Withadvancements touching the skies, anesthesia equipment promisesadvanced clinical capabilities, ease-of-use, low cost of ownership, and interoperability so that data can easily be interfaced with electronic medical records.

With the healthcare environment moving from evidence-based medicine to being more data-driven, new insights are emerging as data reveals trends that were never seen before. These insights provide new ways to improve care. As the scope of anesthesia care expands, the scope of patient care expands with it. The right technology can support efficient, coordinated care by empowering caregivers to work quickly and intuitively with each other and their equipment.

The market is expanding with the emerging technical advancements in anesthesia and respiratory devices with the leading vendors offering a broad range of anesthesia and respiratory devices. Introduction of low-priced multifeatured devices in the market is increasing product competition withinmanufactures.

Anesthesia-equipment manufacturers continue to introduce technological advances in their newest models. New technology focuses on patient safety as well as optimizing the efficiency of anesthetic delivery and minimizing anesthetic gas waste. Target-controlled low-flow anesthesia systems automate the fresh-gas-flow rate and vaporizer settings to achieve a specific end-tidal percentage that is set by the anesthesiologist.

Indian Market Dynamics

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The Indian anesthesia systems market in 2016 was estimated at 167.5 crore, with sales of 5,115 units. The super premium segment had excellent sales with the teaching institutes making major procurements. This trend is of course one of a kind, and may not be repeated in 2017. The mainstay continues to be the mid-tier and value segment, which together contributed 53 percent to the market in value terms in 2016. The premium and performance segment each have a market share in the 14 percent vicinity, whereas super value contributes 8.6 percent to the market. The buyer is increasingly exhibiting less inclination for refurbished systems and competitively priced imported models.

Teaching institutes made major procurements, with a preference for the super-premium segment. Major buyers in 2016 included AIIMS; NEIGRIHMS (North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences), Shillong; BMSICL (Bihar Medical Services & Infrastructure Corporation) Patna; Indira Gandhi Institute of Medical Sciences, Patna; and AP Health Corporation, Hyderabad. Mindray had good success in this category.

With increasing competition on price, vendors are shifting to offering products from their Chinese partners, rather than European ones, and also focusing on Tier-II and Tier-III cities.

Global Market Dynamics

The global anesthesia devices market was valued at USD 9,563 million in 2016, and is projected to reach USD 15,463 million by 2023, registering a CAGR of 7.1 percent from 2017 to 2023, estimates Allied Market Research. Continuous growth in this market can be attributed to the rapid adoption of anesthesia information management systems (AIMS), which have been implemented in an effort to move the industry away from the paper-based record-keeping systems to more efficient electronic solutions. The establishment of several government-supported national statistical databases is driving this market as well. The demand is also rapidly increasing with the growing safety awareness and technology enhancements in anesthesia machines. The low-flow anesthesia and electronic medical records dominate the current global anesthesia market technology, which indirectly leads to lesser significant savings across the healthcare industry.

However, the rapid advancements in the anesthesia industry make it increasingly difficult for the anesthesiologist to keep up with the various anesthesia machine technologies. Additionally, the latest anesthesia technology does not come at a low price, and even the most basic configuration of the equipment can cost a fortune. The decrease in reimbursements provided by governments for medical equipment, and increased availability of aftermarket service that prolongs the life of a facility's existing equipment are also the challenges involved that this market may have to face with respect to its growth.

From a geographical point of view, North America has the highest market share followed by Europe. The North American market share is as high as 34 percent. Recent trends show that emerging countries will show a greater growth in the market share in the near future, due to the increasing per capita income in emerging nations and the rapidly rising patient population in these regions as well.

Features to Look for When Buying Anesthesia Equipment

It is important that anesthesia machines not only meet all the clinical challenges that one would expect related to the life of the device, but it is also extremely important to evaluate the total cost of ownership of the device, device connectivity, and overall safety concept. Total cost of ownership includes acquisition price, regular consumables costs, and regular maintenance costs over the life of the device. Service, maintenance kits, and consumable costs can vary greatly between suppliers. It is important to understand length of standard warranties and what consumables are proprietary as these items can not only impact the total cost ownership of the device but may also require more of the biomeds' time. As facilities and systems move toward improved interoperability, interfacing with devices of various suppliers can be challenging and expensive. Utilizing nonproprietary, open standards like HL7 can simplify implementation and reduce costs. Finally, safety is paramount. The machine should be able to ventilate and deliver agent in case of complete power failure, have an extended battery life, and the ability to protect against surgical fires with the advantage of blending oxygen and air to reduce the combustible percentage of oxygen.

Many new devices have software that includes an automated machine checkout. Software in newer models has also been developed to assist the end user in determining efficient levels of anesthetic agent and fresh gas flow rates. Another consideration would be the ventilator modes that are needed versus the ventilator modes that are available from the machine. Some newer machines are capable of being integrated with the electronic medical record to capture key parameters such as anesthetic agent consumption and fresh gas usage. This is an important consideration as it may also affect patient billing. Facility looking to maximize on its investment should look for a machine that has been a big seller. The more machines that are out there in hospitals, the longer that particular model is generally supported by the manufacturer and third-party organizations. Once the manufacturer's end of support date hits, the more machines that were sold will determine how much longer the device can be supported by third-party vendors and the used/refurbished parts market.

Road Ahead

A technology that is designed explicitly for and adequately tailored to meet the demands of the perioperative care process and requirements will result in optimal clinical adoption and outcomes. With the advancements touching skies, the anesthesia equipment in the future promise to offer advanced clinical capabilities, ease-of-use, low cost of ownership, and interoperability so that the data can easily be interfaced with electronic medical records.

Although gradual transition toward automated and computerized record systems is in place, it is still a distant prospect in many peripheral institutes and low-resource hospitals. Focusing on the financial feasibility and support for small, rural, critical access hospitals to increase implementation of AIMS is a direction for future research and policy development. A single comprehensive anesthesia solution that streamlines the workflows, covering a full range of perioperative care is the need of the hour.


 

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