loop recorders from Medtronic Figure 3.12: AliveCor s KardiaMobile and Kardia App Figure 3.13: HeartCheck devices from CardioComm Solutions Figure 3.14: Blood pressure monitor from Omron Healthcare Figure 3.15: Omron Healthcare s connected product family Figure 3.16: Sleep therapy vendor market shares (2017) Figure 3.17: ResMed AirSense 10 CPAP device and AirFit masks Figure 3.18: Connected sleep therapy solutions by vendor (2017) Figure 3.19: DreamMapper mobile application Figure 3.20: ResMed myair Figure 3.21: SRETT T4P and TeleOx Figure 3.22: SomnoDent Fusion Figure 3.23: NovaSom s connected home sleep monitoring device Figure 3.24: Examples of home sleep diagnostics companies and products Figure 3.25: Nox A1 System Figure 3.26: ispo2 and MightySat device and application Figure 3.27: Turbu+ inhaler sensor and app Figure 3.28: Propeller Health s asthma management app and inhaler sensor Figure 3.29: Respiri s device and asthma management app Figure 3.30: Blood glucose meter vendor market shares (2017) Figure 3.31: CGM and insulin delivery system vendor market shares (2017) Figure 3.32: Medication usage by diabetes patients (US 2011) Figure 3.33: Glucose meters from Livongo and Roche Figure 3.34: Dexcom G6 CGM system Figure 3.35: Medtronic s MiniMed 670G integrated insulin delivery system Figure 3.36: Examples of connected blood glucose meters Figure 3.37: Examples of connected CGM and insulin pump systems Figure 3.38: FreeStyle Libre Flash glucose meter Figure 3.39: Dexcom G6 family STRATEGIC M2M RESEARCH SERIES xi

12 Figure 3.40: The Glooko Transmitter Figure 3.41: Roche Accu-Chek Connect app Figure 3.42: WellDoc BlueStar Figure 4.1: Overview of the telehealth and multiparameter monitoring landscape Figure 4.2: Installed base of telehealth hubs by region (2017) Figure 4.3: Telehealth hub vendor market shares (2017) Figure 4.4: The Health Harmony solution Figure 4.5: The Twitoo telehealth hub Figure 4.6: Livongo s device family and apps Figure 4.7: ecarecompanion and ecarecoordinator Figure 4.8: The Genesis Touch telehealth monitor Figure 4.9: Compliance monitoring solution form factors Figure 4.10: Connected medication compliance solutions by vendor (2017) Figure 4.11: The AdhereTech Smart Pill Bottle Figure 4.12: The CleverCap PRO dispenser Figure 4.13: The DayaMed MedPod Figure 4.14: The Evondos E300 Automatic Medicine Dispenser Figure 4.15: The EMMA E-Kit medication management system Figure 4.16: The Easypod injector and the Easypod connect transmitter Figure 4.17: The Philips Medido medication dispenser Figure 4.18: The DOC defibrillator from Almas Industries Figure 4.19: The HS1 Wireless Monitoring Cabinet Figure 5.1: Connected home medical monitoring devices (World ) Figure 5.2: Connected home medical monitoring devices by region (World ) Figure 5.3: Connected cardiac rhythm management devices (World ) Figure 5.4: Connected sleep therapy devices (World ) Figure 5.5: Telehealth hubs (World ) Figure 5.6: Connected ECG monitoring devices (World ) Figure 5.7: Connected glucose monitoring devices (World ) Figure 5.8: Connected medication monitoring solutions (World ) Figure 5.9: Other connected medical devices (World ) Figure 5.10: Remote patient monitoring revenues (World ) xii STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES

13 Figure 5.11: Connected medical device revenues (World ) Figure 5.12: mhealth connectivity solution revenues (World ) Figure 5.13: Care delivery platform revenues (World ) Figure 5.14: Monitoring service revenues (World ) STRATEGIC M2M RESEARCH SERIES xiii

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