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Published: May, 2017 | Pages:
416 | Publisher: WinterGreen Research
Industry: Medical Devices | Report Format: Electronic (PDF)
Consideration of cardiac event recorder forecasts indicate that markets at $1.1 billion in 2016 will reach $4.8 billion by 2023. Growth comes as this technology is able to support the greater emphasis that is being put on early diagnosis and prevention of disease by the medical community as a whole. Heart disease has been the number one killer of people, creating a need for more proactive and ongoing diagnosis made possible by increased use of the remote units extending medical care from the acute care setting to everyday modalities. Digitalization of healthcare is shifting value from devices per se to software and services. Physicians are looking for new ways to proactively monitor and manage patient health. The challenges of delivering patient cardiac care can only be met through new, more integrated forms of care delivery across the health continuum, with a shift away from a focus on acute care and late-stage interventions to continuing care delivery that is appropriate to the circumstance. According to Susan Eustis, principal author of the study, “In an increasingly connected world, the convergence of vital signs technologies with cardiac event monitoring technologies is able to facilitate healthy living. This fits very well with cardiac equipment vendor core strengths in professional healthcare and in consumer health and well-being.” Disruptive technologies, disruptive services offerings change cardiac event recorder markets, clinicians are leveraging technology to save lives. A cardiac event recorder is a battery-powered portable miniature device. Devices record heart's electrical activity (ECG) to detect presence of symptoms. Event recorders can be a loop memory monitor and a symptom event monitor with newer devices containing internal analytics and the ability to notify a physician directly if an event is detected. Cardiac event ambulatory monitors can detect arrhythmias and get people to treatment faster before it is too late. Units are useful in the fight to correct congestive heart failure even after it has been initiated. Shortness of breath is a common symptom of cardiac disease. It is frequently misdiagnosed as a respiratory symptom or ignored by patients and is not even considered a symptom. Detection of heart disease is supported with the newer cardiac event recorders. Early treatment is essential and the technology is a vital aid in providing that treatment. Other, newer technologies are emerging. A vital signs patch supports continuous, non-invasive monitoring of EKG, Heart Rate, respiration rate, surface temperature, and arterial blood oxygen saturation. The device is an easy-to-use sensor worn on a patient’s upper chest. It is intended to be used on adult patients in a clinical environment. The intended use group is adults 21 and above. Units are prescribed by a physician or other qualified healthcare professional. Upon activation and connectivity to the supporting system, the VSP provides automation and alerts of key vital signs via continuous wireless monitoring. Considerable interest and effort has been put into patch-based devices aimed at improving convenience for the patient and achieving better compliance. MCT 1-lead patches have been developed. Medtronic’s SEEQ device is such a unit. BioTelemetry’s CardioNet MCOT and Preventice BodyGuardian Heart have devices. The newer patch based devices rely on MCT technology, iRhythm, a US-based AECG specialist, is selling a somewhat differentiated patch, Zio XT. Similar to Holter monitoring, the device can record arrhythmias. It can record 10 days of continuous data, which is retrieved after completion of the monitoring, ie not live transmission like in MCT. Cardiologists would hardly be able to handle such large amounts of data, therefore iRhythm has developed proprietary algorithms, which provide summary reports. Cardiac event monitor market forecasts, event recorder device, MCT device, and implantable recorders are charged for as services when the units are provided to patients in this manner. Insurance reimbursement is many times a more favorable way to collect money from a service. The implantable segment of the overall cardiac event recording market goes from 58% of the total to 80% of the total. It implantable devices are far more reliable and accurate than the electronic external devices. WinterGreen Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, electronics.ca, and Thompson Financial. It conducts its business with integrity. The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust wintergreen research to work alongside them to ensure the success of the participation in a particular market segment. WinterGreen Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity. Key Topics • Cardiac Event Monitoring • Postacute Care Co-ordination • Healthcare Reform Readmission • High Risk Heart Failure Patient • CHF • Congestive Heart Failure • Diabetes Treatment • Cardiac Event Recording • HIPAA Privacy and Security • Telemonitoring • Tele-monitoring • Cardiac Event Recorder • Cardiac Event Monitor • Implantable Event Monitor • Mobile Cardiac Telemetry MCT Monitor
Table of Contents CARDIAC EVENT MONITORS EXECUTIVE SUMMARY 23 Cardiac Event Recording Market Driving Forces 23 Cardiac MCT Recorder, Event Recorder, and Implantable Recorder Market Shares 26 Cardiac Event Monitor, MCT Monitor, and Implantable Event Monitor Market Forecasts, Patients and Dollars, Worldwide 28 1. CARDIAC EVENT MONITORS MARKET DESCRIPTION AND MARKET DYNAMICS 30 1.1 Cardiac Event Monitoring 30 1.1.1 Cardiac Arrhythmia Definitions 31 1.1.2 Atrial Fibrillation 31 1.1.3 Ventricular Tachycardia. 32 1.1.4 Syncope 32 1.1.5 Traditional Arrhythmia Monitoring Technologies 32 1.2 Cardiac Event Monitors 33 1.2.1 Manual-Trigger Loop Event Monitors 34 1.2.2 Cardiac Event Recorders 35 1.2.1 Event Monitoring 36 1.2.2 Event Recorder 37 1.2.3 Implantable Loop Recorders 38 1.2.4 Selection of the Most Appropriate Cardiac Event Recorder Method 39 1.3 Remote Monitoring as Standard of Care 40 1.3.1 Telemonitoring Systems Premise 41 1.3.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 42 1.3.3 Telemonitoring Systems Improve Home Health Care 43 1.3.4 Vital Signs And Health Status Are Measured Daily 44 1.3.5 Telemonitoring at Home 44 1.4 Telemedicine 45 1.4.1 Nursing Stations 45 1.4.2 Telemedicine Services 47 1.4.3 Service Provider Adoption of Tele-Monitoring 48 1.4.4 Telemedicine Delivery Mechanisms 50 1.4.5 Telemedicine Point-To-Point Connections 51 1.4.6 High Definition Video Communication 52 1.4.7 Federal Funding for Telemedicine 56 1.4.8 US Telemedicine Medicare – 56 1.4.9 US Veterans Health Administration (VA) Use of Telemonitoring 57 1.4.10 Telemonitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 58 1.4.11 US VA Tele-monitoring Targeted Innovation: 60 1.5 Government Regulation of Medical Devices 62 1.5.1 Ongoing Responsibilities Under FDA Regulations 64 1.5.2 Tele-Monitoring Third-Party Reimbursement 65 1.6 Health Information Privacy HIPAA Requirements 66 1.6.1 HIPAA Enforcement 73 1.6.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules 75 1.7 Partners Mass General Cardiologist Program for High Risk Heart Failure Patients 76 2. CARDIAC EVENT MONITORS MARKET SHARES AND FORECASTS 78 2.1 Cardiac Event Recording Market Driving Forces 78 2.2 Cardiac MCT Recorder, Event Recorder, and Implantable Recorder Market Shares 81 2.2.1 Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 84 2.2.2 BioTelemetry 89 2.2.3 Preventice / eCardio Partners with Physicians 89 2.2.4 LifeWatch Cardiac Event Monitors 89 2.2.5 LifeWatch V, an Android-Based Smartphone Written Off 89 2.2.6 Biotelnet / CardioNet 90 2.2.7 CardioNet Monitoring 94 2.2.8 CardioNet Central Monitoring Station/Data Transmission Network 95 2.2.9 CardioNet Monitoring Physician Notification 95 2.2.10 CardioNet Monitoring Other Arrhythmia Monitoring Services 96 2.2.11 CardioNet Uses for MCOT™ Monitoring Platform 97 2.2.12 CardioNet Monitoring Advanced Technology 97 2.2.13 CardioNet Monitoring Wireless Data Transmission Network 98 2.2.14 Philips 99 2.2.15 iRhythm / Zio® Event Card 100 2.2.16 VRI 100 2.2.17 Reka 100 2.2.18 REKA E100 Received FDA Clearance 101 2.3 Cardiac Event Monitor, MCT Monitor, and Implantable Event Monitor Market Forecasts, Patients and Dollars, Worldwide 103 2.3.1 Cardiac Event Monitor Market Forecasts, Event Recorder Device, MCT Device, and Implantable Recorders Services Patients and Dollars, Worldwide, 2017-2023 108 2.4 Vital Signs Patch Monitoring Service 115 2.5 Holter Monitoring 117 2.6 US Veterans Administration (VA) Tele-Monitoring of Congestive Heart Failure (CHF) 117 2.6.1 Congestive Heart Failure 118 2.6.2 Diabetes Chronic Illness Numbers 121 2.6.3 Incidence of Chronic Disease 122 2.6.4 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending 125 2.6.5 Surgical Procedures::US and Worldwide 125 2.7 Total Number Of Surgical Procedures And Market Penetration of Surgical Robots 126 2.7.1 Clinical Staff / Patient Ratios: Physician Shortages 129 2.7.2 Telemonitoring Market Driving Forces 131 2.7.3 Measures of Tele Monitoring Effectiveness 132 2.7.4 Home Patient Monitoring Supports Patient Education 133 2.7.5 Wireless Telemonitoring Devices 133 2.7.6 Implantation of Patient-Activated Cardiac Event Recorder 135 2.7.7 Medical Conditions Treated by Cardiac Event Recorders 136 2.8 Telemedicine Market Driving Forces 137 2.9 Cardiac Event Recording Pricing 140 2.10 Cardiac Event Recorder Regional Market Segments 141 3. CARDIAC EVENT MONITORS PRODUCT DESCRIPTION 143 3.1 BioTelemetry 143 3.1.1 BioTelemetry wEvent 148 3.1.2 BioTelemetry ER 920W 149 3.1.3 BioTelemetry CardioNet Event 150 3.1.4 BioTelemetry ER900-RT 151 3.1.5 BioTelemetry 152 3.1.6 BioTelemetry Braemar PER900 154 3.1.7 BioTelemetry HeartTrak Smart AF 155 3.1.8 BioTelemetry HeartTrak Smart 156 3.1.9 BioTelemetry HeartTrak 157 3.1.10 BioTelemetry Cardiac Monitoring Indications for Use 158 3.1.11 CardioNet 161 3.2 SpaceLabs 161 3.3 LifeWatch / Card Guard / Instromedix Cardiac Event Monitoring 167 3.3.1 LifeWatch Ambulatory ECG Methods 169 3.3.2 LifeWatch MCT Offering 170 3.3.3 LifeWatch MCT Work Flow 171 3.3.4 LifeWatch Core Services Offering 171 3.3.5 Lifewatch Product Portfolio Development 174 3.3.6 LifeWatch Expansion to Turkey 175 3.3.7 LifeWatch Pure-Play Service Provider 176 3.3.8 Card Guard Instromedix King of Hearts Express 176 3.3.9 Instromedix King of Hearts Express AF 180 3.3.10 Instromedix SE – 1200 Express 181 3.3.11 Instromedix SE – 1201 182 3.3.12 Instromedix SE – 1201 Features 183 3.3.13 Instromedix Holter, Cardiac Event, Pacemaker, Blood Pressure 183 3.3.14 Instromedix Heartrak Smart 186 3.3.15 Lifewatch Services 188 3.3.16 LifeWatch V, an Android-Based Smartphone 189 3.3.17 LifeWatch MCT 3 Lead (MCT 3L) 190 3.3.18 LifeWatch MCT 1 Lead Patch (MCT 1LP) 191 3.4 Preventice Solutions 194 3.4.1 Preventice Solutions BodyGuardian Heart 194 3.4.2 Preventice Solutions BodyGuardian Verite 196 3.4.3 Preventice Solutions / eCardio 198 3.4.4 eCardio Partners with Physicians 200 3.4.5 eCardio Billing 204 3.5 iRhythm / Zio® Event Card 205 3.5.1 iRhythm ZioXT 205 3.6 Reka e100 L 208 3.6.1 Reka e100 209 3.7 Philips CardioCare Cellular Event Monitoring Service 212 3.7.1 Philips Event Recorder Monitors 214 3.7.2 Philips CardioCare Cellular Event Monitor 217 3.7.3 Philips RT20 Event Monitor – 219 3.7.4 Philips ER910 Event Monitor 220 3.7.5 Philips HeartStart MRx Monitor/Defibrillator for EMS 222 3.8 Biomedical Systems / Card Guard / King of Hearts Express 228 3.9 Medtronic 229 3.9.1 Medtronic 230 3.10 Biotronik 230 3.10.1 Biotronik Monitoring for Atrial or Ventricular Arrhythmia with Implantable Pacemakers And Defibrillators 231 3.11 Medibio 231 3.12 Medicomp TelePatch 232 3.12.1 Medicomp Duet 2-in-1 Monitor 233 3.13 Applied Cardiac Sciences Performer Plus 235 3.13.1 Applied Cardiac Sciences (ACS) Event Monitoring 235 3.13.2 ACS Cardiac Event Monitor 237 3.13.3 Applied Cardiac Sciences CORE (Cardiac Outpatient Real-Time ECG) Monitor 239 3.13.4 Applied Cardiac Sciences ACS CORE Components Miniaturized To Wireless Patch 241 3.14 QRS Diagnostic 241 3.14.1 QRS Q200/HE 242 3.14.2 QRS Holter LX Analysis Software 245 3.15 SpaceLabs 246 3.16 ScottCare Ambucor 247 3.16.1 ScottCare CardioView DX 248 3.16.2 ScottCare OneView CRM 249 3.16.3 ScottCare Chroma Holter 251 3.16.4 ScottCare HolterCare Software 252 3.16.5 ScottCare Telesense 3-in-1 Remote Cardiac Monitoring 253 3.16.6 ScottCare Arrhythmia/Event Monitoring 255 3.16.7 ScottCare Ambulatory Blood Pressure Monitoring 258 3.17 AliveCor 260 4. CARDIAC EVENT MONITOR RESEARCH AND TECHNOLOGY 262 4.1 Cardiac Event Monitor Lead Placement 262 4.2 Reimbursement and Code Chart 263 4.2.1 Codes For Billing And Reimbursement For Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States 264 4.2.2 US CMS Medicare Health Net, Inc. Considers The Use Of Implantable Loop Recorder Cardiac Event Monitors265 4.2.3 Implantation of Cardiac Event Recorder 267 4.2.4 Patient-Activated Cardiac Event Recorder Primary Diagnosis Allowed 267 4.2.5 Cardiac Event Monitors That Are Deemed Not Medically Necessary 268 4.3 Cardiac Event Recorder Validation and Use Cases 269 4.3.1 Event Monitor Indications For Use 271 4.4 Event Monitoring Studies 271 4.4.1 Kaiser Telemonitoring Study Shows Improvement in Patients 271 4.5 Government Regulation 274 4.5.1 U.S. Food and Drug Administration. 274 4.5.2 Health Care Fraud and Abuse 275 4.5.3 The Patient Protection and Affordable Care Act. 276 4.5.4 Medicare 276 4.5.5 Event Monitor Vendor Environmental Regulation 277 4.5.6 US Reimbursement—Healthcare 278 5. CARDIAC EVENT MONITORS COMPANY PROFILES 280 5.1 AliveCor 280 5.2 Applied Cardiac Systems 283 5.2.1 ACS CORE: Cardiac Outpatient Real Time Electro-cardiogram 284 5.2.2 ACS Counterpulsation Therapy 284 5.3 AT&T 286 5.3.1 AT&T Revenue 287 5.3.2 AT&T Services and Products 288 5.3.3 AT&T Voice Service – 288 5.3.4 AT&T Innovative Data Services 289 5.3.5 AT&T Business Customers 290 5.3.6 AT&T Data/Broadband 290 5.3.7 AT&T Business Secure Mobile Threats 291 5.3.8 AT&T Mobile Security 291 5.3.9 AT&T and VRI To Offer Managed Remote Telemonitoring Service 293 5.4 Biomedical Systems 294 5.4.1 Biomedical Systems Premier Global Provider Of Centralized Diagnostic Services 294 5.4.2 Biomedical Systems Regional Presence 295 5.4.3 Biomedical Systems Supports Regulatory Approvals 295 5.5 Biotronik 298 5.5.1 Biotronik Electrotherapy Implantable Pacemakers And Defibrillators 298 5.5.2 Biotronik Vascular Intervention 299 5.5.3 Biotronik CHF Study 300 5.5.4 Biotronik Monitoring for Atrial or Ventricular Arrhythmia with Implantable Pacemakers And Defibrillators 300 5.5.5 Biotronik Coronary Stent 301 5.6 BioTelemetry 301 5.6.1 BioTelemetry Business Segment Revenue 302 5.6.2 BioTelemetry Revenue 303 5.6.3 BioTelemetry Organization 304 5.6.4 BioTelemetry Competition 307 5.6.5 BioTelemetry Principal Competitive Market Factors 307 5.6.6 Braemar Cardiac Event Monitoring Company 309 5.7 CardGuard 309 5.7.1 Lifewatch / CardGuard 309 5.7.2 Lifewatch / Card Guard / Instromedix 315 5.7.3 LifeWatch / Lifestar ACT Products 317 5.7.4 LifeStar ACT Ex Functions 318 5.7.5 LifeWatch Services 320 5.7.6 Lifewatch Revenue 321 5.7.7 Lifewatch Group Strategy 322 5.8 General Electric (GE) 324 5.8.1 GE Revenues 327 5.8.2 GE Wireless Sensor Networks 328 5.8.3 GE's XMTC Thermal Conductivity Transmitter 332 5.8.4 GE's 300 Pressure Series Sensors 333 5.8.5 GE Applications for Wireless Sensor Networks 333 5.9 iRhythm / Zio 337 5.10 LifeLine Medical 337 5.11 Medicomp 338 5.11.1 Medicomp Holter Monitor Diogenes™ Algorithm Customer Use Case: Kaiser 338 5.12 Medtronic 340 5.12.1 Medtronic Aetna Cardiac Event Reimbursement 344 5.13 Nuvasive 348 5.14 OSI Systems 348 5.14.1 OSI / SpaceLabs 349 5.15 Philips 350 5,14,1 Philips Enables Consumer Lifestyle 353 5.15.2 Philips Addresses Healthcare Landscape 354 5.15.3 Philips Healthcare Modernization 357 5.15.4 Philips Patient Care & Monitoring Solutions: 358 5.15.5 Philips Healthcare Revenue 360 5.15.6 Philips Positions with Meaningful Solutions Based on Understanding Needs 365 5.15.7 Philips Strategy 368 5.16 Preventice Solutions 373 5.16.1 Preventice Solutions / eCardio 375 5.16.2 Preventice Solutions Revenue 376 5.17 QRS Diagnostic 377 5.18 Reka 378 5.18.1 Reka E100 Received FDA Clearance 379 5.19 Samsung 379 5.19.1 Samsung Diverse Businesses 381 5.19.2 Samsung Group Moves Toward QLED Displays 383 5.19.3 The Samsung Philosophy 383 5.19.4 Samsung Values 384 5.19.5 Samsung Vision 2020 385 5.19.6 Samsung Electronics 386 5.19.7 Samsung Finds Talent And Adapts Technology To Create Products 388 5.19.8 Samsung Adapts to Change, Samsung Embraces Integrity 389 5.19.9 Samsung Telecom Equipment Group 390 5.19.10 Samsung Memory Over Logic 391 5.20 Scott Fetzer 392 5.20.1 Scott Fetzer / ScottCare Cardiovascular Solutions 394 5.21 VivaLnk 395 5.22 VRI 397 5.22.1 VRI Digi Pal 398 5.22.2 VRI Partnership with Robert Bosch Healthcare 399 5.22.3 VRI Digi Pal 400 5.22.4 VRI 402 5.23 Windstream 403 5.24 Selected Cardiac Event Monitors 403 5.24.1 Applied Cardiac Systems (ACS) – Performer Plus 404 5.24.2 Biomedical Systems – King of Hearts Monitor 404 5.24.3 BioTelemetry Braemar Cardiac Event Monitors 404 5.24.4 CardioNet Cardiac Event Monitors 404 5.24.5 eCardio Cardiac Event Monitors 405 5.24.6 LifeWatch Cardiac Event Monitors 405 5.24.7 Medicomp CardioPAL SAVI Cardiac Event Monitor 405 5.24.8 Mednet Cardiac Event Monitors 405 5.24.9 QRS Diagnostic Q200 HE Cardiac Event Monitor 406 5.24.10 Scottcare 271i Cardiac Event Monitor 406 5.24.11 Spacelabs CardioCall VS20 Cardiac Event Monitor 406 5.25 Cardiac Event Monitoring Companies 406 5.25.1 Applied Cardiac Systems (ACS) Event Monitoring Company 407 5.25.2 Biomedical Systems Cardiac Event Monitoring Company 407 5.25.3 Biotelemetry (CardioNet) Braemar Cardiac Event Monitoring Company 408 5.25.4 CardioNet Cardiac Event Monitoring Company 408 5.25.5 LifeWatch Cardiac Event Monitoring Company 408 5.25.6 Medicomp Cardiac Event Monitoring Company 408 5.25.7 Mednet Cardiac Event Monitoring Company 409 5.25.8 NorthEast Monitoring Cardiac Event Monitoring Company 409 5.25.9 Preventice Cardiac Event Monitoring Company 409 5.25.10 QRS Diagnostic Cardiac Event Monitoring Company 409 5.25.11 Scottcare Cardiac Event Monitoring Company 410 5.25.12 Spacelabs Cardiac Event Monitoring Company 410
List of Figures Figure 1. Cardiac Event Recording Market Driving Forces 24 Figure 2. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 26 Figure 3. Cardiac Event Recorder, MCT, and Implantable Market Forecasts Dollars, Worldwide, 2017-2023 29 Figure 4. Event Recorder Uses: 36 Figure 5. Remote Monitoring as Standard of Care 40 Figure 6. Telemedicine Nursing Stations Typical Telemonitoring Questions 46 Figure 7. Remote Patient Monitoring Device Uses 48 Figure 8. Clinical Assessment and Response to Alert Provided by Telemonitor 49 Figure 9. Clinical Assessment And Actions Taken To Alert Provided By Telemonitor 50 Figure 10. Telehealth Solutions Benefits 52 Figure 11. Monitoring Used To Take Measurements In Homecare Settings 53 Figure 12. Monitoring Measurement Functions In Homecare Settings 54 Figure 13. Recommendations for Innovation Funded By The VA 61 Figure 14. FDA Enforcement Actions And Remedies 65 Figure 15. HIPAA Information Covered entities 68 Figure 16. HIPAA Information That Needs to Be Private 69 Figure 17. HIPAA Information Sharing by Health Care Providers 70 Figure 18. HIPAA Information Sharing Prohibitions 71 Figure 19. HIPAA Information Managed via Court Order 72 Figure 20. HIPAA Privacy and Security Rule and Compliant Process 74 Figure 21. Cardiac Event Recording Market Driving Forces 79 Figure 22. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 81 Figure 23. Cardiac MCT Monitor Equipment Market Shares, Dollars, Worldwide, 2016 82 Figure 24. Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 84 Figure 25. Cardiac Event Monitor Equipment and Implantable Recorder Market Shares, Dollars, Worldwide, 2016 85 Figure 26. Cardiac Event Recording and Vendor Services Market Shares, Dollars, Worldwide, 2016 86 Figure 27. Cardiac Event Monitor Equipment and Services Market Shares, Dollars, Worldwide, 2016 87 Figure 28. LifeWatch V, an Android-Based Smartphone 90 Figure 29. CardioNet Monitoring Device Product Enhancements 92 Figure 30. Cardiac Event Recorder, MCT, and Implantable Market Forecasts Dollars, Worldwide, 2017-2023 104 Figure 31. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2023 105 Figure 32. Cardiac Event, MCT, and Implantable Monitor Market Forecasts, Dollars, Worldwide, 2017-2023 106 Figure 33. Cardiac Event Recorder Market Morph to App / MCT / Implant Cardiac Monitor Market, Forecasts Patients, Worldwide, 2017-2023 107 Figure 34. Cardiac Event Recorder Market Forecasts Patients, Worldwide, 2017-2023 108 Figure 35. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2016 109 Figure 36. Cardiac MCT, Event Recorder, and Implantable Recorder Market Segments, Dollars, Worldwide, 2023 110 Figure 37. Cardiac Event Monitor Market Forecasts, Event Recorder Device, MCT Device, and Implantable Recorders Services Patients and Dollars, Worldwide, 2017-2023 111 Figure 38. Card Guard Instromedix King of Hearths Event Monitor 112 Figure 39. Cardiac Event, MCT, and Implantable Monitor Market Forecasts, Patients and Dollars, Worldwide, 2017-2023 113 Figure 40. Cardiac Event App / Implant Market Forecasts, Smart Phone / Sensor App Disruptive Technology Patients and Dollars, Worldwide, 2017-2023 115 Figure 41. Congestive Heart Failure (CHF) Patients Worldwide, Forecasts, Number, 2013-2018120 Figure 42. Diabetes Patients Worldwide, Forecasts, Number, 2013-2018 122 Figure 43. Number of Patients with Disease Conditions Requiring Wheelchairs, By Diagnosis, Number, Worldwide, 2013-2018 124 Figure 44. Total Number Of Surgical Procedures Performed In US: 2017 127 Figure 45. Total Number Of Surgical Procedures Performed Worldwide: 2017 128 Figure 46. US and Worldwide Robotic Surgery Target Procedures: 2017 129 Figure 47. Tele-Monitoring Critical Issues Addressed 134 Figure 48. Medical Conditions Treated by Cardiac Event Recorders 136 Figure 49. Factors Likely To Create Shift To Event Monitoring 138 Figure 50. Telemedicine Adoption Rate Issues And Concerns 139 Figure 51. Telemedicine Market Factors 139 Figure 52. Cardiac Event Monitor Regional Market Segments, Dollars, 2016 141 Figure 53. Cardiac Event Recorder Regional Market Segments, 2016 142 Figure 54. BioTelemetry Product Types 144 Figure 55. BioTelemetry Mobile Cardiac Telemetry 145 Figure 56. BioTelemetry Mobile Cardiac Telemetry 145 Figure 57. BioTelemetry MCOT Cardiac Monitor 146 Figure 58. BioTelemetry wEvent 148 Figure 59. BioTelemetry ER 920W 149 Figure 60. BioTelemetry CardioNet Event 150 Figure 61. BioTelemetry ER900-RT 151 Figure 62. BioTelemetry Braemar ER920/ER920AF 153 Figure 63. BioTelemetry Braemar PER900 154 Figure 64. BioTelemetry HeartTrak Smart AF 155 Figure 65. BioTelemetry HeartTrak Smart 156 Figure 66. BioTelemetry HeartTrak 157 Figure 67. CardioNet Monitoring Indications for Use 158 Figure 68. CardioNet Monitoring Indications 159 Figure 69. CardioNet Contraindicatios For Use In The Following Patients: 160 Figure 70. CardioNet Cardiac Event Recorder Services 160 Figure 71. SpaceLabs CardioCall VS20/ST80 162 Figure 72. SpaceLabs Lifecard CF 163 Figure 73. LifeWatch Cardiac Event Monitoring Devices 167 Figure 74. LifeWatch Cardiac Event Monitoring MicroER Non-Looping Monitor 169 Figure 75. LifeWatch Core Offerings Leverage the MCT Devices 171 Figure 76. LifeWatch’s Product Portfolio Of Cardiac Monitoring Devices 172 Figure 77. LifeWatch’s R&D Portfolio Developments 174 Figure 78. Card Guard Instromedix King of Hearts Event Recorder image 176 Figure 79. Card Guard Instromedix King of Hearts Event Record Button 177 Figure 80. Card Guard Instromedix King of Hearts Event Recorder Specifications 178 Figure 81. Insromedix King of Hearts Express Features 179 Figure 82. Instromedix SE – 1200 Express 181 Figure 83. Instromedix SE – 1201 Image 182 Figure 84. Instromedix Cardiac Event Recorders 184 Figure 85. LifeWatch V, an Android-Based Smartphone 189 Figure 86. LifeWatch MCT 1 Lead Patch 191 Figure 87. LifeWatch Kyocera MCT 1 Lead Patch Smart Phone Device 193 Figure 88. Preventice Solutions BodyGuardian Heart 194 Figure 89. Preventice Solutions BodyGuardian® Remote Monitoring System Clinical Applications 195 Figure 90. Preventice Solutions BodyGuardian Verite 196 Figure 91. eCardion Event Monitors 198 Figure 92. eCardio Device 202 Figure 93. iRhythm Zio Functions 206 Figure 94. Reka e100 L 208 Figure 95. Reka e100 Symptom Based, Manual Trigger Event Recorder Features: 209 Figure 96. REKA E100: Cardia Event Recorder Benefits 210 Figure 97. Philips Services Implementation 213 Figure 98. Philips Remote Cardiac Services’ 30-Day Arrhythmia Service Functions 214 Figure 99. Philips Remote Cardiac Services’ 30-Day Arrhythmia Report Functions 215 Figure 100. Philips Remote Cardiac Arrhythmia Service Activation 216 Figure 101. Philips Event Recording Service Ease of Use 217 Figure 102. Philips Services That Support Event Monitoring 218 Figure 103. Philips CardioCare Cellular Event Monitor 218 Figure 104. Philips RT20 Event Monitor - 219 Figure 105. Philips ER910 Event Monitor 220 Figure 106. Philips ER910 Event Monitor - 221 Figure 107. Philips ER910 Event Monitor Features 222 Figure 108. Philips HeartStart MRx Monitor/Defibrillator Intuitive And Ease Of-Use Features226 Figure 109. Philips HeartStart MRx Monitor/Defibrillator 227 Figure 110. Medicomp TelePatch 232 Figure 111. Medicomp Duet 2-in-1 Monitor 233 Figure 112. Medicomp Duet 2-in-1 Event and Telemetry Monitor Features 234 Figure 113. Applied Cardiac Sciences Performer Plus 235 Figure 114. Applied Cardiac Sciences (ACS) Event Monitor Functions 236 Figure 115. Applied Cardiac Sciences ACS Performer Plus Image 237 Figure 116. Applied Cardiac Sciences CORE Integrated Device ECG Applications: 240 Figure 117. QRS Q200/HE Combination 14-day Holter plus 30-day Event Monitor 242 Figure 118. QRS Diagnostic Device Functions 243 Figure 119. QRS Diagnostic LX Analysis Software Functions 243 Figure 120. QRS Holter Monitor Functions 244 Figure 121. QRS Holter and Event Recorder LX Analysis 245 Figure 122. SpaceLabs CardioCall ST80 246 Figure 123. ScottCare Ambucor 247 Figure 124. ScottCare Ambucor CardioView DX 248 Figure 125. CardioView Dx Suite Testing Modalities 249 Figure 126. ScottCare Implantable Device OneView CRM Features: 250 Figure 127. ScottCare Chroma Holter 251 Figure 128. ScottCare Chroma Software Holter Functions 252 Figure 129. ScottCare HolterCare Software Functions 252 Figure 130. ScottCare Telesense 253 Figure 131. ScottCare TeleSense Wi-Fi Based Remote Cardiac Rhythm Monitor: 254 Figure 132. ScottCare Arrhythmia/Event Monitoring Image 255 Figure 133. ScottCare Arrhythmia/Event Monitoring Functions 256 Figure 134. ScottCare Arrhythmia/Event Monitoring Features 257 Figure 135. ScottCare Ambulatory Blood Pressure Monitoring 258 Figure 136. ScottCare Ambulatory Blood Pressure Monitoring 259 Figure 137. AliveCor Consumer Finger EKG 260 Figure 138. AliveCor Fitness Track App EKG analysis to Detect Atrial Fibrillation Heart Rhythms 261 Figure 139. Cardiac Event Monitor Lead Placement 262 Figure 140. CMS Medicare program Cardiac Event Monitor Requirements 263 Figure 141. Codes For Billing And Reimbursement for Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States 264 Figure 142. Cardiac Event Recorder Use Cases 270 Figure 143. AliveCor Arrythmia Detection App Device 281 Figure 144. AliveCor Competitors 282 Figure 145. AT&T Mobile Security Benefits 292 Figure 146. Biotronik Electrotherapy Devices 295 Figure 147. Biotronik Vascular Intervention Devices 296 Figure 148. BioTelemetry Principal Competitive Market Factors 304 Figure 149. Biomedical Systems Metrics 306 Figure 150. Biomedical Systems Distribution of Modalities 307 Figure 151. Biomedical Systems Distribution Across Phases 308 Figure 152. LifeWatch V, an Android-Based Smartphone 312 Figure 153. LifeWatch LifeStar ACT III Platinum Functions 316 Figure 154. LifeStar ACT Ex Functions 317 Figure 155. LifeStar ACT Ex Standard Features 318 Figure 156. LifeStar ACT Enhanced Daily Reporting Features 319 Figure 157. GE Operating Segments 323 Figure 158. GE Wireless Sensor Networks 330 Figure 159. GE Sensor Networks 335 Figure 160. Medtronic Aetna Cardiac Event Reimbursement Indications 344 Figure 161. Philips Global Presence 351 Figure 162. Philips Global Trends And Challenges 353 Figure 163. Philips' Healthtech Positioning 355 Figure 164. Philips Target HealthTech Market 360 Figure 165. Philips HealthTech Market Trends 361 Figure 166. Philips Strong Market Leadership Positions 362 Figure 167. Philips Leading Solutions Positioning 364 Figure 168. Philips Healthcare Positioning 366 Figure 169. Philips Well Positioned To Be A Key Enabler Of More Effective, Lower-Cost Integrated Health Solutions 369 Figure 170. REKA Telehealth Solutions 377 Figure 171. Samsung Gear VR Ambient VR 381 Figure 172. Samsung Values 383 Figure 173. Samsung Vision 384 Figure 174. Scott Fetzer Brands 392 Figure 175. ScottCare Cardiovascular Solutions Types 393 Figure 176. VivaLnk Patch For Monitoring Functions 394 Figure 177. VivaLnk Patch Key Problems Solved 395 Figure 178. VivaLnk Patch Metrics 395 Figure 179. VRI Units Monitored 399 Figure 180. VRI Services to Partners 400
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