WinterGreen Research, INC.

Size: px
Start display at page:

Download "WinterGreen Research, INC."

Transcription

1 Stationary Oxygen Concentrators: Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023 Torrie The Cat in the Tulips Picture by Susan Eustis WinterGreen Research, Inc. Lexington, Massachusetts

2 CHECK OUT THESE KEY TOPICS Stationary Oxygen Concentrators: Enduring Technologies Improve Oxygen Treatment During the Night and For Very Sick Patients Oxygen Concentrator, Stationary Oxygen Concentrators Medical Oxygen Portable Oxygen Concentrators, Homecare, Home Oxygen, Home Medical Equipment, Oxygen Therapy, Managed Care, Non-Acute Health Care, Unified Supply Network, Continuous Pressure Oxygen Portable Pulsed Oxygen, Patients on Oxygen, Home Oxygen Reimbursement, Homefill Oxygen Concentrator Portable Oxygen Concentrators Market Share Portable Oxygen Concentrators Stationary Oxygen Concentrators: Technology Evolves Delivery for Improved Night Time Oxygen Stationary Oxygen Concentrators: Market Shares, Strategies, and Forecasts, Worldwide, LEXINGTON, Massachusetts (August 25, 2017) WinterGreen Research announces that it has published a new study Stationary Oxygen Concentrators: Market Shares, Strategy, and Forecasts, Worldwide, 2017 to The 2017 study has 452 pages, 158 tables and figures. Worldwide markets are poised to achieve continuing growth as the aging population worldwide needs homecare oxygen treatment. Older people develop COPD and other respiratory conditions where oxygen is able to improve the quality of the life in a dramatic manner. Stationary oxygen devices provide continuous flow, often at 5LPM liters per minute to serve patients that need to be on oxygen. The need for these continuous flow rates night and day continue to drive sales of stationary oxygen concentrator units. Stationary oxygen concentrators are needed for night use by patients on portable oxygen concentrators during the day. People on oxygen wish to continue usual activities, the portable devices are useful for that during the day. Distributors are concentrated on determining which stationary oxygen concentrator supports patient lifestyle.

3 Major factors driving the market for stationary oxygen concentrators include its ability to provide oxygen under all circumstances. The worldwide aging population. An increase in the number of people with COPD and other respiratory diseases. Advantages of newer stationary oxygen concentrator devices are that they weigh less Advantages of newer stationary oxygen concentrator devices are that are somewhat quieter than the older units, and are easy to use. They are generally affordable but reimbursement drives markets. There has been a quantum improvement in the home based stationary oxygen concentrator technology. Less weight, more power are the characteristics of the new stationary units. The huge jump in technology is illustrated by the effectiveness of the devices in providing improved patient lifestyle. Stationary concentrator systems are always used by a patient to supplement portable oxygen concentrators. Portable oxygen must be supplemented with standard large, bulky, and inefficient, heavy, and impractical stationary devices because the stationary devices provide a more stable source of oxygen during sleep. According to Susan Eustis, lead author of the team that wrote the study, The transformation fof oxygen markets relates to going from purely stationary units to going to a combination of portable devices presents an opportunity for people who make oxygen equipment. Economies of scale and a new used along with stationary devices. This has changed the distribution modality leveraging a direct to consumer sales model, rendering obsolete homecare services. This shift in slaes model is set to change the medical oxygen industry. Home delivery markets tend to be shrinking. Users of stationary oxygen systems generally still need a stationary unit for night, but service needed is limited. Home oxygen therapy (HOT), is administration at home of highly concentrated oxygen produced using a therapeutic oxygen concentrator as an ongoing therapy for patients with chronic respiratory ailments. Home oxygen therapy has spread rapidly since health insurance began covering these treatments in Stationary oxygen concentrator markets at $669.5 million market in 2016 are set to become a $2.0 billion market in Steady growth is anticipated because the portable units will still need a stationary unit for sleeping throughout the forecast period. The move from a primary delivery distribution sales model with a cost structure that accounts for truck rolls to a portable device market has brought havoc to the industry, permitting the evolution of a direct sales system. This has brought dramatic changes to the industry. For vendors that have relied on the distribution network and financing the distribution network, their hold on the market has shifted.

4 Stationary oxygen concentrator markets at $725.5 million market in 2016 are set to become a $1.2 billion market in Steady growth is anticipated because the portable units will still need a stationary unit to deliver continuous flow for sleeping Stationary market will be in existence throughout the forecast period. Growth is a result of new competitors in the market, demand for the smaller lighter technology by patients, and the market need by for stationary devices at home even as portable devices provide greater mobility support for older people. 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, Bloomberg, and Thompson Financial. WinterGreen Research is positioned to help customers facing challenges that define the modern enterprises. 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 Words: Oxygen Concentrator, Portable Oxygen Concentrators, Homecare, Home Oxygen, Home Medical Equipment, Oxygen Therapy, Managed Care, Non-Acute Health Care, Unified Supply Network, Portable Pulsed Delivery Oxygen, Portable Continuous Pressure Oxygen, Portable Pulsed Oxygen, Patients on Oxygen, Home Oxygen Reimbursement, Homefill Oxygen Concentrator, Companies Profiled Market Leaders Philips Respironics Invacare Chart / Caire / SeQual AirSep

5 Market Participants American Lung Association Chart Industries Chart Caire / AirSep / Sequal Dräger Drive Medical / DeVilbiss Healthcare Foshan Keyhub Electronic Industries Co., Ltd. Gardner Denver / Thomas Compressors Inogen Inova Labs Invacare Jiuxin Medical Leistung Engineering Longfian Scitech Merits Nidek Medical NTK Precision Medical O2 Concepts Philips Healthcare/ Respironics Stationary Oxygen Concentrators: Market Shares, Strategies, and Forecasts, Worldwide, 2017 to 2023 Report Methodology This is the 715th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases. The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty. The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

6 Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share. Over 200 in depth interviews are conducted for each report with a broad range of key participants and industry leaders in the market segment. We establish accurate market forecasts based on economic and market conditions as a base. Use input/output ratios, flow charts, and other economic methods to quantify data. Use in-house analysts who meet stringent quality standards. Interviewing key industry participants, experts and end-users is a central part of the study. Our research includes access to large proprietary databases. Literature search includes analysis of trade publications, government reports, and corporate literature. Findings and conclusions of this report are based on information gathered from industry sources, including manufacturers, distributors, partners, opinion leaders, and users. Interview data was combined with information gathered through an extensive review of internet and printed sources such as trade publications, trade associations, company literature, and online databases. The projections contained in this report are checked from top down and bottom up analysis to be sure there is congruence from that perspective. The base year for analysis and projection is With 2010 and several years prior to that as a baseline, market projections were developed for 2017 through These projections are based on a combination of a consensus among the opinion leader contacts interviewed combined with understanding of the key market drivers and their impact from a historical and analytical perspective. The analytical methodologies used to generate the market estimates are based on penetration analyses, similar market analyses, and delta calculations to supplement independent and dependent variable analysis. All analyses are displaying selected descriptions of products and services. This research includes reference to an ROI model that is part of a series that provides IT systems financial planners access to information that supports analysis of all the numbers that impact management of a product launch or large and complex data center. The methodology used in the models relates to having a sophisticated analytical technique for understanding the impact of workload on processor consumption and cost.

7 WinterGreen Research has looked at the metrics and independent research to develop assumptions that reflect the actual anticipated usage and cost of systems. Comparative analyses reflect the input of these values into models. The variables and assumptions provided in the market research study and the ROI models are based on extensive experience in providing research to large enterprise organizations and data centers. The ROI models have lists of servers from different manufacturers, Systems z models from IBM, and labor costs by category around the world. This information has been developed from WinterGreen research proprietary data bases constructed as a result of preparing market research studies that address the software, energy, healthcare, telecommunications, and hardware businesses. YOU MUST HAVE THIS STUDY Stationary Oxygen Concentrators: Market Shares, Strategies, and Forecasts, Worldwide, Table of Contents Stationary Oxygen Concentrator: Executive Summary The study is designed to give a comprehensive overview of the Stationary Oxygen Concentrator equipment market segment. Research represents a selection from the mountains of data available of the most relevant and cogent market materials, with selections made by the most senior analysts. Commentary on every aspect of the market from independent analysts creates an independent perspective in the evaluation of the market. In this manner the study presents a comprehensive overview of what is going on in this market, assisting managers with designing market strategies likely to succeed. Table of Contents and List of Tables and Figures STATIONARY MEDICAL OXYGEN CONCENTRATOR EXECUTIVE SUMMARY 24 Stationary Oxygen Concentrator 24 Home Oxygen Market, Continues to Use Stationary Concentrators 26 Stationary Oxygen Concentrator Home Medical Market Driving Forces 27 Change in Home Oxygen Market 29 Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA) 30 Homecare Services Model Replaces Distribution Model 31 Decisions About Use Of Continuous Or Pulsed Oxygen 31 Research on Oxygen Concentrators 33 Stationary Oxygen Concentrators Market Driving Forces 34 Stationary Oxygen Concentrator Market Shares 35

8 Stationary Oxygen Concentrator Market Forecasts STATIONARY OXYGEN CONCENTRATOR MARKET DESCRIPTION AND MARKET DYNAMICS CMS Oxygen and Oxygen-Related Equipment CMS Oxygen Reimbursement Definitions CMS Qualifying Arterial Blood Gas Studies CMS Home Sleep Oximetry Studies Home Oxygen Concentrator Equipment Medicare Reimbursement Home Medical Equipment Market Home Health Care Third-party reimbursement Homecare Market Growth Factors Growth In Population Over Age Oxygen Concentrator Uses Stationary Oxygen Concentrator Functions Separation Of Oxygen From Air Technical Trade-Offs Necessary To Design An Oxygen Concentrator Oxygen Concentrator Insurance Coverage Oxygen Concentrator CMS HCPCS Code Medicare Reimbursement The Goal of Oxygen Therapy How To Change The Amount of Oxygen In The Air We Breathe Oxygen Concentrator Components Lifestyle in the Home Health Care Business Stationary Oxygen Concentrator Pulse Mode Continuous Flow Stationary Oxygen Concentrator Types of Oxygen Systems Treatment Trends Technological Trends Health Care Cost Containment Trends Society s Mainstreaming of People with Disabilities Distribution Channels Oxygen Therapy Systems Oxygen Concentrator Applicable Population Potable Oxygen Concentrator Patients Need Stationary Oxygen Concentrators at Night Treatment Trends Competition Forms Basis Of U.S. Medical Care Services Delivery European Homecare Market Trends Marketing Globally Market Drivers For Healthcare Cost Containment 74 2 STATIONARY OXYGEN CONCENTRATOR MARKET SHARES AND FORECASTS Stationary Oxygen Concentrator Home Oxygen Market, Continues to Use Stationary Concentrators Stationary Oxygen Concentrator Home Medical Market Driving Forces Change in Home Oxygen Market Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA) Homecare Services Model Replaces Distribution Model Decisions About Use Of Continuous Or Pulsed Oxygen Research on Oxygen Concentrators Stationary Oxygen Concentrators Market Driving Forces Stationary Oxygen Concentrator Market Shares Stationary Oxygen Concentrator Market Shares, Units and Dollars Stationary Oxygen Concentrators Coded by Medicare Invacare Perfecto 2 5 Liter Home Concentrator Invacare Platinum 10 Oxygen Concentrator Philips stationary oxygen concentrators Philips Respironics EverFlo Q Stationary Oxygen Concentrator Philips Respironics Millennium 10 LPM Concentrator 93

9 2.2.8 AirSep VisionAire 5 Stationary Oxygen Concentrator AirSep NewLife Elite Chart / AirSep Chart Industries / SeQual Chart Industries / CAIRE Stationary Oxygen Concentrator Market Forecasts Stationary Medical Oxygen Concentrator Shipment Market Forecasts, Units and Dollars, and Installed Base Analysis Oxygen Concentrator Installed Base Analysis Homecare Is Poised To Grow Unified Supply Network Telemedicine Being Integrated Into Homecare Competitive Bidding Program Cuts Reimbursement Reimbursement Shifts Respiratory Disease Market Metrics Percentage of Older People by State Medical Conditions Requiring Supplemental Oxygen High Flow Oxygen High Flow Oxygen Market Aspects Stationary Oxygen Concentrator Prices Oxygen Concentrator Regional Market Analysis Oxygen Concentrator Regional Market Forecasts North American Home Medical Equipment United States Japan NTK is the market leader for oxygen concentrators in Japan Philips Acceleration of Participation in Japanese Market Teijin Pharma Home Healthcare Oxygen Concentrators In Japan Longfian Scitech Targets China, Africa, Russia, and the Arab Countries China Chinese Built Units Used Widely In Homecare, Hospitals, Clinics, Beauty Salons And In Sports Invacare Geographically Diverse Nidek Global Presence Gardner Denver Global Presence Chart Industries Global Presence European Homecare Market Germany France Oxygen Concentrators Philips Global Market Position Chart STATIONARY OXYGEN CONCENTRATOR PRODUCT DESCRIPTION Stationary Oxygen Concentrator Products Philips Respironics Philips EverFlo Phillips Healthcare SimplyFlo Philips Respironics EverFlo Q Stationary Oxygen Concentrator Philips UltraFill Stationary Oxygen Concentrator Philips Respironics Millennium 10 LPM Concentrator Invacare Stationary Oxygen Concentrator Invacare Platinum XL 5-Liter Oxygen Concentrator Invacare 5 Oxygen Concentrator, 230 VAC - Intl Invacare Perfecto2 5 Liter Home Concentrator Invacare Platinum 10 Oxygen Concentrator Invacare PreciseRX Pediatric Flowmeter Invacare Check O2 Plus Oxygen Analyzer Drive Medical / Devilbiss Chart Industries CAIRE Inc Chart CAIRE Companion Chart AirSep NewLife Elite and Intensity 215

10 3.5.3 Chart Airsep Newlife Elite Airsep Newlife Intensity AirSep NewLife Elite AirSep Oxygen Concentrator AirSep VisionAire 5 Stationary Oxygen Concentrator AirSep NewLife Intensity Chart / Caire / Sequal Chart SeQual Eclipse Nidek Medical Precision Medical EasyFlow5 Oxygen Concentrator NTK Chinese Oxygen Concentrators Inogen Inogen At Home Oxygen Concentrator 243 Nuvo 4 STATIONARY OXYGEN CONCENTRATOR REIMBURSEMENT, RESEARCH, AND TECHNOLOGY Medicare Prescription Drug, Improvement, and Modernization Act Competitive Bidding Regions for Medicare Standardizing The Definition Of Liter Flow Equivalents Oxygen Concentrator Compressor Oxygen Concentrator Compressors Inogen Compressor Air Squared Compact, Quiet, Efficient, And Oil-Free Medical Compressors Air Squared Sub-1-HP Scroll Portable Oxygen Concentrator Compressors Stationary Oxygen Concentrator Compressors (Thomas or Gast) Oxygen Concentrator Air Management Pressure Swing Adsorption (PSA) Technology Pressure Swing Adsorption Principles Pressure Swing Adsorption Principles Comparison of Conventional Oxygen Concentrators and Advanced Technology Fractionators SeQual Advanced Technology Fractionator (ATF ) Advanced Technology Fractionator Conventional Oxygen Concentrators Multi Bed Oxygen Concentrators SeQual ATF Endurance Testing Status Oxygen Concentrator Air Travel Oxygen Conservation Devices Centers for Medicare and Medicaid CMS Reimbursement Codes Types of Oxygen Systems Liquid Oxygen Systems Cylinder Oxygen Systems Oxygen Conserving Devices Pulsation Detection Device Technological Trends Ambulatory Oxygen Oxygen Concentrators Medical Applications / Oxygen Concentrators Portable Oxygen Concentrator Fluidic System Trends Medical Compressors Thomas Industries Horizon Pump From Rietschle Thomas Targeted to Portable Oxygen Concentrators Gast Compressor Medical Applications Zeolite Respiratory Disease Conditions Increased Demand Impacts Industry Bronchiectasis 301

11 Chronic Bronchitis Chronic Obstructive Pulmonary Disease (COPD) Emphysema Muscular Dystrophy Respiratory Syncytial Virus (RSV) Asthma American Lung Association STATIONARY OXYGEN CONCENTRATOR COMPANY PROFILES Applied Home Healthcare Equipment Chart Industries Chart / Caire Medical Chart Industries Revenue Chart Industries Respiratory Sales Chart Caire / AirSep / Sequal Chart Industries Product Groups Chart Industries Cold Boxes Chart Industries Global Presence Chart Industries Markets Chart Industries Segments and Products Chart Industries Process Systems Chart Industries Distribution and Storage Segment Chart Industries Cryogenic Bulk Storage Systems Chart Industries Storage And End-Use Of Hydrocarbon And Industrial Gases Chart Industries / AirSep Chart Industries/Caire Liquid Oxygen Continuous Flow/Demand Flow Versatility CAIRE / SeQual Technologies Chart Industries / SeQual SeQual Oxygen Systems Drive DeVilbiss Healthcare DeVilbiss Healthcare Moves Production Back to the USA Drive Medical Facilities Locations Drive Medical Markets Drive Medical Drive Medical / DeVilbiss Healthcare, Worldwide Leadership in Respiratory, Sleep and Durable Medical Products Drive Medical Product Line First Class Medical st Class Medical Used and Refurbished Concentrators: Foshan Keyhub Electronic Industries Co., Ltd Foshan Keyhub Shunde, Guangdong Province, China Keyhub Shunde Oxygen Concentrators And Inner Core Component Production Capacity Gardner Denver / Thomas Compressors Gardner Denver Thomas Medical Gardner Denver Thomas Engineering Department Gardner Denver Thomas OEM Gardner Denver Thomas Product Industries Gardner Denver Thomas Respiratory Therapy Product Design Gardner Denver Thomas Embedded Control Systems GSE Inogen Inogen Rentals Inogen Manufacturing Capacity Inogen Expands Manufacturing Capacity to Accommodate Growth 374 Inogen Direct-To-Consumer Marketing Strategies Inogen Acquires Breathe Oxygen Services Inogen One G3 Versatile Portable Oxygen Concentrator Inogen Is Reliable, Trusted, And Proven Invacare Invacare Revenue 381

12 5.8.2 Invacare Quote to Order Wheelchair Process Invacare Non-Delivery Oxygen Invacare Business Invacare Growth Invacare Geographical Segments And Product Categories Invacare Mobility And Seating Products and Status of Consent Decree Invacare Lifestyle Products Invacare Respiratory Therapy Products Invacare Institutional Products Group (IPG) Jiuxin Medical Jiuxin Medical Jogger Portable Ventilator Jiuxin Medical ICU Ventilator Detachable 10.4"TFT Color Screen Leistung Engineering Leistung Key Strategy Longfian Scitech Longfian Scitech JAY-20 Industry Oxygen Longfian Scitech JAY-20 Industry Oxygen Longfian Scitech Oxygen Analyzer Merits Nidek Medical NTK Precision Medical O2 Concepts Philips Healthcare Philips Manufacturing Capacity Royal Philips Healthcare Global Presence Philips Enables Consumer Lifestyle Philips Addresses Healthcare Landscape Philips Accelerate! Positioning ResMed ResMed / Inova Labs Inova Labs ResMed / Inova Labs / LifeChoice Activox 4L Oxygen Concentrator Companies 422 List of Figures Figure 1. Stationary Oxygen Concentrator Advantages 26 Figure 2. Stationary Oxygen Concentrator Home Medical Market Driving Forces 27 Figure 3. Home Medical Stationary Oxygen Concentrator Systems Market Factors 28 Figure 4. Impact of Available Capital on Stationary Oxygen Concentrators Markets 34 Figure 5. Stationary Oxygen Concentrator Market Shares, Dollars, Figure 6. Stationary Medical Oxygen Concentrator Market Shipments Forecasts, Dollars, Worldwide, Figure 7. Homecare Market Growth Factors 50 Figure 8. Benefits of Homecare 51 Figure 9. Medicare Bidding Shifts Stationary Oxygen Concentrator Payments 58 Figure 10. Oxygen Concentrator Applicable Population 68 Figure 11. Marketing Stationary Oxygen Concentrators Globally 73

13 Figure 12. Stationary Oxygen Concentrator Advantages 79 Figure 13. Stationary Oxygen Concentrator Home Medical Market Driving Forces 80 Figure 14. Home Medical Stationary Oxygen Concentrator Systems Market Factors 81 Figure 15. Impact of Available Capital on Stationary Oxygen Concentrators Markets 87 Figure 16. Stationary Oxygen Concentrator Market Shares, Dollars, Figure 17. Stationary Oxygen Concentrator Market Shares, Dollars, Worldwide, Figure 18. Stationary Oxygen Concentrator Market Shares, Units and Dollars, Worldwide, Figure 19. Stationary Medical Oxygen Concentrator Market Shipments Forecasts, Dollars, Worldwide, Figure 20. Stationary Medical Oxygen Concentrator Market Forecasts, Shipments, Dollars Worldwide, Figure 21. Stationary Medical Oxygen Concentrator Evolving Market Position 100 Figure 22. Stationary Medical Oxygen Concentrator Shipment Market Forecasts, Units and Dollars, Worldwide, Figure 23. China Allows Media to Report on Air Pollution Crisis 105 Figure 24. Philips Chronicles Medical Chronic Disease Market Trends 113 Figure 25. HME Expenditures By Provider 116 Figure 26. HME Expenditures By Per Cent Increase 117 Figure 27. Global Obesity 120 Figure 28. Percentage of Patients Served by Payer 122 Figure 29. Percentage of Patient Care Days by Payer 122 Figure 30. Percentage of Patients by Primary Payment Source 123 Figure 31. Percentage of Hospice Admissions by Primary DIagnosis 124 Figure 32. Location of Hospice Patients at Time of Death 125 Figure 33. High Flow Stationary Oxygen Concentrator Forecasts 126 Figure 34. Homecare Stationary Oxygen Concentrators, Regional Market Segments, Figure 35. Philips Participation in Japanese Market 149 Figure 36. Opportunities in Japanese Market 150 Figure 37. Philips Acceleration of Participation in Japanese Market 151 Figure 38. Invacare Geographically Diversity 2010 to 2016 Change 158 Figure 39. Nidek Global Presence 159 Figure 40. Gardner Denver Global Presence 160 Figure 41. Gardner Denver Global Presence 161 Figure 42. Chart Industries Global Presence 163 Figure 43. Philips Positioning in Europe 164 Figure 44. Philips EverFlo Stationary Oxygen Concentrator 175 Figure 45. Philips EverFlo Stationary Oxygen Concentrator Functions 176 Figure 46. Phillips Healthcare SimplyFlo 176 Figure 47. Philips Respironics SimplyFlo Functions 177 Figure 48. Philips Respironics SimplyFlo Oxygen Concentrator 178 Figure 49. Philips Respironics EverFlo Q Stationary Oxygen Concentrator 179 Figure 50. Respironics 31-Pound EverFlo Q Features 180 Figure 51. Respironics 31-Pound EverFlo Q Platform Functions 181 Figure 52. Philips EverFlo Q General System Specifications 182 Figure 53. Philips UltraFill Stationary Oxygen Concentrator 184 Figure 54. Respironics Millennium M10 Oxygen Concentrator 185 Figure 55. Philips Millennium M10 Features 186 Figure 56. Invacare Platinum XL 5-Liter Oxygen Concentrator 187 Figure 57. Invacare 5 Oxygen Concentrator, 230 VAC - Intl. 188 Figure 58. Invacare Perfecto2 Oxygen Concentrator Functions 191 Figure 59. Invacare Perfecto2 V Oxygen Concentrator 192 Figure 60. Invacare Perfecto2 V Oxygen Concentrator Features 194 Figure 61. Invacare Perfecto2 V Oxygen Concentrator Specifications 195 Figure 62. Invacare Perfecto2 V Oxygen Concentrator Specifications 196 Figure 63. Invacare Stationary Oxygen Concentrators 197

14 Figure 64. Invacare Perfecto2 Oxygen Concentrator Specifications: 198 Figure 65. Invacare Perfecto2 V Oxygen Concentrator Features 200 Figure 66. Invacare Platinum 10 Oxygen Concentrator 201 Figure 67. Invacare Platinum 10 Oxygen Concentrator Features 202 Figure 68. Invacare Platinum 10 Oxygen Concentrator Provider Benefits 203 Figure 69. Invacare Platinum 10 Oxygen Concentrator Patient Benefits 204 Figure 70. Invacare Platinum 10 Oxygen Concentrator Specifications 205 Figure 71. Invacare PreciseRX Pediatric Flowmeter 206 Figure 72. Invacare PreciseRX Pediatric Flowmeter Features 207 Figure 73. Invacare Check O2 Plus Oxygen Analyzer 207 Figure 74. Invacare Check O2 Plus Oxygen Analyzer Features 208 Figure 75. Devilbiss 5 Liter Oxygen Concentrator 209 Figure 76. Devilbiss Five Liter Compact Oxygen Concentrator Features 210 Figure 77. Devilbliss Oxygen Concentrator Replacement Parts 211 Figure 78. Chart CAIRE Companion Figure 79. CAIRE Companion 5 Stationary Oxygen Concentrator Patients Features: 213 Figure 80. CAIRE Companion 5 Homecare Stationary Oxygen Concentrator Providers And Care Facilities Features: 214 Figure 81. Chart AirSep NewLife Elite and Intensity 215 Figure 82. AirSep New Life Intensity Stationary Oxygen Concentrator Features 217 Figure 83. AirSep VisionAire 5 Stationary Oxygen Concentrator 219 Figure 84. AirSep VisionAire Oxygen Concentrator Specifications 220 Figure 85. Chart SeQual Eclipse 5 Portable Oxygen Concentrator 223 Figure 86. Chart SeQual Eclipse 5 Portable Oxygen Concentrator Specifications 225 Figure 87. Nidek Medical Nuvo Family Of Oxygen Concentrators 226 Figure 88. Precision Medical EasyFlow5 Oxygen Concentrator 227 Figure 89. Precision Medical EasyFlow5 Oxygen Concentrator Specifications 228 Figure 90. NTK Original Equipment Oxygen Sensors 231 Figure 91. NTK Oxygen Concentrator Description 232 Figure 92. NTK Oxygen Concentrator 233 Figure 93. Beijing China Air Pollution, People Wear Masks 234 Figure 94. Air Pollution in China 235 Figure 95. Chinese Oxygen Concentrators 236 Figure 96. Foshan Keyhub Electronic Industries Co., Ltd. Oxygen Concentrators 238 Figure 97. Longfian Home Use and Travel Stationary Oxygen Concentrator (JAY-1) 240 Figure 98. Speedway Industry Ltd Oxygen Concentrator 242 Figure 99. Competitive Bidding Regions for Medicare 252 Figure 100. Oxygen Concentrator Compressor Features 258 Figure 101. Air Chemical Composition 262 Figure 102. Air Management Terminology 262 Figure 103. Stratification and Relative Adsorption of Gas as Air flows through a column of molecular sieve 265 Figure 104. Conventional Two-Bed Oxygen Concentrator Air Flow 267 Figure 105. SeQual ATF-Based Concentrator 269 Figure 106. SeQual ATF Design Characteristics 270 Figure 107. SeQual ATF Operating Pressures Versus Time Graph 271 Figure 108. Comparison Of A 5 Liter Per Minute (LPM) Capacity Conventional Oxygen Concentrator With A 5 LPM ATF System 272 Figure 109. Comparison Of Multi Bed And A Typical Oxygen Concentrator 274 Figure 110. Sequal ATM-Based Concentrator Major Components 275 Figure 111. Conserving Device Impact on Weekly Cylinder Needs 279 Figure 112. Types of Oxygen Systems 284 Figure 113. Thomas Industries Compressor Features 291 Figure 114. Rietschle Thomas 2250 Pressure/Vacuum Pump 293

15 Figure 115. Gast Oxygen Concentrator Compressors 297 Figure 116. Gast Medical Oxygen Concentrator Compressor 298 Figure 117. Gast Oxygen Concentrator Compressor Features 299 Figure 118. Chart Industries Regional Presence 310 Figure 119. Chart Industries Healthcare Market Participation 311 Figure 120. Chart 2016 Life Sciences Sales by Region and Segment 312 Figure 121. Chart Industries Global Presence 319 Figure 122. DeVilbiss Healthcare Regional Market Presence 330 Figure 123. Foshan Keyhub Electronic Industries Co., Ltd. Oxygen Concentrator Assembly Line 336 Figure 124. Foshan Keyhub Electronic Industries Co., Ltd. Oxygen Concentrator Assembly 340 Figure 125. Gardner Denver / Thomas Compressor 342 Figure 126. Gardner Denver / Thomas Compressors 343 Figure 127. Typical Applications For Thomas Products 344 Figure 128. Gardner Denver Thomas Manufactured Products 345 Figure 129. Gardner Denver Thomas Leading Global Manufacturer Product Set 346 Figure 130. Gardner Denver Thomas Industries Served 347 Figure 131. Gardner Denver Thomas Strategy 348 Figure 132. Gardner Denver Operations Product Range 349 Figure 133. Selected Thomas Compressors 354 Figure Figure 135. Gardner Denver Thomas Areas of Specialization: 358 Figure 136. Gardner Denver Thomas Strategy 359 Figure 137. Gardner Denver 24 Acquisitions in 15 Years 360 Figure 138. Gardner Denver Positioning 361 Figure 139. Gardner Denver Thomas Pump And Compressor Solutions 363 Figure 140. GSE Medical Compressor 364 Figure 141. Inogen Direct-To-Consumer Marketing Strategies 375 Figure 142. Invacare Product Mix Shifts 2016 and Figure 143. Invacare Non-Acute Health Care Distribution Network Functions 386 Figure 144. Other Invacare Product Sets for Homecare 391 Figure 145. Invacare Homecare 25,000 Home Medical Equipment Providers 393 Figure 146. Jiuxin Medical Jogger Portable Ventilator 394 Figure 147. Jiuxin Medical ICU Ventilator Features 395 Figure 148. Leistung Product Range Categories 397 Figure 149. Longfian Scitech JAY-20 Industry Oxygen 399 Figure 150. Longfian Scitech Oxygen Analyzer 401 Figure 151. Longfian Scitech Oxygen Analyzer Specifications 402 Figure 152. Nidek International Presence 404 Figure 153. Precision Medical Respiratory Products: 406 Figure 154. Philips Global Presence 412 Figure 155. Philips Global Trends And Challenges 414 Figure 156. Philips Positions To Simplify Global Healthcare Delivery For The Long Term 416 Gardner Denver Compressed Air, Compressed Gas, Vacuum, and Fluid Transfer Technology Industries Served Figure 157. Philips Healthcare Delivery Product Positioning 417 Figure 158. Philips Delivering Margin Improvement and Decreasing Manufacturing Overhead418

16 ABOUT THE COMPANY WinterGreen Research, research strategy relates to identifying market trends through reading and interviewing opinion leaders. By using analysis of published materials, interview material, private research, detailed research, social network materials, blogs, and electronic analytics, the market size, shares, and trends are identified. Analysis of the published materials and interviews permits WinterGreen Research senior analysts to learn a lot more about markets. Discovering, tracking, and thinking about market trends is a high priority at WinterGreen Research. As with all research, the value proposition for competitive analysis comes from intellectual input. WinterGreen Research, founded in 1985, provides strategic market assessments in telecommunications, communications equipment, health care, Software, Internet, Energy Generation, Energy Storage, Renewable energy, and advanced computer technology. Industry reports focus on opportunities that expand existing markets or develop major new markets. The reports access new product and service positioning strategies, new and evolving technologies, and technological impact on products, services, and markets. Innovation that drives markets is explored. Market shares are provided. Leading market participants are profiled, and their marketing strategies, acquisitions, and strategic alliances are discussed. The principals of WinterGreen Research have been involved in analysis and forecasting of international business opportunities in telecommunications and advanced computer technology markets for over 30 years. The studies provide primary analytical insight about the market participants. By publishing material relevant to the positioning of each company, readers can look at the basis for analysis. By providing descriptions of each major participant in the market, the reader is not dependent on analyst assumptions, the information backing the assumptions is provided, permitting readers to examine the basis for the conclusions. WinterGreen Research is positioned to help customers facing challenges that define the modern enterprises. 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. About The Principal Authors Susan Eustis, President, co-founder of WinterGreen Research, is a senior analyst. She has done research in communications, healthcare equipment, and computer markets and applications. She holds several patents in microcomputing and parallel processing. She has the original patents in electronic voting machines. She has new patent applications in format varying, mulitprocessing, electronic voting, and oxygen management. She is the author of recent studies of the drone and robot marketing strategies, Internet equipment, biometrics, biomaterials, a study of Internet Equipment, Artificial Intelligence, IoT, Worldwide Telecommunications Equipment, Top Ten Telecommunications, Digital Loop Carrier, Web Hosting, Web Services, and Application Integration markets. Ms. Eustis is a graduate of Barnard College. Ms. Eustis was named Top Woman CEO in 2012 by Who s Who Worldwide. She was named Top Woman Market Research Analyst in 2012, 2013,2014,2015, and She has been twice featured on the cover of the Women of Distinction magazine.

17 About the WinterGreen Research Team: The WinterGreen Research Team is comprised of senior analysts that prepare the market research and analysis that is offered to the client and developed using an iterative process to achieve a final study. Typical projects include providing market/viability research. The team can look at how drones can be applied to critical infrastructures safety, including: type of market existing, Barriers, Forecast demand and competitors, SWOT and competitive advantages, Price Analysis, product design recommendations (marketing orientation). Research is typically for many different regions or localities, for example EU countries including Spain, UK, Nordic, Germany, and France. Typical projects profile the United States and areas of Asia. It is common to three representative countries from South America, Brazil, Argentina, Chile, and Mexico. Representative countries from Asia APAC typically include Japan, China, India, and Australia. Critical infrastructure safety, including: type of market existing, barriers to entry and to faithful execution of product provision, forecast of demand, market share, SWOT, competitive advantage of major competitors, identification of new technologies and new companies, price performance analysis, product design recommendations, and marketing considerations are typical topics covered.

18