Lowered costs of care delivery supported by event recorders market which are likely achieve considerable growth further. This will augment overall c market over the forecast period. Clinical studies novel markets and clinical diagnosis are merging as prices are reduced and technology generates superior’s devices. Furthermore, this technology is the major aid in providing early treatment. Core devices used for the implementation of m- health assist the cardiac event ambulatory monitors and recorders market. Shortness of breath is not diagnosed as a respiratory indication and is not measured as cardiac indication when diagnosis is being done. These devices can get faster treatment as it can detect arrhythmias quite early. Unit functions are being extended from direct arrhythmia symptom analysis to clinical drug effectiveness studies and sleep studies creating considerable growth opportunity. Clinical drug efficacy and Sleep studies are emerging as the key services in the industry Clinician is compensated by CMS in the US and does not pay directly for units for free services. Vendors contributes in the services industry in the overall industry The industry is segmented and distinguish by huge number of home care servicer providers and lesser regional hospital The overall market for cardiac event recorder is estimated to cross over r $197 million in 2012 and is further projected to reach $860 million by the year2018. Emphasis in prevention if disease and early diagnoses is expected to augment the overall growth of the market Nurses used to call the patient suffering from heart failure that participate in home based plans. The estimated time would be approximately 20 minutes of broadcasting readings. On addition, this is comparable to the position products in mounting telemedicine market and response time obtainable in the hospital. There is capability of taking life saving option for the patient where the devices detect symptoms for patient having arrhythmia. Consideration of the clinication results without patient participation and rapid retort brings the matter to the notice. Opinion can be turn into as questions on how to control of diseases based on diet and lifestyle and how weight fluctuation is is a major issue. Also, Speedy weight gain indicates aggravation of cardiac purpose and fluid retention. Companies Profiled Market Leaders - CardioNet - Lifewatch - Philips Market Participants - AT&T - AT&T and VRI - Biotronik - American Medical Association ("AMA") - eCardio - iRhythm / Zio - LifeLine Medical - Lifewatch / Card Guard / Instromedix - Reka - VRI Digi - Windstream Check Out These 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 - M-Health - Wellness Support - Exercise Monitoring - Tele-monitoring - M-Health
Table of Content Ambulatory Cardiac Event Monitors Executive Cardiac Event Recording Market Driving Forces Cardiac Event Recorder Market Shares LifeWatch V, an Android-Based Smartphone CardioNet Cardiac Event Recorder Market Forecasts 1. Cardiac Event Monitoring Market Description and Market Dynamics 1.1 Cardiac Event Monitoring 1.1.1 Cardiac Arrhythmia Definitions 1.1.2 Atrial Fibrillation 1.1.3 Ventricular Tachycardia. 1.1.4 Syncope 1.1.5 Traditional Arrhythmia Monitoring Technologies 1.2 Cardiac Event Monitors 1.2.1 Manual-Trigger Loop Event Monitors 1.2.2 Cardiac Event Recorders 1.3 Holter Monitors 1.4 Remote Monitoring as Standard of Care 1.4.1 Telemonitoring Systems Premise 1.4.2 Sedentary Get Exercise And Heart Failure Patients Pay Attention To Swelling In Their Feet, Ankles Or Legs 1.4.3 Telemonitoring Systems Improve Home Health Care 1.4.4 Vital Signs And Health Status Are Measured Daily 1.4.5 Telemonitoring at Home 1.5 Telemedicine 1.5.1 Nursing Stations 1.5.2 Telemedicine Services 1.5.3 Service Provider Adoption of Tele-Monitoring 1.5.4 Telemedicine Delivery Mechanisms 1.5.5 Telemedicine Point-To-Point Connections 1.5.6 High Definition Video Communication 1.6 Telemonitors Customized To Meet Individual Needs 1.7 US Makes Telemedicine Priority 1.7.1 Federal Funding for Telemedicine 1.7.2 US Telemedicine Medicare – 1.7.3 US Veterans Health Administration (VA) Use of Telemonitoring 1.7.4 Telemonitoring Demonstrates Positive Results In Improving Health Care And Reducing Costs Of Veterans 1.7.5 US VA Tele-monitoring Targeted Innovation: 1.8 Tele-Monitor Devices 1.8.1 Customizing Tele-Monitors 1.8.2 Intel® Health Care Management Security 1.9 Telemonitoring Research 1.9.1 New England Journal of Medicine Research 1.9.2 NEJM Has Published Several Letters That Critique The Study 1.9.3 25 Studies of Remote Monitoring Of Patients With Chronic Heart Disease 1.9.4 Bosch Health Buddy Desktop Research 1.10 Physician Notification on CHF 1.11 US Patient Protection and Affordable Care Act 1.12 Federal, State, Local, And Foreign Laws Compliance 1.12.1 Government Regulation of Medical Devices 1.12.2 Before And After A Medical Device Is Commercially Distributed, Ongoing Responsibilities Under FDA Regulations 1.12.3 Tele-monitoring Third-Party Reimbursement 1.13 Health Information Privacy HIPAA Requirements 1.13.1 HIPAA Enforcement 1.13.2 OCR Responsible For Enforcing HIPAA Privacy and Security Rules 1.14 Postacute Care Co-ordination: Healthcare Reform Readmission Penalties 1.14.1 Federal Crimes Under The Health Insurance Portability and Accountability Act HIPAA 1.15 Partners Mass General Cardiologist Program for High Risk Heart Failure Patients 2. Cardiac Event Ambulatory Monitors and Recorders: Market Shares and Forecasts 2.1 Cardiac Event Recording Market Driving Forces 2.2 Cardiac Event Recorder Market Shares 2.2.1 LifeWatch V, an Android-Based Smartphone 2.2.2 CardioNet 2.2.3 CardioNet Monitoring 2.2.4 CardioNet Central Monitoring Station/Data Transmission Network 2.2.5 CardioNet Monitoring Physician Notification 2.2.6 CardioNet Monitoring Other Arrhythmia Monitoring Services 2.2.7 CardioNet Future Uses for MCOT™ Monitoring Platform 2.2.8 CardioNet Monitoring Advanced Technology 2.2.9 CardioNet Monitoring Wireless Data Transmission Network 2.2.10 CardioNet Monitoring Research and Development 2.2.11 Philips 2.2.12 Savi CardioPAL – 2.2.13 iRhythm / Zio® Event Card 2.2.14 Reka 2.2.15 REKA E100 Received FDA Clearance 2.3 Cardiac Event Monitor Market Shares, Units and Dollars, Worldwide 2.4 Cardiac Event Recorder Market Forecasts 2.5 US Veterans Administration (VA) Tele-monitoring of Congestive Heart Failure (CHF) 2.5.1 Congestive Heart Failure 2.5.2 Diabetes Chronic Illness Numbers 2.5.3 Incidence of Chronic Disease 2.5.4 Chronic Diseases Account For Two-Thirds Of Worldwide Healthcare Spending 2.5.5 Surgical Procedures::US and Worldwide 2.6 Total Number Of Surgical Procedures And Market Penetration of Surgical Robots 2.6.1 Clinical Staff / Patient Ratios: Physician Shortages 2.6.2 Telemonitoring Market Driving Forces 2.6.3 Measures of Tele Monitoring Effectiveness 2.6.4 Home Patient Monitoring Supports Patient Education 2.6.5 Wireless Telemonitoring Devices 2.6.6 Implantation of Patient-Activated Cardiac Event Recorder 2.6.7 Medical Conditions Treated by Cardiac Event Recorders 2.7 Telemedicine Market Driving Forces 2.8 Cardiac Event Recording Pricing 2.9 Cardiac Event Recorder Regional Market Segments 3. Cardiac Event Ambulatory Monitors and Recorders: Product Description 3.1 Philips Event Recorder Monitors 3.1.1 Philips CardioCare Cellular Event Monitor 3.1.2 Philips RT20 Event Monitor – 3.1.3 Philips ER910 Event Monitor 3.2 CardioNet 3.2.1 CardioNet FDA Marketing Clearance 3.2.2 CardioNet 3.3 Card Guard / Instromedix 3.3.1 Instromedix Heartrak Smart 3.4 eCardio 3.4.1 eCardio Billing 3.5 iRhythm / Zio® Event Card 3.6 Reka e100 3.7 Cardiac Event Recorder Services 3.7.1 Philips CardioCare Cellular Event Monitoring Service 3.8 Lifewatch Services 3.8.1 LifeWatch V, an Android-Based Smartphone 3.9 Defibrillator / Event Monitor Devices 3.9.1 Philips HeartStart MRx Monitor/Defibrillator for EMS 4. Cardiac Event Monitor Technology 4.1 Cardiac Event Monitor Lead Placement 4.2 Reimbursement and Code Chart 4.2.1 Codes For Billing And Reimbursement For Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States 4.2.2 US CMS Medicare Health Net, Inc. Considers The Use Of Implantable Loop Recorder Cardiac Event Monitors 4.2.3 Implantation of Cardiac Event Recorder 4.2.4 Patient-Activated Cardiac Event Recorder Primary Diagnosis Allowed 4.2.5 Cardiac Event Monitors That Are Deemed Not Medically Necessary 4.3 Cardiac Event Recorder Validation and Use Cases 4.3.1 Event Monitor Indications For Use 4.4 Event Monitoring Studies 4.4.1 Scripps Telemonitoring 4.4.2 Scripps iRhythm / Zio® Event Card 4.4.3 Kaiser Telemonitoring Study Shows Improvement in Patients 4.4.4 Lifewatch Case Studies 4.4.5 LifeStar ACT Case Study 4.4.6 Viterion Home Health Outcomes in a CHF Population: 4.4.7 CardioNet Monitoring Randomized Clinical Study 4.4.8 CardioNet's Monitoring Experience 4.4.9 CardioNet Monitoring Other Studies 4.4.10 iRhythm Zio Event Recorder Customer Testimonial 4.5 Government Regulation 4.5.1 U.S. Food and Drug Administration. 4.5.2 Health Care Fraud and Abuse 4.5.3 The Patient Protection and Affordable Care Act. 4.5.4 Health Insurance Portability and Accountability Act of 1996 (HIPAA). 4.5.5 Medicare 4.5.6 Facilities 4.5.7 Event Monitor Vendor Environmental Regulation 5. Cardiac Event Ambulatory Monitors and Recorders: Company Profiles 5.1 AT&T 5.1.1 AT&T Revenue 5.1.2 AT&T Wireless 5.1.3 AT&T Services and Products 5.1.4 AT&T Voice Service – 5.1.5 AT&T Innovative Data Services 5.1.6 AT&T Business Customers 5.1.7 AT&T Data/Broadband 5.1.8 AT&T Business Secure Mobile Threats 5.1.9 AT&T Mobile Security 5.1.10 AT&T and VRI To Offer Managed Remote Telemonitoring Service 5.2 Biotronik 5.2.1 Biotronik Electrotherapy 5.2.2 Biotronik Vascular Intervention 5.2.3 Biotronik CHF Study 5.3 Cardionet 5.3.1 American Medical Association ("AMA") Has Established Billing Codes 5.3.2 CardioNet Strategy 5.3.3 Cardionet Revenue 5.3.4 Cardionet Relationship With nPhase, formerly Qualcomm 5.3.5 Cardionet, Inc. To Acquire Cardiocore Lab, Inc. For $23.5 Million 5.3.6 CardioNet Monitoring Second Quarter 2012 Revenue 5.3.7 CardioNet, Settled The Patent Infringement Action Brought by LifeWatch Services, Inc., and Card Guard Scientific Survival, Ltd. (“Lifewatch”) 5.4 eCardio 5.5 iRhythm / Zio 5.6 LifeLine Medical 5.7 Lifewatch 5.7.1 Lifewatch / Card Guard / Instromedix 5.7.2 LifeWatch / Lifestar ACT Products 5.7.3 LifeStar ACT Ex Functions 5.7.4 LifeWatch Services 5.7.5 LifeWatch and Blue Shield of California 5.7.6 LifeWatch Call Center in San Francisco, California 5.7.7 LifeWatch joint development with U.S. Medical Technology Developer Ansar Monitoring Services 5.7.8 LifeWatch First Quarter Of 2012 Revenues 5.7.9 Lifewatch Key Revenue Figures per Quarter 5.8 Philips 5.8.1 Philips Revenue 5.8.2 Philips 5.8.3 Phiips Visicu 5.8.4 Philips Addresses Healthcare Landscape 5.8.5 Philips/Respironics Monitoring Solution Powered By Cinterion TC65i: 5.8.6 Philips Sales 5.8.7 Philips Healthcare 5.8.8 Royal Philips Electronics / Respironics 5.8.9 Philips Respironics 5.8.10 Philips Respironics 5.9 Reka 5.10 VRI 5.10.1 VRI Digi Pal 5.10.2 VRI partnership with Robert Bosch Healthcare 5.10.3 VRI Digi Pal 5.10.4 VRI 5.11 Windstream 5.12 Selected Providers for Emergency Medical Care Monitoring
List of Tables Table ES-1 Cardiac Event Recording Market Driving Forces Figure ES-2 Cardiac Event Recording Market Shares, Dollars, Worldwide, 2012 Table ES-3 Cardiac Event Monitor Market Shares, Dollars, Worldwide, 2012 Figure ES-4 LifeWatch V, an Android-Based Smartphone 6 Figure ES-5 Cardiac Event Recording Market Shares, Dollars, US, 2012 Figure ES-6 Cardiac Event Recorder Market Forecasts, Dollars, Worldwide, 2013-2018 Figure 1-1 Remote Monitoring as Standard of Care Table 1-2 Telemedicine Nursing Stations Typical Telemonitoring Questions Table 1-3 Remote Patient Monitoring Device Uses Table 1-4 Clinical Assessment and Response to Alert Provided by Telemonitor Table 1-4 (Continued) Clinical Assessment And Response To Alert Provided By Telemonitor Table 1-5 Clinical Assessment And Actions Taken To Alert Provided By Telemonitor Table 1-6 Telehealth Solutions Benefits Table 1-7 Monitoring Used To Take Measurements In Homecare Settings Table 1-8 Monitoring Measurement Functions In Homecare Settings Table 1-9 Bosch Recommendations for Innovation Funded By The VA Table 1-10 Intel Health Guide Functions Table 1-11 Intel® Health Care Management Suite of Software Tools Table 1-11 NEJM Letters That Critique The Telemonitoring Study Table 1-12 Physician Notification on CHF Using “SBAR” Table 1-13 US Healthcare Coverage Legislation Functions Table 1-14 FDA Enforcement Actions And Remedies Table 1-15 HIPAA Information Covered entities Table 1-16 HIPAA Information That Needs to Be Private Table 1-17 HIPAA Information Sharing by Health Care Providers Table 1-18 HIPAA Information Sharing Prohibitions Table 1-19 HIPAA Information Managed via Court Order Figure 1-20 HIPAA Privacy and Security Rule and Compliant Process Table 2-1 Cardiac Event Recording Market Driving Forces Figure 2-2 Cardiac Event Recording Market Shares, Dollars, Worldwide, 2012 Table 2-3 Cardiac Event Monitor Market Shares, Dollars, Worldwide, 2012 Figure 2-4 Cardiac Event Recording Market Shares, Dollars, US, 2011 Table 2-5 Cardiac Event Monitor Market Shares, Dollars, US, 2011 Table 2-6 CardioNet Monitoring Device Product Enhancements Table 2-7 Cardiac Event Monitor Market Shares, Units and Dollars, Worldwide, 2011 Table 2-8 Cardiac Event Monitor Market Shares, Units and Dollars, US, 2012 Figure 2-9 Cardiac Event Recorder Market Forecasts, Dollars, Worldwide, 2012-2018 Figure 2-10 Cardiac Event Recording Vendor Portion of Patient Services Market Forecasts Dollars, Worldwide, 2013-2018 Table 2-11 Cardiac Event Recording Device and Patient Services Market Forecasts Units and Dollars, Worldwide, 2013-2018 Table 2-12 Cardiac Event Recording Device and Patient Services Market Forecasts Units and Dollars, US, 2013-2018 Figure 2-13 Congestive Heart Failure (CHF) Patients Worldwide, Forecasts,Number, 2012-2018 Figure 2-14 Diabetes Patients Worldwide, Forecasts, Number, 2013-2018 Table 2-15 Number of Patients with Disease Conditions Requiring Wheelchairs, By Diagnosis, Number, Worldwide, 2013-2018 Table 2-16 Total Number Of Surgical Procedures Performed In Us: Table 2-17 Total Number Of Surgical Procedures Performed Worldwide: Table 2-18 US and Worldwide Robotic Surgery Target Procedures: Table 2-19 Actual Intuitive Surgical Surgeries: Prostate Table 2-20 Actual Intuitive Surgical Surgeries: Hysterectomy Table 2-21 Titan Medical Target Robotic Surgeries, Worldwide Table 2-22 Robotic Surgeries Possible by Medical Condition Table 2-23 Telemonitoring Market Driving Forces Table 2-24 Tele-Monitoring Critical Issues Addressed Table 2-25 Medical Conditions Treated by Cardiac Event Recorders Table 2-26 Factors Likely To Create Shift To Event Monitoring Table 2-27 Telemedicine Adoption Rate Issues And Concerns Figure 2-28 Telemedicine Market Factors Figure 2-29 Cardiac Event Monitor Regional Market Segments, Dollars, 2012 Table 2-30 Cardiac Event Recorder Regional Market Segments, 2012 Figure 3-1 Philips CardioCare Cellular Event Monitor Figure 3-2 Philips RT20 Event Monitor - Figure 3-3 Philips ER910 Event Monitor - Table 3-4 Philips ER910 Event Monitor - Table 3-5 CardioNet Monitoring Indications for Use Table 3-6 CardioNet Contraindicatios For Use In The Following Patients: Figure 3-7 CardioNet Cardiac Event Recorder Services Figure 3-8 Instromedix Cardiac Event Recorders Table 3-9 eCardion Event Monitors Figure 3-10 eCardio Device Table 3-11 REKA E100: Cardia Event Recorder Benefits Table 3-12 Philips Services Implementation Table 3-13 Philips HeartStart MRx Monitor/Defibrillator Features Table 3-14 Philips HeartStart MRx Monitor/Defibrillator Rugged and Reliable Functions Table 3-15 Philips HeartStart MRx Monitor/Defibrillator Intuitive And Ease Of-Use Features Figure 3-16 Philips HeartStart MRx Monitor/Defibrillator Figure 4-1 Cardiac Event Monitor Lead Placement Table 4-2 CMS Medicare program Cardiac Event Monitor Requirements Table 4-3 Codes For Billing And Reimbursement for Holter Monitoring, Cardiac Event Monitoring, and Pacemaker Monitoring in the United States Table 4-4 Cardiac Event Recorder Use Cases Figure 4-5 Scripps Lifewatch Telemonitoring Device Array Table 4-6 Lifewatch Case Study: 83 Year Old Female Table 4-7 Sample Studies of LifeStar ACT Syncope Patient Presentations and Solutions (Age 85) Table 4-8 Sample Studies of LifeStar ACT Syncope Patient Outcome (Age 85) Table 4-9 Sample Studies of LifeStar ACT Heart Block Patient Presentations and Solutions (Age 55) Table 4-10 LifeStar ACT Monitor For Following Conditions Table 5-1 AT&T Mobile Security Benefits Table 5-2 Biotronik Electrotherapy Devices Table 5-3 Biotronik Electrotherapy Devices Table 5-4 LifeWatch LifeStar ACT III Platinum Functions Table 5-5 LifeStar ACT Ex Functions Table 5-6 LifeStar ACT Ex Standard Features Table 5-7 LifeStar ACT Enhanced Daily Reporting Features Table 5-8 Philips Positions To Simplify Global Healthcare Delivery For The Long Term Table 5-9 Philips Healthcare Delivery Product Positioning Figure 5-10 Philips Healthcare Positioning Figure 5-11 Philips Healthcare Equipment Order Intake Trends Figure 5-13 Philips Employee, Manufacturing, and Research Profile Figure 5-14 Philips Continuing Sales Growth in Emerging Markets Figure 5-15 Philips Gaining Share And Leadership in Emerging Markets Figure 5-16 Philips Delivering Margin Improvement and Decreasing Manufacturing Overhead Figure 5-17 Philips Healthcare Information Systems Market Shares Table 5-18 VRI Units Monitored Table 5-19 VRI Services to Partners
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