Changes
==ICU Ventilators==
Intensive-care Unit (ICU) ventilators offer a wide range of breathing patterns, pressure controls, alarms and sensors. They use compressed oxygen and other gases stored in cylinders, ambient air or a mixture of both. Breathing circuits for these ventilators are double-limbed and can be quite complex. These ventilators are made for bedside use in the intensive-care units of hospitals. The key data provided by the device include:
*Airway pressure (analog bar graph & numerical)
*Total breath rate
*Inspiratory to expiratory time ratio
*Exhaled tidal volume
*Exhaled minute volume
*Peak flow
*Inspiratory time
==Market Assessment Model==
The market data for ICU ventilators in China is not readily available in public domain. There are paid reports published by various market research firms in which the data is either modeled using indicators or collected through primary research methods.
To arrive at the market size of ICU Ventilators in China for 2011, we have used the following methodology. We have considered only adult ICU Ventilators in this study. <br>
[[Image:Methodology1.png|center|700px]]
'''Assumptions''': Each ICU bed will be equipped with one ventilator.
==Number of ICU Beds==
According to 2010 census, the total population of China is estimated as [http://blogs.wsj.com/indiarealtime/2011/04/30/china-vs-india-the-population-numbers/ 1,339,724,852]. The number of hospital beds in China as per [http://www.who.int/whosis/whostat/2009/en/index.html WHOSIS] is 22 per 10,000 population. A research paper on [http://ccforum.com/content/14/1/206 critical care medicine in mainland China] which analyzed many papers including the one from China Critical Care Clinical Trial Group (CCCCTG) estimated the % of ICU beds as total number of hospital beds as 1.8%. <br>
{|border="2" cellspacing="0" cellpadding="4" width="53%" align="center"
|bgcolor = "#C5D9F1"|China Population, 2010
|align = "right" bgcolor = "#C5D9F1"|1,339,724,852
|-
|Hospital Beds per 10,000 in China
|align = "right"|22
|-
|bgcolor = "#C5D9F1"|Number of hospital beds
|align = "right" bgcolor = "#C5D9F1"| 2,947,395
|-
|ICU beds as % of total hospital beds
|align = "right"|1.8%
|-
|bgcolor = "#C5D9F1"|Number of ICU beds in China, 2010
|align = "right" bgcolor = "#C5D9F1"|'''53,053'''
|-
|}
==Estimate of yearly growth in ICU Beds==
China has taken proactive measures to control the population growth and hence it would not be a relevant indicator for growth in ICU beds. There are several factors to be considered in estimating the growth rate of ICU beds in China.<br>
[[Image:growth drivers2.png|center|600px]] <br>
*'''Large and ageing population:''' By 2025, the number of people in China aged above 65 years is estimated to reach 198 million. ''Source: US Census Bureau, International Database, July 2003''
* '''Medical device industry growth:''' China medical device market has grown at a CAGR of 13.6% during 2003-2008 from $9 billion to $17 billion. ''Source: Datamonitor Report'' ; The market for Chinese medical devices in 2011 is estimated to be $23.2 billion and has grown at a CAGR of 11.1% during 2006-2011 period.'' Source: Espicom Business Intelligence''
*'''Insufficient ICU beds in hospitals''' & '''Poor penetration of medical equipment:''' The % of ICU beds in the total hospital beds in China is only 1.8% as compared to 9% in US. It is hard to find an ICU unit in primary level hospitals in China. Only 23.2% of the secondary level hospitals have ICU units. In tertiary level, ICU units are present in 52.5% centers. ''Source: [http://www.criticalcarenews.com/articlePage.aspx?ArticleID=83 ''Critical Care News'']
<br>
{|border="2" cellspacing="0" cellpadding="4" width="61%" align="center"
|align = "center" bgcolor = "#95B3D7"|'''Country'''
|align = "center" bgcolor = "#95B3D7"|'''No. of hospital beds per 10,000'''
|align = "center" bgcolor = "#95B3D7"|'''No. of ICU beds as % of total hospital beds'''
|-
|align = "center"|China
|align = "center"|22
|align = "center"|1.8%
|-
|align = "center" bgcolor = "#C5D9F1"|USA
|align = "center" bgcolor = "#C5D9F1"|31
|align = "center" bgcolor = "#C5D9F1"|9.0%
|-
|align = "center"|France
|align = "center"|73
|align = "center"|2.5%
|-
|align = "center" bgcolor = "#C5D9F1"|UK
|align = "center" bgcolor = "#C5D9F1"|39
|align = "center" bgcolor = "#C5D9F1"|1.2%
|-
|align = "center"|Canada
|align = "center"|34
|align = "center"|3.4%
|-
|align = "center" bgcolor = "#C5D9F1"|Germany
|align = "center" bgcolor = "#C5D9F1"|83
|align = "center" bgcolor = "#C5D9F1"|4.1%
|-
|align = "center"|Netherlands
|align = "center"|84
|align = "center"|2.8%
|-
|}
Source: [http://www.who.int/whosis/whostat/2009/en/index.html WHOSIS],[http://www.ncbi.nlm.nih.gov/pubmed/18766102 PubMed Paper]
<br>
*'''Government policies and initiatives:''' China put forward plans in 2010 for US$124 billion to be invested in the healthcare reform programme over a three year period until 2012. Hospitals benefit from these reforms leading to faster equipment replacement and and also generating new demand for medical devices. ''Source'': [http://7economy.com/archives/10736 ''7Economy''], [http://www.globalsurance.com/blog/chinas-healthcare-reforms-progress-324520.html ''Globalsurance'']
Based on the above factors the yearly growth rate in number of ICU beds is estimated to be 11.15%.
==Pricing and Replacements==
*The average price of an ICU ventilator in China is estimated as $ 12,500. In US, the price is between $15,000 - $ 25,000. ''Source: Kalorama Information Report on World Market for Mechanical ventilators''
*The average price of a disposable ICU ventilator circuit in China is estimates as $ 2.5. The price of a disposable ventilator circuit in US is between $4-$5 and that of a reusable circuit is $40-$50. ''Source: Kalorama Information Report on World Market for Mechanical ventilators''
*The number of replacements of disposable circuits in a single year (2011) is estimated to be 80
==Market Size Calculation==
*The market for ICU Ventilators in China for 2011 is estimated to be $76 Million
*The market for ICU Ventilator Circuits is about $ 12 Million
*Total ICU Ventilators Market is approximately $ 88 Million in China for 2011
<br>
{|border="2" cellspacing="0" cellpadding="4" width="60%" align="center"
|Number of ICU beds in China, 2010
|align = "right"|53,053
|-
|bgcolor = "#C5D9F1"|Yearly growth rate of ICU beds
|align = "right" bgcolor = "#C5D9F1"|11.5%
|-
|Number of new ICU beds for 2011
|align = "right"|6101
|-
|bgcolor = "#C5D9F1"|Market volume for ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|6101
|-
|Price of ICU Ventilator
|align = "right"|$12,500
|-
|bgcolor = "#C5D9F1"|Market size of ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$76,263,837'''
|-
|
|
|-
|bgcolor = "#C5D9F1"|Total number of ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|59,154
|-
|Price of ICU Ventilator Circuit
|align = "right"|$2.5
|-
|bgcolor = "#C5D9F1"|Number of replacements in a year, 2011
|align = "right" bgcolor = "#C5D9F1"|80
|-
|Average cost of Circuits in a year, 2011
|align = "right"|$200
|-
|bgcolor = "#C5D9F1"|Market size of ICU Ventilator Circuits, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$11,830,842'''
|-
|
|
|-
|bgcolor = "#C5D9F1"|Total market for ICU Ventilators China, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$88,094,679'''
|-
|}
==Excel Work Sheet==
[[Media:ICU Ventilator Market China - Work Sheet.xls]]
Intensive-care Unit (ICU) ventilators offer a wide range of breathing patterns, pressure controls, alarms and sensors. They use compressed oxygen and other gases stored in cylinders, ambient air or a mixture of both. Breathing circuits for these ventilators are double-limbed and can be quite complex. These ventilators are made for bedside use in the intensive-care units of hospitals. The key data provided by the device include:
*Airway pressure (analog bar graph & numerical)
*Total breath rate
*Inspiratory to expiratory time ratio
*Exhaled tidal volume
*Exhaled minute volume
*Peak flow
*Inspiratory time
==Market Assessment Model==
The market data for ICU ventilators in China is not readily available in public domain. There are paid reports published by various market research firms in which the data is either modeled using indicators or collected through primary research methods.
To arrive at the market size of ICU Ventilators in China for 2011, we have used the following methodology. We have considered only adult ICU Ventilators in this study. <br>
[[Image:Methodology1.png|center|700px]]
'''Assumptions''': Each ICU bed will be equipped with one ventilator.
==Number of ICU Beds==
According to 2010 census, the total population of China is estimated as [http://blogs.wsj.com/indiarealtime/2011/04/30/china-vs-india-the-population-numbers/ 1,339,724,852]. The number of hospital beds in China as per [http://www.who.int/whosis/whostat/2009/en/index.html WHOSIS] is 22 per 10,000 population. A research paper on [http://ccforum.com/content/14/1/206 critical care medicine in mainland China] which analyzed many papers including the one from China Critical Care Clinical Trial Group (CCCCTG) estimated the % of ICU beds as total number of hospital beds as 1.8%. <br>
{|border="2" cellspacing="0" cellpadding="4" width="53%" align="center"
|bgcolor = "#C5D9F1"|China Population, 2010
|align = "right" bgcolor = "#C5D9F1"|1,339,724,852
|-
|Hospital Beds per 10,000 in China
|align = "right"|22
|-
|bgcolor = "#C5D9F1"|Number of hospital beds
|align = "right" bgcolor = "#C5D9F1"| 2,947,395
|-
|ICU beds as % of total hospital beds
|align = "right"|1.8%
|-
|bgcolor = "#C5D9F1"|Number of ICU beds in China, 2010
|align = "right" bgcolor = "#C5D9F1"|'''53,053'''
|-
|}
==Estimate of yearly growth in ICU Beds==
China has taken proactive measures to control the population growth and hence it would not be a relevant indicator for growth in ICU beds. There are several factors to be considered in estimating the growth rate of ICU beds in China.<br>
[[Image:growth drivers2.png|center|600px]] <br>
*'''Large and ageing population:''' By 2025, the number of people in China aged above 65 years is estimated to reach 198 million. ''Source: US Census Bureau, International Database, July 2003''
* '''Medical device industry growth:''' China medical device market has grown at a CAGR of 13.6% during 2003-2008 from $9 billion to $17 billion. ''Source: Datamonitor Report'' ; The market for Chinese medical devices in 2011 is estimated to be $23.2 billion and has grown at a CAGR of 11.1% during 2006-2011 period.'' Source: Espicom Business Intelligence''
*'''Insufficient ICU beds in hospitals''' & '''Poor penetration of medical equipment:''' The % of ICU beds in the total hospital beds in China is only 1.8% as compared to 9% in US. It is hard to find an ICU unit in primary level hospitals in China. Only 23.2% of the secondary level hospitals have ICU units. In tertiary level, ICU units are present in 52.5% centers. ''Source: [http://www.criticalcarenews.com/articlePage.aspx?ArticleID=83 ''Critical Care News'']
<br>
{|border="2" cellspacing="0" cellpadding="4" width="61%" align="center"
|align = "center" bgcolor = "#95B3D7"|'''Country'''
|align = "center" bgcolor = "#95B3D7"|'''No. of hospital beds per 10,000'''
|align = "center" bgcolor = "#95B3D7"|'''No. of ICU beds as % of total hospital beds'''
|-
|align = "center"|China
|align = "center"|22
|align = "center"|1.8%
|-
|align = "center" bgcolor = "#C5D9F1"|USA
|align = "center" bgcolor = "#C5D9F1"|31
|align = "center" bgcolor = "#C5D9F1"|9.0%
|-
|align = "center"|France
|align = "center"|73
|align = "center"|2.5%
|-
|align = "center" bgcolor = "#C5D9F1"|UK
|align = "center" bgcolor = "#C5D9F1"|39
|align = "center" bgcolor = "#C5D9F1"|1.2%
|-
|align = "center"|Canada
|align = "center"|34
|align = "center"|3.4%
|-
|align = "center" bgcolor = "#C5D9F1"|Germany
|align = "center" bgcolor = "#C5D9F1"|83
|align = "center" bgcolor = "#C5D9F1"|4.1%
|-
|align = "center"|Netherlands
|align = "center"|84
|align = "center"|2.8%
|-
|}
Source: [http://www.who.int/whosis/whostat/2009/en/index.html WHOSIS],[http://www.ncbi.nlm.nih.gov/pubmed/18766102 PubMed Paper]
<br>
*'''Government policies and initiatives:''' China put forward plans in 2010 for US$124 billion to be invested in the healthcare reform programme over a three year period until 2012. Hospitals benefit from these reforms leading to faster equipment replacement and and also generating new demand for medical devices. ''Source'': [http://7economy.com/archives/10736 ''7Economy''], [http://www.globalsurance.com/blog/chinas-healthcare-reforms-progress-324520.html ''Globalsurance'']
Based on the above factors the yearly growth rate in number of ICU beds is estimated to be 11.15%.
==Pricing and Replacements==
*The average price of an ICU ventilator in China is estimated as $ 12,500. In US, the price is between $15,000 - $ 25,000. ''Source: Kalorama Information Report on World Market for Mechanical ventilators''
*The average price of a disposable ICU ventilator circuit in China is estimates as $ 2.5. The price of a disposable ventilator circuit in US is between $4-$5 and that of a reusable circuit is $40-$50. ''Source: Kalorama Information Report on World Market for Mechanical ventilators''
*The number of replacements of disposable circuits in a single year (2011) is estimated to be 80
==Market Size Calculation==
*The market for ICU Ventilators in China for 2011 is estimated to be $76 Million
*The market for ICU Ventilator Circuits is about $ 12 Million
*Total ICU Ventilators Market is approximately $ 88 Million in China for 2011
<br>
{|border="2" cellspacing="0" cellpadding="4" width="60%" align="center"
|Number of ICU beds in China, 2010
|align = "right"|53,053
|-
|bgcolor = "#C5D9F1"|Yearly growth rate of ICU beds
|align = "right" bgcolor = "#C5D9F1"|11.5%
|-
|Number of new ICU beds for 2011
|align = "right"|6101
|-
|bgcolor = "#C5D9F1"|Market volume for ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|6101
|-
|Price of ICU Ventilator
|align = "right"|$12,500
|-
|bgcolor = "#C5D9F1"|Market size of ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$76,263,837'''
|-
|
|
|-
|bgcolor = "#C5D9F1"|Total number of ICU Ventilators, 2011
|align = "right" bgcolor = "#C5D9F1"|59,154
|-
|Price of ICU Ventilator Circuit
|align = "right"|$2.5
|-
|bgcolor = "#C5D9F1"|Number of replacements in a year, 2011
|align = "right" bgcolor = "#C5D9F1"|80
|-
|Average cost of Circuits in a year, 2011
|align = "right"|$200
|-
|bgcolor = "#C5D9F1"|Market size of ICU Ventilator Circuits, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$11,830,842'''
|-
|
|
|-
|bgcolor = "#C5D9F1"|Total market for ICU Ventilators China, 2011
|align = "right" bgcolor = "#C5D9F1"|'''$88,094,679'''
|-
|}
==Excel Work Sheet==
[[Media:ICU Ventilator Market China - Work Sheet.xls]]