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The U.S. Market For Portable Diagnostics Test

Published by: PJB Publications USA Inc.

Published: Jan. 1, 2001 - 360 Pages


Table of Contents


1. Overview 1


    1.1 Objectives 1


    1.2 Scope of the Report 2


    1.3 Methodology 5


    1.4 Executive Summary 6


    1.4.1 Glucose Monitoring 8


    1.4.2 Pregnancy Testing 8


    1.4.3 Hepatitis Testing 9


    1.4.4 Drugs-of-abuse Screening Testing 9


    1.4.5 HIV Testing 9


    1.4.6 Cholesterol Testing 10


    1.4.7 Coagulation Testing 11


    1.4.8 Occult Blood Testing 11


    1.4.9 Urine Dipstick Testing 12


    1.4.10 Fertility Testing 12



2. Introduction 13


    2.1 Industry Status and Prognosis 13


    2.2 Emerging Need for Over-the-Counter Diagnostics 14


    2.3 The Structure and Size of the Industry 15


    2.4 Industry Trends 20


    2.5 Competitive Outlook 21


    2.6 Market Strategies 23



3. Market Analysis: Size, Growth, Share, Competitors 25


    3.1 Glucose Monitoring 25


    3.1.1 Diabetes Statistics 26


    3.1.2 Market Size 29


    3.1.3 Glucose Detection Kits 32


    3.1.4 Hemoglobin A1c and Long-Term Glucose Monitoring 40


    3.2 Pregnancy Testing 42


    3.2.1 Market Size 42


    3.2.2 The Tests 45


    3.2.3 Competition 46


    3.3 Hepatitis Testing 50


    3.4 Drugs-of-abuse Screening Testing 55


    3.4.1 Market Size and Demographics 57


    3.4.2 Types of Tests 63


    3.4.3 Urine Tests 66


    3.4.3 Saliva 77


    3.4.4 Hair 79


    3.4.5 Gas Chromatography/Mass Spectrometry (GC/MS) 80


    3.4.6 Alcohol 82


    3.5 HIV Testing 83


    3.5.1 Antibody Tests 87


    3.5.2 Non-Blood-Based Testing 88


    3.5.3 Insurance Industry Use 91


    3.5.4 Pharmacy and Public Health Clinical Market 93


    3.5.5 International Markets 94


    3.5.6 OTC Market 94


    3.6 Cholesterol Testing 100


    3.7 Coagulation Testing 104


    3.7.1 Clinical and Cost Benefits 105


    3.7.2 Competitive Landscape 106


    3.8 Occult Blood Testing 110


    3.9 Urine Dipstick Testing 113


    3.10 Fertility Testing 114


    3.10.1 Urine-based Fertility Tests 115


    3.10.2 Saliva-Based Tests 121


    3.11 Urinary Tract Infections 122


    3.12 Male Hormone Tests 123


    3.13 Antioxidant Tests 125


    3.14 Mineral Tests 126


    3.15 Osteoporosis Tests 127


    3.16 Performance Hormone Tests 128


    3.17 Prostate Cancer Tests 129


    3.18 Melatonin Tests 130


    3.19 Stress Hormone Tests 131



4. Business Trends 133


    4.1 Drug Wholesale Industry Overview 133


    4.2 Growth Strategies 136


    4.3 Distribution 140


    4.4 Reimbursement Issues 140


    4.4 Regulatory Issues 144


    4.4.1 FDA Pre-Market Approval and 510(k) 145


    4.4.2 International Regulation 148


    4.4.3 Clinical Laboratory Improvement Act (CLIA) 149


    4.5 Important Cost and Efficacy Elements to Consider 150



5. Patient Management Trends 153


    5.1 The Internet 153


    5.2 Management Benefits of OTC Testing 154


    5.3 Home Care Analysis 155


    5.4 Non-traditional Methods for Sample Collecting 155



6. Technology Trends 157


    6.1 Sensor Systems for Diagnostic Applications 157


    6.2 Glucose Measurements 161


    6.3 Cholesterol Testing 162


    6.4 Biosensor Technology 162


    6.5 Microfluidic and Biosensor Chip Technology 164


    6.6 Fructosamine Tests 166


    6.7 Technology Formats 167





7. OTC Testing: Critical Issues 169


    7.1 Quality Assurance Issues 169


    7.2 Political Control 170


    7.3 Regulatory Requirements 170


    7.4 Finance 170


    7.5 Attitudes of Critical Care Nurses and Physicians 170


    7.6 Record Keeping and Data Management 171


    7.6.1 Wireless LANS 172


    7.7 Point-of-Care Decentralization Issues 175


    7.8 Requirements for Point-of-Care Testing 179



8. Competitive Assessment of OTC Markets 181


    8.1 Glucose Testing 181


    8.1.1 Competitive Strategies 182


    8.1.2 Analyses of the Current Market Conditions, Competition, and Product Mix 183


    8.1.3 Adjacent Markets 187


    8.2 Rapid Coagulation Testing 187


    8.2.1 Competitive Strategies 188


    8.2.2 Analyses of the Current Market Conditions, Competition, and Product Mix 189


    8.2.3 Adjacent Markets 198


    8.3 Cholesterol Testing 198


    8.3.1 Competitive Strategies 199


    8.3.2 Analyses of the Current Market Conditions, Competition, and Product Mix 201


    8.3.3 Adjacent Markets 202


    8.4 Infectious Disease Testing 202


    8.4.1 Competitive Strategies 203


    8.4.2 Analyses of the Current Market Conditions, Competition, and Product Mix 206


    8.5 Drugs-of-abuse Screening Testing 213


    8.5.1 Competitive Strategies 215


    8.5.2 Analyses of the Current Market Conditions, Competition, and Product Mix 217


    8.5.3 Adjacent Markets 225



9. Market Trends and Forecasts 227


    9.1 New Systems for OTC Diagnostic Testing 227


    9.2 Utility of OTC Testing 228


    9.3 Information Management Advances 228


    9.4 Wellness Testing 228


    9.5 Patient Satisfaction 228


    9.6 Move Away from Central Laboratory Testing 229


    9.7 Healthcare Cost Controls 229


    9.8 Mergers of Diagnostic Companies 229


    9.9 Bio-Microfabrication 230


    9.10 Rx-Directed OTC Testing 231



10. Corporate Profiles 233


    10.1 Abbott Diagnostics (Medisense) 233


    10.2 Amerisource Health Corp. 235


    10.3 Avitar Technologies 241


    10.4 Avocet Medical 243


    10.5 Bayer Diagnostics 245


    10.7 Bergen Brunswig Corp. 247


    10.8 Biosite Diagnostics 251


    10.9 Cardinal Health Inc. 253


    10.11 Carter-Wallace 255


    10.12 Chembio Diagnostic Systems Inc. 257


    10.13 Cholestech Corp. 259


    10.14 DynaGen Inc. 271


    10.15 GDS Technology Inc. 273


    10.16 Home Access Health Corp. 275


    10.17 Johnson & Johnson 279


    10.18 Pharmanetics Inc./Cardiovascular Diagnostics Inc. 281


    10.19 Quidel Corp. 285


    10.20 Roche Diagnostics 289


    10.21 Saliva Diagnostics 291


    10.22 Selfcare Inc./Inverness Medical Technology 293


    10.23 Syntron Bioresearch Inc. 297


    10.24 Technical Chemicals and Products 301



11 Corporate Briefs 305


    11.1 American Bio Medica Corp. 305


    11.2 Bindley Western Industries Inc. 307


    11.4 Chematics Inc. 309


    11.5 Epitope (OraSure) 309


    11.6 HemoCue AB 309


    11.7 LXN Corporation 311


    11.8 McKessonHBOC 311


    11.9 Metrika 313


    11.10 Orasure Technologies Inc. (Epitope & STC Technologies) 313


    11.12 Princeton Biomeditech 315


    11.13 STC Technologies Corp. (OraSure) 315


    11.14 Unipath Diagnostics Co. 317


    11.16 Worldwide Medical Corp. 317



12. Corporate Directory 319



Appendix A: CLIA-Waived Cholesterol Tests 328



Appendix B: HCG Levels in Early Pregnancy 330



Appendix C: Description of Drugs-of-Abuse 332



Appendix D: Common Street Names for Drugs 336



Appendix E: Drug Detection Periods 338



Appendix F: List of OTC In Vitro Diagnostic Tests 340


Abstract

Over-the-counter diagnostic tests (such as cholesterol, blood glucose, and others) are a $1 billion market in the United States-and growing at an annual rate of 10-12%. Advancing in vitro technology is making more types of tests portable, thereby creating even more opportunities for an over-the-counter sales channel.

Learn about key opportunities and challenges for the U.S. market for over-the-counter tests. Find out:

  • About the products your competitors are developing
  • How to work with major pharmacy and supermarket chains, to place your test in front of consumers
  • How to use the internet and other direct sales channels to reach consumers

Types of tests covered in this report:

  • STDs, including HIV
  • Infectious diseases
  • Blood glucose monitoring
  • Cholesterol and blood lipid levels
  • Fecal occult blood
  • Pregnancy testing
  • Urine dipstick testing
  • Drugs of abuse screening

The U.S. Market for Over-the-Counter Diagnostics analyzes the data, and predicts the future shape of these segments. Don't miss out on these opportunities. Learn about the prospects in this sector.

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