U.S. Market for IV Therapy and Vein Access

Table of Contents for U.S. Market for IV Therapy and Vein Access

INTRODUCTION	XIII
STUDY GOALS AND OBJECTIVES	XIII
REASONS FOR STUDY	XIII
SCOPE OF STUDY	XIII
METHODOLOGY AND INFORMATION SOURCES	XIV
ANALYST CREDENTIALS	XIV
RELATED BCC REPORTS	XV
BCC ONLINE SERVICES	XV
DISCLAIMER	XVI
EXECUTIVE SUMMARY	XVII
EXECUTIVE SUMMARY	XVII
Summary Table: FORECAST OF TOP U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, THROUGH 2010 ($ MILLIONS)	XVIII
Summary Figure: U.S. MARKET FORECAST OF IV THERAPY DEVICE AND VEIN ACCESS, 2003-2010 ($ MILLIONS)	XIX
INDUSTRY OVERVIEW	1
HISTORICAL DEVELOPMENT OF TRANSFUSION THERAPY	1
BACKGROUND TO INFUSION THERAPY	1
FUNCTIONS OF THE CIRCULATORY SYSTEM	2
CIRCULATORY SYSTEM	3
GENERAL PRINCIPLES IV THERAPY	3
TYPES OF IV ADMINISTRATION	4
Continuous Intravenous Drip	4
Bolus	4
Intravenous Push	4
Titration	4
INFUSION PUMPS	5
INFUSION RATE	5
INFUSION RATE (CONTINUED)	6
FREE FLOW	7
START-UP TIME	8
GENERAL FEATURES AND SAFEGUARDS	8
RISK MANAGEMENT	9
SOPHISTICATION OF INFUSION PUMPS	9
OCCLUSIONS	10
OCCLUSIONS (CONTINUED)	11
CHARACTERISTICS, LIMITATIONS, AND CONFIGURATION OF INFUSION DEVICES	12
SAFETY ISSUES	12
SAFETY ISSUES (CONTINUED)	13
SAFETY ISSUES (CONTINUED)	14
SAFETY ISSUES (CONTINUED)	15
PATIENT COMFORT	16
NEW MATERIALS AND SIMPLER DESIGNS	17
INSURANCE REIMBURSEMENT ISSUES	18
INSURANCE REIMBURSEMENT … (CONTINUED)	19
INNOVATIVE TREATMENT OPTIONS	20
INFUSION DELIVERY PRESSURE	21
HOSPITAL INFUSION	22
IMPACT OF HOME INFUSION THERAPY	23
Table 1 TYPES OF HOME CARE/ALTERNATE SITE SERVICES	23
KEY FACTORS FUELING THE GROWTH IN HOME CARE	24
Demographics	24
Technology	25
Managed Care	25
HOME/ALTERNATE SITE INFUSION PROVIDERS	26
Regulation	26
Provider Trends	26
PHARMACEUTICAL SPECIALTY DELIVERY	27
GROWTH POTENTIAL	28
MEDICARE PART D	29
IV THERAPY EDUCATION	29
HOME TELEINFUSION	29
HOME TELEINFUSION (CONTINUED)	30
HOME TELEINFUSION (CONTINUED)	31
HOME TELEINFUSION (CONTINUED)	32
VERTICAL INTEGRATION ISSUES	33
GENERIC PARTICIPATION	34
SURGERY AND INFUSION THERAPY	34
Table 2 INPATIENT PROCEDURES, 2003 (THOUSANDS)	34
Table 2 (CONTINUED)	35
Figure 1 INPATIENT PROCEDURES, 2003 (THOUSANDS)	35
SKILLED NURSING FACILITIES AND INFUSION THERAPY	36
Table 3 SKILLED NURSING FACILITIES, 2002 AND 2003 (THOUSANDS)	36
DEMOGRAPHICS	36
Table 4 U.S. DEMOGRAPHICS BY SEX AND AGE, 2003-2010 (MILLIONS)	37
Figure 2 U.S. DEMOGRAPHICS BY SEX AND AGE, 2003-2010 (MILLIONS)	37
DISTRIBUTION OF INTRAVENOUS THERAPY EQUIPMENT	37
AMBULATORY INFUSION PUMPS	38
PRODUCTS	39
6060 Multi-Therapy Infusion Pump	39
CADD Infusion Pumps	39
Walkmed IC Infusion Pump	39
Gemstar Infusion Pump	39
Alaris Gemini PC1 Infusion Pump	40
2000 Plus Infusion Pump	40
Paragon and Vivus 4000 Infusion Pumps	40
VIP and Sidekick Infusion Pump	40
Ambit Patient Controlled Analgesia (PCA) Infusion Pump	40
Eureka-IPTM Infusion Pump	41
Delphi Ivantage Infusion Pump	41
Automed 3200	41
MARKET AND COMPETITIVE DATA	42
Table 5 U.S. MARKET FORECAST FOR AMBULATORY INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	42
Figure 3 MARKET FORECAST FOR U.S. AMBULATORY INFUSION PUMPS, 2003-2010 ($ MILLIONS)	43
Table 6 MANUFACTURERS MARKET SHARE OF AMBULATORY INFUSION PUMPS, 2005 (%)	43
Figure 4 MANUFACTURERS MARKET SHARE OF (%)	44
CENTRAL VENOUS ACCESS DEVICES	44
CENTRAL VENOUS ACCESS …(CONTINUED)	45
RISKS	46
PRODUCTS	46
Arrow Multi-Lumen Access Catheter	46
Hickman, Leonard, Broviac And Groshong Catheters	47
Cook Catheter	47
L-Cath And Mid-Cath	48
Tunneled Central Venous Catheters With PASV Valve Technology	48
Circle C Chronic And Acute Hemodialysis Catheters	48
Lifeport And Infuse-A-Port System	48
Vantex Catheter	49
MARKET AND COMPETITIVE DATA	49
Table 7 U.S. MARKET FORECAST FOR CENTRAL VENOUS ACCESSES, THROUGH 2010 ($ MILLIONS)	50
Figure 5 U.S. MARKET FORECAST FOR CENTRAL VENOUS ACCESSES, THROUGH 2010 ($ MILLIONS)	50
Table 8 MANUFACTURERS MARKET SHARE OF CENTRAL VENOUS ACCESS, 2005 (%)	51
Figure 6 MANUFACTURERS MARKET SHARE OF CENTRAL VENOUS ACCESS, 2005 (%)	51
DIABETES INSULIN INFUSION PUMPS	51
DIABETES INSULIN INFUSION …(CONTINUED)	52
DIABETES INSULIN INFUSION …(CONTINUED)	53
PRODUCTS	54
Paradigm	54
MIP 2001 Promedos ID3	54
Infusaid Model 1000	54
ACCU-CHECK Spirit Insulin Pump	55
Animas IR-1250 Insulin Pump	56
IR-1000 Insulin Pump	56
Cozmore Insulin Technology System	56
Omnipod Insulin Management System	56
DANA Diabecare II	57
Amigo Insulin Pump	58
MARKET AND COMPETITIVE DATA	58
Table 9 U.S. MARKET FORECAST FOR DIABETES INSULIN INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	59
Figure 7 MARKET FORECAST FOR U.S. DIABETES INSULIN INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	59
Table 10 MANUFACTURERS MARKET SHARE OF DIABETES INSULIN INFUSION PUMPS, 2005 (%)	60
Figure 8 MANUFACTURERS MARKET SHARE OF DIABETES INSULIN INFUSION PUMPS, 2005 (%)	60
ENTERAL FEEDING PUMPS AND TUBES	60
PRODUCTS	61
Flexiflo, Quantum, and Patrol Enteral Pumps	61
Kangaroo Enteral Pumps	62
ZEVEX Enteral Pumps	62
Compact Enteral Pump	63
MARKET AND COMPETITIVE DATA	64
Table 11 U.S. MARKET FORECAST FOR ENTERAL FEEDING PUMPS AND TUBES, THROUGH 2010 ($ MILLIONS)	64
Figure 9 U.S. MARKET FORECAST FOR ENTERAL FEEDING PUMPS AND TUBES, 2003-2010 ($ MILLIONS)	65
Table 12 MANUFACTURERS MARKET SHARE OF ENTERAL FEEDING PUMPS AND TUBES, 2005 (%)	65
Figure 10 MANUFACTURERS MARKET SHARE OF ENTERAL FEEDING PUMPS AND TUBES, 2005 (%)	66
IMPLANTABLE INFUSION PUMPS	66
ACCESS PORTS	67
PULSATIVE PUMPS	68
VAPOR-PRESSURE POWERED PUMPS	68
PERISTALTIC PUMPS	69
PRODUCTS	70
Synchromed Infusion System	70
MARKET AND COMPETITIVE DATA	71
Table 13 U.S. MARKET FORECAST FOR IMPLANTABLE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	72
Figure 11 MARKET FORECAST FOR U.S. IMPLANTABLE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	72
Table 14 MANUFACTURERS MARKET SHARE OF IMPLANTABLE INFUSION PUMPS, 2005 (%)	73
Figure 12 MANUFACTURERS MARKET SHARE OF IMPLANTABLE INFUSION PUMPS, 2005 (%)	73
Large Volume Infusion Pumps	73
Products	74
COLLEAGUE Pump	74
FLO-GARD 6201 and 6301	74
Hospiar Plum A+ Infusion System	74
Omni-Flow 4000 Plus	75
Horizon Nxt	75
EZ-1	75
Sigma 6000+	75
MARKET AND COMPETITIVE DATA	75
Table 15 U.S. MARKET FORECAST FOR LARGE VOLUME INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	76
Figure 13 MARKET FORECAST FOR U.S. LARGE VOLUME INFUSION PUMPS, 2003- 2010 ($ MILLIONS)	76
Table 16 MANUFACTURERS MARKET SHARE OF LARGE VOLUME INFUSION PUMPS, 2005 (%)	77
Figure 14 MANUFACTURERS MARKET SHARE OF LARGE VOLUME INFUSION PUMPS, 2005 (%)	77
PERIPHERAL VENOUS ACCESS DEVICES	77
PRODUCTS	78
PASV Valved Venous Access	78
V-Cath	78
Vygon Lifevac PICC and Nutriline Midline/Midclavicular Catheters	79
BD First PICC Catheter and BD First Midcath Midline Catheter	79
MARKET AND COMPETITIVE DATA	79
Table 17 U.S. MARKET FORECAST FOR PERIPHERAL VENOUS ACCESS DEVICES, THROUGH 2010 ($ MILLIONS)	80
Figure 15 MARKET FORECAST FOR U.S. PERIPHERAL VENOUS ACCESS DEVICES, 2003-2010 ($ MILLIONS)	80
Table 18 MANUFACTURERS MARKET SHARE OF PERIPHERAL VENOUS ACCESS DEVICES, 2005 (%)	81
Figure 16 MANUFACTURERS MARKET SHARE OF PERIPHERAL VENOUS ACCESS DEVICES, 2005 (%)	81
SYRINGE INFUSION PUMPS	81
PRODUCTS	82
Microfuse Syringe Pumps	82
AS50A Infusion Pump	82
Perfusor Basic	82
Excelsior Syringe Pump	83
Medi-SIS Syringe Infusion System	83
Graseby Syringe Drivers	83
Outbound Disposable Syringe Infuser	83
Medfusion	84
FREEDOM60 Syringe Infusion System	84
MARKET AND COMPETITIVE DATA	84
Table 19 U.S. MARKET FORECAST OF U.S. SYRINGE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	85
Figure 17 MARKET FORECAST OF U.S. SYRINGE INFUSION PUMPS, 2003-2010 ($ MILLIONS)	86
Table 20 MANUFACTURERS MARKET SHARE OF SYRINGE INFUSION PUMPS, 2005 (%)	86
Figure 18 MANUFACTURERS MARKET SHARE OF SYRINGE INFUSION PUMPS, 2005 (%)	87
OTHER	87
OTHER (CONTINUED)	88
TOTAL MARKET SIZE AND GROWTH	89
Table 21 U.S. MARKET FORECAST FOR IV THERAPY DEVICE AND VEIN ACCESS, THROUGH 2010 ($ MILLIONS)	89
Figure 19 FORECAST FOR U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, 2003-2010 ($ MILLIONS)	90
Figure 20 MARKET SIZE OF U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, 2005 (%)	90
Figure 20 (CONTINUED)	91
RESEARCH AND DEVELOPMENT	91
EKSIGENT	91
PDD INNOVATIONS	91
NIPRO	92
TECHNOLOGY ANALYSIS	93
Table 22 U.S. PATENT INFORMATION BY DATE FOR INFUSION/INTRAVENOUS PUMPS AND RELATED	93
Table 22 (CONTINUED)	94
MARKET ANALYSIS	95
MARKET ANALYSIS	95
MARKET ANALYSIS (CONTINUED)	96
COMPETITIVE ANALYSIS	97
Table 23 IV THERAPY DEVICE AND VEIN ACCESS MANUFACTURERS BY TYPE, 2005	97
Table 23 (CONTINUED)	98
MARKET OUTLOOK	99
MARKET OUTLOOK	99
COMPANY PROFILES	100
ALARIS MEDICAL SYSTEMS, INC.	100
ANIMAS CORPORATION	100
ARROW INTERNATIONAL, INC.	101
BAXTER INTERNATIONAL, INC.	101
BAXTER INTERNATIONAL, INC. (CONTINUED)	102
Becton, Dickinson and Company	103
Hospira, Inc.	104
Kendall Company, The	105
Medex, Inc.	105
Medtronic, Inc.	106
ZEVEX International	107
ZEVEX International (Continued)	108
APPENDIX	109
INFUSION DEVICE DEVELOPERS/MANUFACTURERS	109
Table 24 INFUSION DEVICE DEVELOPERS/MANUFACTURERS	109
Table 24 (CONTINUED)	110
Table 24 (CONTINUED)	111
Table 24 (CONTINUED)	112
Table 24 (CONTINUED)	113

LIST OF TABLES
Summary Table: FORECAST OF TOP U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, THROUGH 2010 ($ MILLIONS)	XVIII
Table 1 TYPES OF HOME CARE/ALTERNATE SITE SERVICES	23
Table 2 INPATIENT PROCEDURES, 2003 (THOUSANDS)	34
Table 3 SKILLED NURSING FACILITIES, 2002 AND 2003 (THOUSANDS)	36
Table 4 U.S. DEMOGRAPHICS BY SEX AND AGE, 2003-2010 (MILLIONS)	37
Table 5 U.S. MARKET FORECAST FOR AMBULATORY INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	42
Table 6 MANUFACTURERS MARKET SHARE OF AMBULATORY INFUSION PUMPS, 2005 (%)	43
Table 7 U.S. MARKET FORECAST FOR CENTRAL VENOUS ACCESSES, THROUGH 2010 ($ MILLIONS)	50
Table 8 MANUFACTURERS MARKET SHARE OF CENTRAL VENOUS ACCESS, 2005 (%)	51
Table 9 U.S. MARKET FORECAST FOR DIABETES INSULIN INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	59
Table 10 MANUFACTURERS MARKET SHARE OF DIABETES INSULIN INFUSION PUMPS, 2005 (%)	60
Table 11 U.S. MARKET FORECAST FOR ENTERAL FEEDING PUMPS AND TUBES, THROUGH 2010 ($ MILLIONS)	64
Table 12 MANUFACTURERS MARKET SHARE OF ENTERAL FEEDING PUMPS AND TUBES, 2005 (%)	65
Table 13 U.S. MARKET FORECAST FOR IMPLANTABLE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	72
Table 14 MANUFACTURERS MARKET SHARE OF IMPLANTABLE INFUSION PUMPS, 2005 (%)	73
Table 15 U.S. MARKET FORECAST FOR LARGE VOLUME INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	76
Table 16 MANUFACTURERS MARKET SHARE OF LARGE VOLUME INFUSION PUMPS, 2005 (%)	77
Table 17 U.S. MARKET FORECAST FOR PERIPHERAL VENOUS ACCESS DEVICES, THROUGH 2010 ($ MILLIONS)	80
Table 18 MANUFACTURERS MARKET SHARE OF PERIPHERAL VENOUS ACCESS DEVICES, 2005 (%)	81
Table 19 U.S. MARKET FORECAST OF U.S. SYRINGE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	85
Table 20 MANUFACTURERS MARKET SHARE OF SYRINGE INFUSION PUMPS, 2005 (%)	86
Table 21 U.S. MARKET FORECAST FOR IV THERAPY DEVICE AND VEIN ACCESS, THROUGH 2010 ($ MILLIONS)	89
Table 22 U.S. PATENT INFORMATION BY DATE FOR INFUSION/INTRAVENOUS PUMPS AND RELATED	93
Table 23 IV THERAPY DEVICE AND VEIN ACCESS MANUFACTURERS BY TYPE, 2005	97
Table 24 INFUSION DEVICE DEVELOPERS/MANUFACTURERS	109

LIST OF FIGURES
Summary Figure: U.S. MARKET FORECAST OF IV THERAPY DEVICE AND VEIN ACCESS, 2003-2010 ($ MILLIONS)	XIX
Figure 1 INPATIENT PROCEDURES, 2003 (THOUSANDS)	35
Figure 2 U.S. DEMOGRAPHICS BY SEX AND AGE, 2003-2010 (MILLIONS)	37
Figure 3 MARKET FORECAST FOR U.S. AMBULATORY INFUSION PUMPS, 2003-2010 ($ MILLIONS)	43
Figure 4 MANUFACTURERS MARKET SHARE OF (%)	44
Figure 5 U.S. MARKET FORECAST FOR CENTRAL VENOUS ACCESSES, THROUGH 2010 ($ MILLIONS)	50
Figure 6 MANUFACTURERS MARKET SHARE OF CENTRAL VENOUS ACCESS, 2005 (%)	51
Figure 7 MARKET FORECAST FOR U.S. DIABETES INSULIN INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	59
Figure 8 MANUFACTURERS MARKET SHARE OF DIABETES INSULIN INFUSION PUMPS, 2005 (%)	60
Figure 9 U.S. MARKET FORECAST FOR ENTERAL FEEDING PUMPS AND TUBES, 2003-2010 ($ MILLIONS)	65
Figure 10 MANUFACTURERS MARKET SHARE OF ENTERAL FEEDING PUMPS AND TUBES, 2005 (%)	66
Figure 11 MARKET FORECAST FOR U.S. IMPLANTABLE INFUSION PUMPS, THROUGH 2010 ($ MILLIONS)	72
Figure 12 MANUFACTURERS MARKET SHARE OF IMPLANTABLE INFUSION PUMPS, 2005 (%)	73
Figure 13 MARKET FORECAST FOR U.S. LARGE VOLUME INFUSION PUMPS, 2003- 2010 ($ MILLIONS)	76
Figure 14 MANUFACTURERS MARKET SHARE OF LARGE VOLUME INFUSION PUMPS, 2005 (%)	77
Figure 15 MARKET FORECAST FOR U.S. PERIPHERAL VENOUS ACCESS DEVICES, 2003-2010 ($ MILLIONS)	80
Figure 16 MANUFACTURERS MARKET SHARE OF PERIPHERAL VENOUS ACCESS DEVICES, 2005 (%)	81
Figure 17 MARKET FORECAST OF U.S. SYRINGE INFUSION PUMPS, 2003-2010 ($ MILLIONS)	86
Figure 18 MANUFACTURERS MARKET SHARE OF SYRINGE INFUSION PUMPS, 2005 (%)	87
Figure 19 FORECAST FOR U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, 2003-2010 ($ MILLIONS)	90
Figure 20 MARKET SIZE OF U.S. IV THERAPY DEVICE AND VEIN ACCESS MARKETS, 2005 (%)	90

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