Respiratory care and anesthesia represent a significant element of healthcare 
delivery within Europe.  In 2001, more than 40 million people suffered from chronic respiratory diseases; of these, more than 4 million required hospitalization.  Patients undergoing surgical procedures requiring general anesthesia require intensive intraoperative respiratory monitoring, and approximately half require extended postoperative respiratory support; in 2000, the number of patients undergoing surgical procedures requiring general anesthesia exceeded 15 million.

This report by Medtech Insight analyzes major market segments for anesthesia and ventilation products used in the hospital setting and at alternate care sites.  These market segments include ventilators, blood gas monitoring systems, and pulmonary function testing systems, anesthesia delivery systems, and respiratory accessories.

Major topics include:  arterial blood gas sampling; exercise testing systems; inhalation anesthesia systems; intravenous anesthesia systems; mechanical ventilators; peak-flow meters; spirometry; and transport ventilators.

TABLE OF CONTENTS

EXECUTIVE SUMMARY

          i.        Ventilators Market

          ii.       Blood Gas Monitoring Systems Market

          iii.       Pulmonary Function Testing Systems Market

          iv.      Anesthesia Delivery Systems Market

          v.       Respiratory Accessories Market

          vi.      Total Market

1.         EUROPEAN HEALTHCARE MARKETS

1.1     Factors Affecting Healthcare Delivery in the European Union

1.1.1        Aging Population

1.1.2        Cost Containment

1.1.3        Industry Consolidation

1.1.4        Managed Care

1.2     Healthcare Spending and Reform

1.3     Healthcare Facilities

1.4     Reimbursement Climate

1.5     Community Healthcare and Treatment for the Aging Population

1.5.1        Technological Advances and Consumer Expectations

1.6     Medical Device Regulations

1.6.1        Conformité Européene Marking

1.6.2        Health Technology Assessment

1.7     National Healthcare Profiles

1.7.1        France

1.7.2        Germany

1.7.3        Italy

1.7.4        Spain

1.7.5        United Kingdom

2.         VENTILATORS MARKET

2.1     Overview of Ventilator Technologies

2.1.1        Ventilator Operating Principles

2.1.2        Mechanical Ventilation Modes

2.1.2.1     Adaptive Support Ventilation

2.1.2.2     Airway Pressure Release Ventilation

2.1.2.3     Mandatory Minute Ventilation

2.1.2.4     Dual-Control Modes

2.1.2.4.1       Volume-Assured Pressure
            Support

2.1.2.4.2       Volume Support

2.1.2.4.3       Pressure-Regulated Volume 
            Control

2.1.2.4.4       Autoflow

2.1.3        High-Frequency Ventilation

2.1.3.1     Flow Interrupters

2.1.3.2     Jet Ventilation

2.1.3.3     Oscillatory Ventilation

2.2     Adult and Pediatric Ventilators

2.2.1        Disorders Requiring Mechanical Ventilation

2.2.1.1     Acute Respiratory Failure

2.2.1.2     Adult Respiratory Distress Syndrome

2.2.1.3     Amyotrophic Lateral Sclerosis

2.2.1.4     Asthma

2.2.1.5     Chronic Obstructive Pulmonary Disease

2.2.1.6     Chronic Bronchitis

2.2.1.7     Emphysema

2.2.1.8     Flail Chest

2.2.2        Products

2.2.3        Market Analysis

2.2.4        Competitive Analysis

2.3     Neonatal Ventilators

2.3.1        Congenital Birth Defects

2.3.1.1     Conditions Associated with Pregnancy
     Complications

2.3.1.1.1       Diabetes

2.3.1.1.2       Fetal Alcohol Syndrome

2.3.1.1.3       Drug Addiction

2.3.1.2     Conditions Associated with Labor and
     Delivery Complications

2.3.1.2.1       Meconium Aspiration
            Syndrome

2.3.1.2.2       Fetal Distress

2.3.1.3     Conditions Associated with Prematurity and
     Low Birth Weight

2.3.1.3.1       Infant Respiratory Distress
            Syndrome

2.3.1.3.2       Pulmonary Interstitial
            Emphysema

2.3.1.3.3       Bronchopulmonary Dysplasia

2.3.1.3.4       Persistent Pulmonary
            Hypertension of the Newborn

2.3.2        Products

2.3.3        Market Analysis

2.3.4        Competitive Analysis

2.4     Noninvasive Ventilators

2.4.1        Risks Associated with Endotracheal Intubation and Tracheostomy

2.4.2        Clinical Uses of Noninvasive Ventilation

2.4.3        Noninvasive Ventilation Contraindications

2.4.4        Products

2.4.4.1     Successful Application of Noninvasive
     Ventilation

2.4.4.2     Nasal and Face Mask Interfaces

2.4.5        Market Analysis

2.4.6        Competitive Analysis

2.5     Transport Ventilators

2.5.1        Inter-Hospital Transport Indications

2.5.2        Ground Transport

2.5.3        Air Transport

2.5.4        Intra-Hospital Transport Indications

2.5.5        Complications During Ventilator Patient Transport

2.5.6        Factors Affecting the Transport Ventilator Market

2.5.7        Adult and Pediatric Transport Ventilators

2.5.8        Infant Transport Ventilators

2.5.9        Special Market Applications

2.5.10      Products

2.5.10.1   Allied Healthcare Products

2.5.10.2   Bio-Med Devices

2.5.10.3   Dräger Medical

2.5.10.4   Newport Medical Instruments

2.5.10.5   Percussionaire

2.5.10.6   Weinmann

2.5.10.7   VIASYS Healthcare

2.5.11      Market Analysis

2.5.12      Competitive Analysis

3.         BLOOD GAS MONITORING SYSTEMS MARKET

3.1     Overview of Blood Gasses

3.1.1        Arterial Blood Gas Sampling

3.1.2        Arterial Blood Gas Monitoring Methods

3.2     Point-of-Care Analyzers

3.2.1        Products and Technology

3.2.2        Market Analysis

3.3     Laboratory Blood Gas Analyzers

3.3.1        Products and Technology

3.3.2        Market Analysis

3.4     Arterial Blood Gas Sampling Kits

3.4.1        Products and Technology

3.4.2        Market Forecast

3.5     Intra-Arterial Blood Gas Monitoring

3.5.1        Market Forecast

3.5.2        In Vivo and Ex Vivo Blood Gas Monitoring

3.5.2.1     Products and Technology

3.5.2.2     Market Analysis

3.6     Oximeters

3.6.1        Products and Technology

3.6.2        Transcutaneous Versus Pulse Oximetry

3.6.3        Fetal Oxygen Saturation Monitoring

3.6.4        Portability and Carbon Dioxide Monitoring

3.6.5        Market Analysis

3.7     Capnography/End-Tidal Carbon Dioxide Monitoring

3.7.1        Products and Technology

3.7.2        Market Analysis

4.         PULMONARY FUNCTION TESTING SYSTEMS MARKET

4.1     Overview

4.2     Spirometry

4.2.1        Products and Technology

4.2.2        Market Analysis

4.2.3        Incentive Spirometry

4.2.3.1     Products and Technology

4.2.3.2     Market Analysis

4.3     Pulmonary Function Assessment

4.3.1        Products and Technology

4.3.2        Market Analysis

4.4     Pulmonary Exercise Testing Equipment

4.4.1        Products and Technology

4.4.2        Market Analysis

4.5     Market Trends

5.         ANESTHESIA DELIVERY SYSTEMS MARKET

5.1     General Anesthesia Delivery Products

5.1.1        Inhalation Anesthesia Systems

5.1.1.1     Operation

5.1.1.2     Applications

5.1.1.3     Risks

5.1.1.4     Products

5.1.2        Total Intravenous General Anesthesia

5.1.2.1     Operation

5.1.2.2     Applications

5.1.2.3     Risks

5.1.3        Market Analysis

5.2     Anesthesia Patient Monitoring

5.2.1        Products

5.2.2        Market Analysis

5.3     Trends in General Anesthesia

6.         RESPIRATORY ACCESSORIES MARKET

6.1     Anesthesia Circuits

6.1.1        Products

6.1.2        Market Analysis

6.2     Heat and Moisture Exchangers

6.2.1        Products

6.2.2        Market Analysis

6.3     Humidifiers

6.3.1        Disposables

6.3.1.1     Products

6.3.1.2     Market Analysis

6.4     Nebulizers

6.4.1        Large-Volume Nebulizers

6.4.1.1     Products

6.4.1.2     Market Analysis

6.4.2        Small-Volume Nebulizers

6.4.2.1     Products

6.4.2.2     Market Analysis

6.4.3        Nebulizer Compressors

6.4.3.1     Products

6.4.3.2     Market Analysis

6.5     Masks

6.5.1        Products

6.5.2        Market Analysis

6.5.3        Laryngeal Mask Airways

6.5.3.1     Products

6.5.3.2     Market Analysis

6.6     Peak-Flow Meters

6.6.1        Products

6.6.2        Market Analysis

6.7     Resuscitators

6.7.1        Products

6.7.2        Market Analysis

6.8     Ventilator Circuits

6.8.1        Products

6.8.2        Market Analysis

7.         COMPANY PROFILES

7.1     Allegiance Healthcare Corporation/Cardinal Health, Inc.

7.2     Ambu International AS

7.3     Bayer Diagnostics/Bayer AG

7.4     Datex-Ohmeda, Inc./Instrumentarium Corporation

7.5     Dräger Medical, Inc./Drägerwerk AG

7.6     Hudson Respiratory Care, Inc.

7.7     Intavent Orthofix LTD

7.8     Radiometer Medical AS

7.9     Respironics, Inc.

7.10    Siemens AG

7.11    Smiths Medical, Inc./Smiths Group PLC

7.12    Tyco International LTD

7.13    VIASYS Healthcare, Inc.

7.14    Vital Signs, Inc.

APPENDIX:  COMPANY LISTING

LIST OF EXHIBITS

Exhibit ES-1:    Europe, Ventilators Market, 2001-2007

Exhibit ES-2:    Europe, Blood Gas Monitoring Systems Market, 2001-2007

Exhibit ES-3:    Europe, Pulmonary Function Testing Systems Market, 2001-2007

Exhibit ES-4:    Europe, Anesthesia Delivery Systems Market, 2001-2007

Exhibit ES-5:    Europe, Respiratory Accessories Market, 2001-2007

Exhibit ES-6:    Europe, Anesthesia and Ventilation Products Markets, 2001-2007

Exhibit 1-1:      European Union Medical Devices Risk Classification System

Exhibit 2-1:      2002, Advantages and Disadvantages of Common Ventilator Operation Modes

Exhibit 2-2:      Indications for High-Frequency Ventilation

Exhibit 2-3:      2001, High-Frequency Ventilator Modes, Applications and Selected Products

Exhibit 2-4:      Selected Disorders That May Result in Acute Respiratory Failure

Exhibit 2-5:      2001, Trends in Adult and Pediatric Ventilator Technology

Exhibit 2-6:      2001, Selected Adult and Pediatric Ventilators

Exhibit 2-7:      2001, Comparison Pricing for Adult and Pediatric Ventilators Used in the Intensive Care Unit

Exhibit 2-8:      2001, Comparison Pricing for Adult and Pediatric Ventilators Used in Hospital Areas Other than the
Intensive Care Unit

Exhibit 2-9:      Adult and Pediatric Ventilators, Market Forecast, by Country, 2001-2007

Exhibit 2-10:     2001, Europe, Adult and Pediatric Ventilators Market, Share by Supplier

Exhibit 2-11:     Selected Complications and Conditions That May Affect Neonates

Exhibit 2-12:     Selected Pregnancy Complications That May Affect Neonatal Status

Exhibit 2-13:     Selected Neonatal Respiratory and Pulmonary Disorders

Exhibit 2-14:     Trends in Neonatal Intensive Care Ventilation

Exhibit 2-15:     2001, Selected Neonatal Ventilators

Exhibit 2-16:     2001, Current and Emerging Neonatal Respiratory Support Modalities

Exhibit 2-17:     2001, Comparison Pricing for Selected Conventional Neonatal Ventilators

Exhibit 2-18:     2001, Comparison Pricing for Selected High-Frequency Neonatal Ventilators

Exhibit 2-19:     Neonatal Ventilators, Market Forecast, by Country, 2001-2007

Exhibit 2-20:     2001, Europe, Neonatal Ventilators Market, Share by Supplier

Exhibit 2-21:     Conditions That May Be Treated Using Noninvasive Ventilation

Exhibit 2-22:     Advantages and Disadvantages of Noninvasive Ventilation

Exhibit 2-23:     Noninvasive Ventilation Contraindications

Exhibit 2-24:     Advantages and Disadvantages of Nasal and Face Masks

Exhibit 2-25:     Noninvasive Ventilators, Market Forecast, 2001-2007

Exhibit 2-26:     Respiratory Complications That May Occur During Ventilator Patient Transport

Exhibit 2-27:     2001, Selected Transport Ventilators

Exhibit 2-28:     2001, Special Market Applications for Transport Ventilators

Exhibit 2-29:     2001, Selected Transport Ventilators, Comparison Pricing

Exhibit 2-30:     Europe, Transport Ventilators, Market Forecast, 2001-2007

Exhibit 2-31:     2001, Europe, Transport Ventilators Market, Share by Supplier

Exhibit 3-1:      Europe, Point-of-Care Blood Gas Testing Products, Market Forecast, by Country, 2001-2007

Exhibit 3-2:      Europe, Laboratory Blood Gas Analyzers, Market Forecast, by Country, 2001-2007

Exhibit 3-3:      2001, Europe, Laboratory Blood Gas Analyzers Market, Share by Supplier

Exhibit 3-4:      Europe, Arterial Blood Gas Sampling Kits, Market Forecast, by Country, 2001-2007

Exhibit 3-5:      2001, Europe, Arterial Blood Gas Sampling Kits Market, Share by Supplier

Exhibit 3-6:      Europe, Intra-Arterial Blood Gas Monitors, Market Forecast, by Country, 2001-2007

Exhibit 3-7:      Europe, Intra-Arterial Blood Gas Sensors, Market Forecast, by Country, 2001-2007

Exhibit 3-8:      Advantages and Disadvantages of In Vivo Blood Gas Monitoring Systems

Exhibit 3-9:      Europe, In Vivo and Ex Vivo Blood Gas Monitoring Products, Market Forecast, by Country, 2001-2007

Exhibit 3-10:     Disadvantages of Transcutaneous Oximetry

Exhibit 3-11:     Europe, Pulse Oximetry Products, Market Forecast, by Country, 2001-2007

Exhibit 3-12:     2001, Europe, Handheld and Stand-Alone Pulse Oximetry Monitors Market, Share by Supplier

Exhibit 3-13:     Advantages and Disadvantages of Mainstream and Sidestream Capnography Sampling

Exhibit 3-14:     2001, Selected Handheld and Stand-Alone Capnography-Only Units

Exhibit 3-15:     2001, Selected Handheld and Stand-Alone Capnography/Oximetry Units

Exhibit 3-16:     Europe, Capnography/End-Tidal Carbon Dioxide Monitoring Monitors and Disposables,
Market Forecast, 2001-2007

Exhibit 3-17:     2001, Europe, Handheld and Stand-Alone End-Tidal Carbon Dioxide Monitors Market, Share by Supplier

Exhibit 4-1:      Lung Volumes and Capacities

Exhibit 4-2:      Principal Values Measured via Spirometry

Exhibit 4-3:      Low-End Spirometers and Disposables, Market Forecast, 2001-2007

Exhibit 4-4:      Low-End Spirometers, Market Forecast, by Country, 2001-2007

Exhibit 4-5:      Low-End Spirometry Disposables, Market Forecast, by Country, 2001-2007

Exhibit 4-6:      2001, Low-End Spirometers Market, Share by Supplier

Exhibit 4-7:      Incentive Spirometers, Market Forecast, by Country, 2001-2007

Exhibit 4-8:      2001, Incentive Spirometers Market, Share by Supplier

Exhibit 4-9:      Pulmonary Function Assessment Equipment and Disposables, Market Forecast, by Country, 2001-2007

Exhibit 4-10:     2001, Pulmonary Function Assessment Equipment and Disposables Market, Share by Supplier

Exhibit 4-11: