Anesthesia Monitoring Devices – Unmet Needs and Upcoming Technologies

Anesthesia monitoring devices mainly delivers the anesthetic substances (especially gases, drugs and fluids) to the patient and also measures and displays the physiological state of the patient. These monitors are majorly used to check the patient’s response towards anesthesia and also patient’s vital parameters like oxygenation, circulation, ventilation and temperature of the patient during surgery and post surgery period. These devices find foremost usage in hospitals, ambulatory surgical centers and academic research institutes depending on the Surgeon’s requirements.

According to IQ4I estimation, the anesthesia monitoring devices global market is expected to grow at a CAGR of 7.7% to reach $1,644.6 million by 2024. North American region held the largest market share in 2017 whereas Asia-Pacific region is projected to grow with a strong CAGR. The major factors driving the Anesthesia monitoring devices market includes increasing number of surgeries, technological advancements, rise in aging population and patient pool, growing incidence & prevalence of chronic diseases. However, lack of awareness among the professionals operating the devices and high cost of the devices may hinder the growth of Anesthesia monitoring devices market. The Anesthesia monitoring devices global market is segmented into Basic Anesthesia monitors, Advanced Anesthesia monitors and Integrated Anesthesia monitors based on the Products. Increasing technological innovations like non-invasive procedure and wireless technologies are the emerging trends in the hospital end-users segment making it to occupy the major share in the Anesthesia monitoring devices end users market.

The major players of the market are committed to compliance with regulatory approval and quality system requirements by addressing specific terms and conditions of local and national regulatory authorities including the U.S. FDA, European Union along with CE marking, CFDA in China and CDSCO in India and comparable agencies in other countries.

New Anesthesia monitoring devices are technologically advanced, majorly focus on patient safety and one of the safety parameter is Anesthetic gas delivery. For instance, Target-controlled Anesthesia Systems like Zeus IE from Draeger (Germany) and Aisys from GE (U.S.) are becoming more important nowadays as they automatically control the fresh anesthetic gas flow rate and also vaporizer settings. Similarly, Micropore (U.S.) patented ExtendAir technology allows for binding fine adsorbent powder on a solid sheet. Micropore’s Spiralith carbon dioxide adsorbents are used in anesthesia machines. Compared to conventional absorbers, Lithium base Carbon Dioxide absorber from Micropore Inc provides potential advantages like no desiccation and no generation of dust or contamination of workplace.

Awareness during surgery is a very severe problem leading to various intra-operative experiences for the patients. According to Osterman and van der Konk,(“Awareness during anesthesia and post traumatic stress disorder”. Gen Hosp Psychiatry. 1998), following to awareness, many patients have a post traumatic stress disorder. To prevent this many emerging players in the market are coming with advanced machines. For instance, Fresenius Kabi (Germany) a global healthcare company which acquired Quantium Medical (Spain) in 2016 offers Conox Depth of Anesthesia monitor. Conox is a non-invasive depth of anesthesia monitor designed to help anesthesiologists monitor patient brain activity and to quickly identify how anesthetics are affecting the patient. It is the only monitor which measures both hypnotic and analgesic effect. This novel monitor helps to identify if the patient awareness during anesthesia. It also avoids from too deep anesthesia which could cause Post Operative Cognitive Dysfunction (POCD). Furthermore, Cortical Dynamics (Australia) has developed BAR (Brain Anesthesia Response) monitor which provides much greater sensitivity to anesthetic drug effect enabling the monitoring of a wider range of anesthetic agents, some of which are not properly detected by the competing technologies.

However, further research has to be done in analyzing the risk and rate of awareness while achieving and maintaining proper Depth of Anesthesia. More developments should happen in introducing cost-benefit devices (which are also less prone to interference, highly accurate and wireless) into the market.

The Anesthesia monitoring devices global market is highly consolidated and the top 7 players occupy more than 80% share. Draegerwerk AG & Co. (Germany), Fukuda Denshi Co. Ltd. (Japan), GE Healthcare (U.S.), Heyer Medical (Germany), Medtronic (Ireland), Mindray Medical International Limited (China), Nihon Kohden Corporation (Japan) are the major players. Other key players in the market are Infinium Medical (U.S.), Monitor Technik (Narcotrend)(Germany), BPL medical technologies (India), Masimo Corporation (U.S.), Opto circuits (India), Danmeter (Denmark), Ambisea (China).

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