High Flow Oxygen Concentrators: Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023

Published: Sep, 2017 | Pages: 224 | Publisher: WinterGreen Research
Industry: Medical Devices | Report Format: Electronic (PDF)

High flow oxygen concentrators perform a strong function of caring for patients with serious respiratory disease. Equipment provides oxygen to people with lung disease, who are old, and to those who live in highly polluted areas. High flow 6LPM to 15LPM oxygen concentrators can provide more pure oxygen during the night than regular 5LPM units do. This is able to facilitate better sleeping and keep patients alive longer.

With stripped down functioning, devoid of the features needed to support mobility during the day, high flow oxygen concentrators become less expensive, lighter, and more fully fit to purpose than they were previously. This use of high flow oxygen concentrators provides continuous flow oxygen with units that extend the market for many years.

Major factors driving the market for high flow oxygen concentrators include its ability to provide oxygen under all circumstances. The worldwide aging population creates demand for high flow medical oxygen. An increase in the number of people with end stage COPD and other severe respiratory diseases creates need for advanced medical oxygen. Advantages of newer high flow oxygen concentrator devices are that they are more reliable. They are generally affordable. Reimbursement drives markets.

According to Susan Eustis, lead author of the team that wrote the study, “An oxygen concentrator with a high flow is necessary to meet the oxygen requirements of a patient in severe respiratory distress. A higher liter per minute setting is needed for more severe cases of low oxygen in the blood stream. A person with healthy lungs breathes 21% oxygen from the air. Someone with moderate to severe COPD breathes in a much lower percent. They need the extra oxygen provided by the high flow systems.”

High Flow Oxygen Equipment Market Forecasts

High flow oxygen concentrator markets at $148 million market in 2016 are set to become a $527.4 million market in 2023. These represent a very specialized type of oxygen equipment. Steady growth is anticipated because the high flow units are the only device that helps severely ill patients with respiratory disease with supplemental oxygen throughout the forecast period.

Companies Profiled

Market Leaders

• Respironics
• Invacare
• AirSep
• Nidek

Market Participants

• Other

Key Topics

• High Flow Oxygen Concentrators
• Oxygen Concentrator
• Severely Ill Oxygen
• Oxygen
• Home Oxygen Equipment
• Consumer Oxygen
• Nusing Home Oxygen

 Table of Contents

High Flow Oxygen Concentrator Executive Summary 12
High Flow Oxygen Concentrator 12
Home Oxygen Market Uses High Flow Oxygen Concentrators 13
Change in Home Oxygen Market 14
Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA) 15
Homecare Services Model Replaces Distribution Model 15
Research on Oxygen Concentrators 16
High Flow Oxygen Concentrators Market Driving Forces 17
High Flow Oxygen Concentrator Market Shares 18
High Flow Oxygen Concentrator Market Forecasts 19

1. High Flow Oxygen Concentrator Market Description And Market Dynamics 21
1.1 Oxygen Concentrator With A High Flow 21
1.1.1 Portable Oxygen Concentrators 22
1.2 High Flow Oxygen Concentrator 22
2.1.1 Migrating from 5 liter Oxygen Machines To The Full Sized 10 Liter Oxygen Concentrators 25
1.1 CMS Oxygen and Oxygen-Related Equipment 27
1.1.1 CMS Oxygen Reimbursement Definitions 28
1.1.2 CMS Qualifying Arterial Blood Gas Studies 29
1.1.3 CMS Home Sleep Oximetry Studies 30
1.1.4 Home Oxygen Concentrator Equipment Medicare Reimbursement 33
1.1.5 Home Medical Equipment Market 34
1.1.6 Home Health Care 34
1.1.7 Third-party reimbursement 35
1.2 Homecare Market Growth Factors 36
1.2.2 Growth In Population Over Age 65 38
1.3 Distribution Channels 39
1.3.2 Oxygen Therapy Systems 39
1.4 Oxygen Concentrator Applicable Population 39
1.4.2 Potable Oxygen Concentrator Patients Need Stationary Oxygen Concentrators at Night 40
1.5 Treatment Trends 41
1.5.2 Competition Forms Basis Of U.S. Medical Care Services Delivery 41
1.6 European Homecare Market Trends 42
1.7 Marketing Globally 43
1.8 Market Drivers For Healthcare Cost Containment 45

2 High Flow Oxygen Concentrator Market Shares And Forecasts 47
2.1 High Flow Oxygen Concentrator 47
2.1.2 Home Oxygen Market Uses High Flow Oxygen Concentrators 48
2.1.3 Change in Home Oxygen Market 50
2.1.4 Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA) 50
2.1.5 Homecare Services Model Replaces Distribution Model 51
2.1.6 Research on Oxygen Concentrators 51
2.1.7 High Flow Oxygen Concentrators Market Driving Forces 52
2.2 High Flow Oxygen Concentrator Market Shares 54
2.2.1 High Flow Oxygen Concentrator Market Shares, Units and Dollars 56
2.2.2 Oxygen Concentrators Coded by Medicare 56
2.2.3 Invacare Platinum 10 Oxygen Concentrator 57
2.2.4 Philips High Flow Oxygen Concentrators 57
2.2.5 AirSep Intensity High Flow Oxygen Concentrator 57
2.3 High Flow Oxygen Concentrator Market Forecasts 58
2.4 High Flow Oxygen 65
2.4.1 High Flow Oxygen Market Aspects 68
2.4.2 High Flow Oxygen Concentrator Installed Base Analysis 70
2.4.3 Supplemental Oxygen to Improve Brain Functioning 71
2.4.4 Chinese Must Be Worried About Their Ability To Breath 73
2.4.5 Trend of Hospice Patients In The U.S. 75
2.4.6 Homecare Is Poised To Grow 77
2.4.7 Unified Supply Network 78
2.4.8 Telemedicine Being Integrated Into Homecare 79
2.4.9 Competitive Bidding Program Cuts Reimbursement 80
2.4.10 Reimbursement Shifts 80
2.5 Respiratory Disease Market Metrics 81
2.5.1 Percentage of Older People by State 84
2.4.2 Medical Conditions Requiring Supplemental Oxygen 87
2.5 High Flow Oxygen Concentrator Prices 90
2.6 Oxygen Concentrator Regional Market Analysis 94
2.6.1 High Flow Oxygen Concentrator Regional Market Forecasts 96
2.6.2 North American Home Medical Equipment 97
2.6.3 United States 99
2.6.4 Japan 99
2.6.5 NTK and Teijin Pharma Home Healthcare Oxygen Concentrators In Japan 104
2.6.6 Longfian Scitech Targets China, Africa, Russia, and the Arab Countries 105
2.6.7 China 106
2.6.8 Chinese Built Units Used Widely In Homecare, Hospitals, Clinics, Beauty Salons And In Sports 106
2.6.9 Invacare Geographically Diverse 107
2.6.10 Nidek Global Presence 108
2.6.11 Gardner Denver Global Presence 109
2.6.12 Chart Industries Global Presence 111
2.6.13 European Homecare Market 112
2.6.14 Germany 113
2.6.15 France Oxygen Concentrators 114
2.6.16 Philips Global Market Position 115
2.6.17 Chart 120

3. High Flow Oxygen Concentrator Product Description 121
3.1 High Flow Oxygen Concentrator Products 121
3.2 Invacare Stationary Oxygen Concentrator 123
3.2.2 Invacare Platinum 10 Oxygen Concentrator 123
3.3 Philips Respironics 127
3.3.1 Philips Respironics Millennium 10 LPM Concentrator 127
3.4 Chart AirSep NewLife Elite and Intensity 130
3.4.1 Airsep Newlife Intensity 131
3.5.8 AirSep NewLife Intensity 132
3.5.9 Chart / Caire / Sequal 132
3.7 Nidek Medical 132

4 High Flow Oxygen Concentrator Reimbursement, Research, And Technology 134
4.1 Oxygen Concentrator Uses 134
4.1.1 Technical Trade-Offs Necessary To Design An Oxygen Concentrator 134
4.2 Oxygen Concentrator Insurance Coverage 134
4.2.1 Oxygen Concentrator CMS HCPCS Code 137
4.2.2 Medicare Reimbursement 138
4.3 The Goal of Oxygen Therapy 138
4.3.1 How To Change The Amount of Oxygen In The Air We Breathe 138
4.3.2 Oxygen Concentrator Components 139
4.3.3 Lifestyle in the Home Health Care Business 141
4.3.4 Continuous Flow Stationary Oxygen Concentrator 141
4.4 Types of Oxygen Systems 142
4.4.1 Treatment Trends. 143
4.4.2 Technological Trends. 143
4.4.3 Health Care Cost Containment Trends 143
4.4.4 Society’s Mainstreaming of People with Disabilities. 144
4.5 Standardizing The Definition Of Liter Flow Equivalents 145
4.5.1 Pressure Swing Adsorption (PSA) Technology 146
4.5.2 Pressure Swing Adsorption Principles 147
4.5.3 Pressure Swing Adsorption Principles 149
4.5.4 Comparison of Conventional Oxygen Concentrators and Advanced Technology Fractionators 149
4.5.5 SeQual Advanced Technology Fractionator (ATF®) 151
4.5.6 Advanced Technology Fractionator 155
4.5.7 Conventional Oxygen Concentrators 155
4.5.8 Multi Bed Oxygen Concentrators 155
4.5.9 SeQual ATF Endurance Testing Status 158
4.6 Centers for Medicare and Medicaid Competitive Bidding 159
4.6.1 CMS Reimbursement Codes 160
4.7 Zeolite 161
4.8 Respiratory Disease Conditions 161
4.8.1 Increased Demand Impacts Industry 162
4.8.2 Bronchiectasis 162
4.8.3 Chronic Bronchitis 163
4.8.4 Chronic Obstructive Pulmonary Disease (COPD) 163
4.8.5 Emphysema 164
4.8.6 Muscular Dystrophy 164
4.8.7 Respiratory Syncytial Virus (RSV) 165
4.8.8 Asthma 166
4.9 American Lung Association 166

5 High Flow Oxygen Concentrator Company Profiles 167
5.1 Chart Industries 167
5.1.1 Chart / Caire Medical 167
5.1.2 Chart Industries Revenue 168
5.1.3 Chart Industries Respiratory Sales 171
5.1.4 Chart Caire / AirSep / Sequal 173
5.1.5 Chart Industries Product Groups 173
5.1.6 Chart Industries Cold Boxes 175
5.1.7 Chart Industries Global Presence 176
5.1.8 Chart Industries Markets 177
5.1.9 Chart Industries / AirSep 177
5.1.10 Chart Industries/Caire Liquid Oxygen Continuous Flow/Demand Flow Versatility 178
5.1.11 CAIRE / SeQual Technologies 179
5.1.12 Chart Industries / SeQual 179
5.1.13 SeQual Oxygen Systems 180
5.2 First Class Medical 180
5.3 GSE 181
5.4 Invacare 183
4.7.1 Invacare Revenue 184
5.5 Nidek Medical 186
5.6 Philips Healthcare 187
5.6.1 Philips Manufacturing Capacity 192
5.6.2 Royal Philips Healthcare Global Presence 192
5.6.3 Philips Enables Consumer Lifestyle 194
5.6.4 Philips Addresses Healthcare Landscape 195
5.6.5 Philips Accelerate! Positioning 199
5.7 Oxygen Concentrator Companies 200

List of Tables and Figures

Figure 1. High Flow Oxygen Concentrator Advantages 13
Figure 2. High Flow Oxygen Concentrator Home Medical Market Driving Forces 13
Figure 3. Impact of Available Capital on Stationary Oxygen Concentrators Markets 17
Figure 4. High Flow Oxygen Concentrator Market Shares, Dollars, 2016 19
Figure 5. High Flow Medical Oxygen Concentrator Market Shipments Forecasts, Dollars, Worldwide, 2017-2023 20
Figure 6. High Flow Oxygen Concentrator Comparison Chart 23
Figure 7. Homecare Market Growth Factors 36
Figure 8. Benefits of Homecare 37
Figure 9. Oxygen Concentrator Applicable Population 39
Figure 10. Marketing Stationary Oxygen Concentrators Globally 44
Figure 11. High Flow Oxygen Concentrator Advantages 48
Figure 12. High Flow Oxygen Concentrator Home Medical Market Driving Forces 49
Figure 13. Impact of Available Capital on Stationary Oxygen Concentrators Markets 52
Figure 14. High Flow Oxygen Concentrator Market Shares, Dollars, 2016 54
Figure 15. High Flow Oxygen Concentrator Market Shares, Dollars, Worldwide, 2016 55
Figure 16. High Flow Oxygen Concentrator Market Shares, Units and Dollars, Worldwide, 201656
Figure 17. High Flow Medical Oxygen Concentrator Market Shipments Forecasts, Dollars, Worldwide, 2017-2023 59
Figure 18. High Flow Medical Oxygen Concentrator Market Forecasts, Shipments, Dollars Worldwide, 2017-2023 60
Figure 19. High Flow Medical Oxygen Concentrator Shipment Market Forecasts, Units, Worldwide, 2017-2023 60
Figure 20. High Flow Medical Oxygen Concentrator Evolving Market Position 63
Figure 21. Percentage of Patients Served by Payer 66
Figure 22. Percentage of Patient Care Days by Payer 66
Figure 23. Percentage of Patients by Primary Payment Source 67
Figure 24. Percentage of Hospice Admissions by Primary Diagnosis 68
Figure 25. Location of Hospice Patients at Time of Death 69
Figure 26. High Flow Oxygen Concentrator Penetration Analysis, Market Forecasts, COPD, CHF, Asthma from Pollution, Number of Patients, Worldwide, 2017-2023 71
Figure 27. Judge Wesley E. Brown of Wichita, Kansas, 105 72
Figure 28. China Allows Media to Report on Air Pollution Crisis 74
Figure 29. Philips Chronicles Medical Chronic Disease Market Trends 82
Figure 30. HME Expenditures By Provider 85
Figure 31. HME Expenditures By Per Cent Increase 86
Figure 32. Global Obesity 89
Figure 33. High Flow Oxygen Concentrator Regional Market Segments, Dollars 2016 96
Figure 34. High Flow Oxygen Concentrator Regional Market Segments, 2016 97
Figure 35. Philips Respironics Participation in Japanese Market 100
Figure 36. Invacare Platinum 10 Liter Oxygen Concentrator 121
Figure 37. Respironics Millennium M10 Liter Oxygen Concentrator 122
Figure 38. Airsep Intensity 10 Liter Home Oxygen Concentrator 122
Figure 39. Invacare Platinum 10 Oxygen Concentrator 123
Figure 40. Invacare® Platinum™ 10 Oxygen Concentrator Features 124
Figure 41. Invacare® Platinum™ 10 Oxygen Concentrator Benefits 125
Figure 42. Invacare® Platinum™ 10 Oxygen Concentrator Patient Benefits 126
Figure 43. Invacare® Platinum™ 10 Oxygen Concentrator Specifications 127
Figure 44. Respironics Millennium M10 Oxygen Concentrator 128
Figure 45. Philips Millennium M10 Features 129
Figure 46. Chart AirSep NewLife Elite and Intensity 130
Figure 47. AirSep New Life Intensity Stationary Oxygen Concentrator Features 131
Figure 48. Nidek Medical Nuvo Family Of Oxygen Concentrators 133
Figure 49. Medicare Bidding Shifts Stationary Oxygen Concentrator Payments 136
Figure 50. Stratification and Relative Adsorption of Gas as Air flows through a column of molecular sieve 148
Figure 51. Conventional Two-Bed Oxygen Concentrator Air Flow 150
Figure 52. SeQual ATF-Based Concentrator 152
Figure 53. SeQual ATF Design Characteristics 153
Figure 54. SeQual ATF Operating Pressures Versus Time Graph 154
Figure 55. Comparison Of A 5 Liter Per Minute (LPM) Capacity Conventional Oxygen Concentrator With A 5 LPM ATF System 155
Figure 56. Comparison Of Multi Bed And A Typical Oxygen Concentrator 156
Figure 57. SeQual ATM-Based Concentrator Major Components 157
Figure 58. Chart Industries Regional Presence 169
Figure 59. Chart Industries Healthcare Market Participation 169
Figure 60. Chart 2016 Life Sciences Sales by Region and Segment 171
Figure 61. Chart Industries Global Presence 176
Figure 62. Nidek International Presence 186
Figure 63. Philips Global Presence 193
Figure 64. Philips Global Trends And Challenges 194
Figure 65. Philips Positions To Simplify Global Healthcare Delivery For The Long Term 196
Figure 66. Philips Healthcare Delivery Product Positioning 197
Figure 67. Philips Delivering Margin Improvement and Decreasing Manufacturing Overhead 199