US Market Report for Anesthesia Delivery Units 2017 - MedCore
General Report Contents
- Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
- Market Drivers & Limiters for each chapter segment
- Competitive Analysis for each chapter segment
- Section on recent mergers & acquisitions
Anesthesia is drug that is administered in either a gas form or an injection to induce insensitivity to pain and lack of awareness typically prior to surgical operations. Nurse anesthetists are the primary providers of anesthesia care to patients in the United States and have been responsible for doing such for over 150 years. In order to administer anesthesia, a credential known as the CRNA (Certified Registered Nurse Anesthetist) is required. According to the American Association of Nurse Anesthetists (AANA) 2016 Practice Profile Survey, approximately 43 million patients received anesthesia in the United States on an annual basis. The type of anesthesia delivered varies but can be categorized as general, local or regional. General anesthesia is also further subdivided into intravenous (IV) and inhalation anesthesia.
Anesthesia delivery units, also known as anesthesia machines or ADUs, are used for the administration of general anesthesia through inhalation. Anesthesia machines are considered to be the most important piece of equipment used by anesthesiologists. They perform several functions, including mixing anesthetic gases and oxygen, ventilating the patient and vaporizing volatile anesthetic drugs. Pressurized gas cylinders or centralized hospital gas supply connections are used to deliver oxygen, nitrous oxide and other anesthetic gases at high pressures. The gas either is used to transport vaporized anesthetic agents like trilene, ether, halothane, fluorothane, desflurane, sevoflurane and others, or is sent directly to reservoir bags. Traditionally, the bags would be manually squeezed to pump the gas through a ventilation system into the patient’s lungs. In modern equipment, this process is typically automated.
The invention of the original ADU is typically credited to British anesthesiologist Dr. H.E.G. Boyle, who, along with fellow British anesthesiologist Dr. Geoffrey Marshall, designed the machine while treating casualties in World War I. As the use of the ADU (typically referred to as “Boyle’s Machine”) grew after the war, manual ventilation was eventually replaced with the integration of ventilators. Additional parameters were added as newer gases and anesthetic agents were developed. As a precaution to ensure safer anesthetic practices, anesthesia machines are typically equipped with various safety alarms and basic anesthesia agent detectors. ADUs offer significantly greater levels of sophistication, with current designs incorporating anesthesia, ventilation and gas monitoring units into an integrated anesthesia workstation. A critical feature for the future development of ADUs will be the integration of information management systems into anesthesia workstations, both in the operating room (OR) and hospital-wide.
ADUs are most commonly used in the OR in both hospitals and ambulatory surgery centers (ASCs), but they can also be used in the hospital outside of the OR, in obstetrics, magnetic resonance imaging (MRI), and other suites, such as the catheterization laboratory and computed tomography (CT) suites. These devices are often paired or, in some cases, integrated with gas disposal units and anesthesia monitors. In cases where they are integrated, a single unit is referred to as an anesthesia workstation.
There are various ways to categorize anesthesia machines or anesthesia delivery units (ADUs). The market for anesthesia delivery devices (ADUs) is segmented into three groups according to the clinical settings in which they are used. The three various settings include operating rooms in hospitals, other hospital suites and operating rooms in ambulatory surgery centers (ASCs). The segment for ADUs in hospital ORs is further divided into high- and low-complexity unit sub-segments, as defined in the introduction to this report In addition, the segment for ADUs in other hospital suites is divided into segments for units in the MRI, obstetrics and other/alternate suites, with the “other/alternate” category representing all hospital units that fall outside standard categories. This other/alternate category includes units that are transported between sites based on need and those that are stored for backup.