MHEALTH AND HOME MONITORING
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1 MHEALTH AND HOME MONITORING INDEX Index Table of Contents Table of Contents... i List of Figures... ix Executive summary The challenge from welfare diseases Introduction The ageing world population Metabolic syndrome and lifestyle related diseases Common chronic diseases Cardiac arrhythmia Ischemic diseases Hypertension Sleep apnea Chronic respiratory diseases Diabetes Hyperlipidemia 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 INDEX MHEALTH AND HOME MONITORING The mhealth technology value chain mhealth connectivity solutions Apple HealthKit Ericsson Google Fit ihealth (edevice) KORE MedM Microsoft HealthVault Orange Healthcare PTC Qualcomm Life Telenor Connexion Vodafone mhealth care delivery platforms AT&T BePatient Domicalis Exco InTouch Get Real Health HealthyCircles (Qualcomm Life) Medixine OpenTeleHealth S3 Group 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 MHEALTH AND HOME MONITORING INDEX Use cases for CRM monitoring Remote monitoring solution providers Biotronik Boston Scientific Medtronic LivaNova St. Jude Medical 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 LifeWatch ScottCare TZ Medical Zenicor Preventice Solutions KHS Medical (LevMed) Blood pressure monitoring Overview of the blood pressure monitoring device market Use cases for blood pressure monitoring Remote monitoring solution providers Omron Healthcare A&D Medical Microlife Rossmax Sotera Wireless Coagulation monitoring Overview of the coagulation monitoring device market STRATEGIC M2M RESEARCH SERIES iii
4 INDEX MHEALTH AND HOME MONITORING Use cases for blood coagulation monitoring Remote monitoring solution providers Accriva Diagnostics Alere CoaguSense Helena Laboratories iline Microsystems Siemens Healthineers Roche Diagnostics Sleep therapy monitoring Overview of the sleep therapy device market Use cases for sleep therapy monitoring Remote monitoring solution providers Fisher & Paykel Healthcare Philips Respironics ResMed SRETT SomnoMed Löwenstein Medical Technology (Weinmann) Drive DeVilbiss Healthcare Home sleep diagnostics Overview of the home sleep diagnostics market Use cases for home sleep diagnostics Remote monitoring solution providers Cadwell Laboratories CareFusion (BD Medical) Compumedics Infoscan Natus Medical NovaSom SleepMed CleveMed iv STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES
5 MHEALTH AND HOME MONITORING INDEX 3.8 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 Air flow monitoring Overview of the air flow monitoring device market Use cases for air flow monitoring Remote monitoring solution providers Aerocrine (Circassia Pharmaceuticals) AstraZeneca Clement Clarke International Respiri (isonea) Medical International Research Ndd Medizintechnik nspire Health Propeller Health Sibelmed Vitalograph Glucose level monitoring Overview of the glucose monitoring device market Use cases for glucose monitoring Remote monitoring solution providers Abbott Bayer Healthcare BodyTel Dexcom Glooko (Diasend) Johnson & Johnson QuiO STRATEGIC M2M RESEARCH SERIES v
6 INDEX MHEALTH AND HOME MONITORING Roche Diabetes Care Telcare Voluntis WellDoc Other Implantable medical devices Home hemodialysis Telerehabilitation 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 Clinical Laboratories (AuthentiDate) Bosch Healthcare Care Innovations H2AD Honeywell Life Care Solutions Ideal Life LindaCare Medtronic Care Management Services (Cardiocom) Medvivo Optum Philips Hospital to Home 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 vi STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES
7 MHEALTH AND HOME MONITORING INDEX Compliance Meds Technologies DayaMed Evondos InRange Systems Medicpen Merck MedSignals Philips Medido Proteus Digital Health Connected automated external defibrillators Use cases for defibrillators Overview of the connected defibrillator market A.M.I. Italia AEDMAP Almas Industries Cardia International (Skanray Healthcare) Nihon Kohden Philips Healthcare Physio-Control (Stryker) Pyrescom Schiller Spacelabs Healthcare Zoll 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 STRATEGIC M2M RESEARCH SERIES vii
8 INDEX MHEALTH AND HOME MONITORING 5.2 Revenue forecasts Medical monitoring devices mhealth connectivity solutions Care delivery platforms mhealth care programs Industry trends and analysis Connectivity strong trend when new players enter the market Major pharmaceutical companies prepare large-scale rollouts Consumerisation of medical-grade mhealth devices and apps BYOD is becoming a popular and viable option Digitalisation of PSTN networks in the works Modularization of the value chain as the market matures Automated external defibrillators are getting connected The data war has started Market drivers and barriers An ageing population is raising medical costs Obesity epidemic and Increasing welfare disease prevalence Increased focus on disease prevention Substitutes to medical monitoring A slowly changing industry Alignment of financial incentives Potential market catalysts Increased monitoring during clinical trials Incentives from insurance companies and payers National health systems support remote monitoring New clinical evidence on cost effectiveness Non-prescribed monitoring and healthcare consumerism Glossary viii STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES
9 MHEALTH AND HOME MONITORING INDEX Index List of Figures Figure 1.1: Population by age group (EU, North America and Japan )... 4 Figure 1.2: Direct and indirect costs of chronic welfare diseases in the US and EU... 6 Figure 1.3: Number of people suffering from chronic welfare diseases (EU/US 2008)... 9 Figure 1.4: Percentage of population diagnosed with chronic welfare diseases Figure 1.5: Total and per capita healthcare spending by country (2013) Figure 1.6: Healthcare expenditure per capita by country (World 2014) Figure 1.7: Share of population covered by private health insurance by country Figure 1.8: Healthcare spending by type of service and product (US 2013) 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: 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: BP ehealth Platform patient dashboard Figure 2.11: Medixine Suite Figure 2.12: 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 2016) Figure 3.3: Implantable cardiac rhythm management vendor market shares (2015) 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 (2016) Figure 3.7: CardioMessenger devices Figure 3.8: Latitude NXT Wave wireless communicator STRATEGIC M2M RESEARCH SERIES ix
10 INDEX MHEALTH AND HOME MONITORING Figure 3.9: The Merlin.net interface and transmitter Figure 3.10: The Infinity DBS System Figure 3.11: MCT sensor and monitor from CardioNet Figure 3.12: Implantable loop recorder from Medtronic Figure 3.13: AliveCor Mobile ECG third generation Figure 3.14: AliveCor s AliveECG app Figure 3.15: HeartCheck devices from CardioComm Solutions Figure 3.16: Blood pressure monitor from Omron Healthcare Figure 3.17: Sleep therapy vendor market shares (2015) Figure 3.18: ResMed S9 CPAP device with FX Series masks Figure 3.19: Connected sleep therapy solutions by vendor (2016) Figure 3.20: DreamMapper mobile application Figure 3.21: ResMed myair Figure 3.22: SRETT T4P and TeleOx Figure 3.23: SomnoDent Fusion Figure 3.24: The prisma25s sleep therapy device from Löwenstein Medical Technology Figure 3.25: Examples of home sleep diagnostics companies and products Figure 3.26: ispo2 and MightySat device and application Figure 3.27: Turbu+ inhaler sensor and app Figure 3.28: isonea s device and asthma management app Figure 3.29: Propeller Health s asthma management app and inhaler sensor Figure 3.30: Blood glucose meter vendor market shares (2015) Figure 3.31: CGM and insulin delivery system vendor market shares (2015) Figure 3.32: Medication usage by diabetes patients (US 2011) Figure 3.33: Glucose meters from LifeScan and Roche Figure 3.34: Dexcom G4 CGM system Figure 3.35: Asante Pearl insulin pump 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 G5 app and transmitter Figure 3.40: Roche Accu-Chek Connect app x STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES
11 MHEALTH AND HOME MONITORING INDEX Figure 3.41: WellDoc BlueStar Figure 4.1: Overview of the telehealth and multiparameter monitoring landscape Figure 4.2: Installed base of telehealth hubs by region (2016) Figure 4.3: Telehealth hub vendor market shares (2016) Figure 4.4: The Health Harmony solution Figure 4.5: The Twitoo telehealth hub Figure 4.6: The Honeywell Genesis DM telehealth monitor with peripherals Figure 4.7: ecarecompanion and ecarecoordinator Figure 4.8: Compliance monitoring solution form factors Figure 4.9: The CleverCap dispenser Figure 4.10: The DayaMed MedPod Figure 4.11: The Evondos E300 Automatic Medicine Dispenser Figure 4.12: The EMMA medication management system Figure 4.13: The Easypod injector and the Easypod connect transmitter Figure 4.14: The Philips Medido medication dispenser Figure 4.15: AEDMAP CONNECT a connected cabinet for AEDs Figure 4.16: The DOC defibrillator from Almas Industries 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 ) 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 ) Figure 5.15: New players enter the connected care market STRATEGIC M2M RESEARCH SERIES xi
12 INDEX MHEALTH AND HOME MONITORING Figure 5.16: Examples of landmark events for healthcare consumerisation xii STRATEGIC RESEARCH SERIES M2M RESEARCH SERIES
MHEALTH AND HOME MONITORING
Index Table of Contents Table of Contents... i List of Figures... x Executive summary... 1 1 The challenge of chronic diseases... 3 1.1 Introduction... 3 1.1.1 The ageing world population... 4 1.1.2 Lifestyle-related
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