Global Audiological Devices Industry

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Dec. 5, 2012 06:20 AM

NEW YORK, Dec. 5, 2012 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

Global Audiological Devices Industry

http://www.reportlinker.com/p098388/Global-Audiological-Devices-Industry...

This report analyzes the worldwide markets for Audiological Devices in US$ Million by the following Product Segments: Hearing Aids (Behind-the-ear, In-the-ear, In-the-canal, & Completely-in-the-canal), Measurement/Testing Devices (Otoscopes, Audiometers, Impedence Analyzers, Hearing Aid Analyzers, & Others), and Cochlear Implants. Further, the global Hearing Aids market is analyzed in '000 units for geographic regions including the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2010 through 2018. Also, a five-year historic analysis is provided for these markets. The report profiles 62 companies including many key and niche players such as Cochlear Limited, GN Resound A/S, Med-EL Medical Electronics, Neurelec SA, Otovation LLC, Siemens Audiologische Technik GmbH, Starkey Laboratories, Inc., Sonova Holding AG, Advanced Bionics Corporation, Phonak AG, Widex A/S, William Demant Holding, Bernafon AG, Sonic Innovations, and Oticon A/S. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based upon search engine sources in the public domain.

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONSStudy Reliability and Reporting Limitations I-1Disclaimers I-2Data Interpretation & Reporting Level I-2Quantitative Techniques & Analytics I-3Product Definitions and Scope of Study I-3Hearing Aids I-4Behind-The-Ear Hearing Aid I-4In-The-Ear (ITE) Hearing Aid I-4In-The-Canal (ITC) Hearing Aid I-4Completely-In-The Canal (CIC) Hearing Aid I-4Measurement/Testing Devices I-4Otoscopes I-4Audiometers I-4Impedance Analyzers I-5Hearing Aid Analyzers I-5Other Measurement/Testing Devices I-5Cochlear Implants I-5II. EXECUTIVE SUMMARY

1. GLOBAL MARKET OVERVIEW AND ANALYSIS II-1

A Primer II-1

Developed Markets Lead the Suite in Sales II-1

Hearing Aids - Maintain Their Dominance II-2

Cochlear Implants - The Fastest Growing Segment II-2

Key Market Drivers II-3

World Hearing Loss Prevalence II-3

A Snapshot of Global Hearing Loss Statistics II-4

Table 1: World Moderate-to-Severe Hearing Impaired Population

for Years 2006 through 2015 (includes corresponding

Graph/Chart) II-4

Unraveling the Opportunities Ahead II-4

Demographic Metrics II-4

Table 2: Worldwide Distribution of 65+ Population by

Region/Country: 2011 (includes corresponding Graph/Chart) II-5

Table 3: Percentage Share of Global Population by Age Group,Worldwide: 2025 (includes corresponding Graph/Chart) II-5Growing Life Expectancy II-5Table 4: Life Expectancy at Birth for Select Countries(2011) II-6Increasing Hearing Impairment among Younger Population II-6

2. HEARING AIDS MARKET DYNAMICS II-8

Global Demand for Hearing Aids Upbeat II-8

2011 in Retrospect II-8

Favorable Demographics to Append Volume Sales II-9

Penetration Rates Still Higher in the Aged Population II-9

Technological Advancements Underscore Hearing Aid Market II-9

Digital Technology Takes Precedence II-10

Hearing Aids and the World of Connectivity II-10

Bluetooth Technology - Enabling Connectivity of HAs with

Other Media Devices II-10

Hearing Aid Compatibility with Phones - A Review of the

Technology and Laws in the US II-11

Customization - the Driving Force behind Product Specialization II-11

Market Moves towards Miniaturization II-12

Imparting Disposability to Hearing Aids II-12

Product Mix and Poor Economic Outlook to Hold Back Prices II-12

Table 5: Average Annual Selling Prices of Hearing Aids

Worldwide in US$ for Years 2010 through 2018 (includes

corresponding Graph/Chart) II-13

Binaural Fittings Market to Grow II-13

Table 6: World Binaural Fitting Rates by Region - US, EU,

Asia-Pacific and Rest of World for Years 2005, 2010, 2015 &

2020 (includes corresponding Graph/Chart) II-14

Consumers Demand More Value-Added Features II-14

Invisible Devices - A New Class of Products on the Market II-14

Need for Change in Business Models Imperative for Lowering Costs II-15

An Analysis of HA Cost Structure II-15

Industry Value Chain II-16

Table 7: Hearing Aid Industry Value Chain: Cost and Value

Addition by Segment (includes corresponding Graph/Chart) II-16

Poor Levels of Hearing Aid Penetration Promise Bright Prospects II-16

Table 8: World Hearing Loss Population Breakdown by Severity:

2011 (includes corresponding Graph/Chart) II-17

Table 9: Penetration of Hearing Systems: Breakdown for Usersand Non-Users of Hearing Systems (includes correspondingGraph/Chart) II-17

Table 10: World Hearing Aid Adoption Rate for Years 2006-2015

(includes corresponding Graph/Chart) II-18

Table 11: World Adoption Rate of Hearing Aids by Region - US,EU, Asia-Pacific and Rest of World for Years 2005, 2010, 2015 &2020 (includes corresponding Graph/Chart) II-18

Table 12: Hearing Aid Penetration Rate in Select Countries

Worldwide (includes corresponding Graph/Chart) II-19

Subsidy/Reimbursement Scenario for Hearing Aids II-19

A Review of Subsidy/Reimbursement System for Hearing Aids in

Select Regional Markets II-19

3. COCHLEAR IMPLANTS - MARKET REVIEW II-21Cochlear Implants Gain Visibility II-21Low Penetration of CI Implants - A Concern and an Opportunity II-21Reimbursement of Cochlear Implants II-22Cochlear Implants Reimbursements: A Review (Recent Past) II-22Adult Patient Segment - the Next Growth Avenue for CochlearImplants II-22Emerging Markets - Will They Offset Slowing Sales Growth inDeveloped Markets? II-22Bilateral Implantation Catching Up II-23Diversity Exists in Adoption of Regional Binaural Hearing Devices II-23Robust Prospects for BAHI in Developed Markets II-24

4. COMPETITIVE LANDSCAPE II-25

Hearing Aids Market II-25

Handful of Players Dominate the Marketplace II-25

Table 13: Leading Players in the Global Hearing Aid Market

by Value (2011): Percentage Breakdown of Revenues for

Sonova, W. Demant, Starkey, Siemens, GN ReSound and Others

(includes corresponding Graph/Chart) II-25

Table 14: Leading Players in the Global Hearing Aid Marketby Volume (2011): Percentage Breakdown of Volume Sales forSonova, W. Demant, Siemens, GN ReSound, Widex and Others(includes corresponding Graph/Chart) II-25Hearing Aids Market: Products and Distribution Presence ofKey Competitors II-26Hearing Aid Markets Witnesses Shuffle in Rankings II-26Consolidation Activity Continues in the Hearing Aid Industry II-26Consolidation Activity in the Hearing Aids Industry: SelectKey Acquisitions 2006-2012 II-27Strong Portfolio Pushes Sonova to the Top II-28InSound's Acquisition to Boost Sonova's Hearing Aids Sales II-28GN ReSound Pins Hopes on Resound Alera II-28The Road Ahead for Siemens II-29Product Diversification - the New Mantra to Beat Competition II-29Vertical Integration Catches Impetus in Hearing Aid Industry II-29Higher R&D Costs and Patent Situation II-30Measurement/Testing Devices II-30Competition in Cochlear Implants Market II-30Table 15: Leading Players in the Global Cochlear ImplantMarket (2009-2011): Percentage Breakdown of Unit Sales forCochlear, Med El, Advanced Bionics and Neurelec (includescorresponding Graph/Chart) II-31Cochlear Running Virtual Monopoly in the BAHI Market II-31Competitive Assessment for Future II-32Sonova's Cochlear Implants Market - Marred with Recalls II-32New Products to Expand Sonova's Share in Hearing Implant Market II-32Cost advantages to Assist Sonova in CI Implants II-33Advanced Bionics to Make Further Advances in Implants Market II-33Chinese Manufacturers Make a Foray in to Cochlear ImplantsMarket II-33

5. DISTRIBUTION MARKET DYNAMICS II-34

Major Distribution Channels for Hearing Aid Manufacturers II-34

Amplifon Dominates the Hearing Aid Retail Market II-34

Table 16: Leading Suppliers of Hearing Aids to Amplifon

(2011): Percentage Breakdown of Volume Shipments for

Siemens, GN ReSound and Others (includes corresponding

Graph/Chart) II-35

Table 17: Amplifon's Share in Manufacturer Shipments inPercentage: 2011 (includes corresponding Graph/Chart) II-35Key Public Distribution Contracts for Hearing Devices Worldwide II-35Still Room for Further Consolidation II-35Table 18: Leading Retailers of Hearing Aids Worldwide (2011):Percentage breakdown of Sales for Independent Retail Stores,Public Health Schemes, Manufacturers' Retail Stores, andRetail Chains (includes corresponding Graph/Chart) II-36

6. PRODUCT OVERVIEW II-37

Audiology: A Prologue II-37

Human and Technical Aids II-37

Audiological Devices II-37

Classification of Audiological Devices II-37

Hearing Aids II-38

History of Hearing Aids II-38

Types of Hearing Aids II-39

Behind-The-Ear (BTE) II-39

Advantages II-39

Disadvantages II-39

Open-Fit Mini Behind-The-Ear II-39

In-the-Ear (ITE) II-39

Advantages II-40

Disadvantages II-40

In-the-Canal (ITC) II-40

Advantages II-40

Disadvantages II-40

Completely-in-the Canal (CIC) II-40

Advantages II-41

Disadvantages II-41

Broader Classification of Hearing Aids II-41

Conventional Hearing Aids II-41

Programmable Hearing Aids II-41

Digital Hearing Aids II-42

Technology - Analog Vs. Digital II-42

Disposable Hearing Aids II-42

Hearing Aids Batteries II-42

Common Problems Associated with Use of Hearing Aids II-43

Common Cold Affects Functioning of Hearing Aids II-43

Hygiene Problems Associated with Hearing Aids II-43

Prevention of Transmission II-43

Trends in Hearing Aids and Hearing Aids Batteries Market II-43

Measurement/Testing Devices II-44

Otoscopes II-44

Video Otoscopes II-44

Audiometers II-44

Audiogram II-45

Working of an Audiogram II-45

Audiogram Interpretation II-45

Audiometric Tests II-46

Impedance Analyzers II-46

Hearing Aid Analyzers II-46

Other Measurement/Testing Devices II-46

Cochlear Implants II-46

Cochlear Implant Technology II-46

Beneficiaries of Cochlear Implant II-47

Cochlear Implants Found Effective in Children II-47

7. AN INSIGHT INTO THE HUMAN AUDITORY SYSTEM II-48The Hearing Process II-48Nature And Types Of Hearing Loss II-48Determining the Level of Hearing Impairment II-49Hearing Impairments II-49Conductive Hearing Loss II-49Sensor Neural Hearing Loss (SNHL) II-49Noise Induced Hearing Loss II-50Congenital Hearing Loss II-50Common Causes of Hearing Loss II-50Presbycusis II-50Diseases II-51Otitis Media II-51Autoimmune Disease II-51Otosclerosis II-51Meniere's Disease II-51Tinnitus II-51Subjective Tinnitus II-51Objective Tinnitus II-51Treatment II-52Treatment for SNHL II-52Sound Amplification Through Hearing Aids II-52Ear Surgery II-52Stapedectomy II-53Tympanoplasty II-53Ear Tube Surgery and Myringotomy II-53Ear Surgery for Perforated Eardrum II-53Ear Surgery for Tumors II-54Ear surgery for Congenital Ear Defects II-54Other Ear Surgeries II-54Cochlear Implants II-54Tinnitus II-54Hearing Conservation Programs II-55Strategies to Control Noise - Administrative and EngineeringControls II-55Regulatory Steps Initiated in Europe II-55Effective Hearing Conservation Program - Characteristics II-55

8. PRODUCT INNOVATIONS/LAUNCHES II-56

Hansaton Unveils AQ Slim BTE II-56

Audiologial Consultants Launches New Version of Lyric Hearing Aid II-56

Phonak Unveils the Smallest Personalized Hearing Aid, nano II-56

Resound Launches RESOUND VEA II-56

Siemens Rolls Out an Upgrade to BestSound Technology II-57

Oticon Launches Oticon Intigai II-57

Siemens Launches Eclipse Hearing Aid II-58

Siemens Unveils New Advanced BestSound Technology, XCEL II-58

Resound Launches Resound Alera TS II-59

Starkey Hearing Technologies Launches New Wireless Products II-59

Widex Launches Widex Super220 and Widex Super440 Hearing Aids II-60

Widex Launches IIC Hearing Aid II-60

Panasonic Introduces R1-W Series of Digital Hearing Instruments II-60

Metrohm Launches FRA32M II-61

Panasonic Launches R1-W Series II-61

Sonic Launched Flip, a miniRIC Hearing Instrument II-62

Sonic to Launch New MiniRIC Device II-62

Panasonic Develops New Automatic Volume Level Fitting

Technology for Hearing Aids II-63

Phonak Launches New H20 Watertight Hearing Device II-63

Starkey Introduces MiniRIC hearing Aid, Xino II-63

Siemens Unveils an Upgraded Ear Impression Scanner, iScan II-63

UnitedHealth Expands Healthcare Business to Include Hearing Aids II-63

Advanced Bionics Obtains FDA Approval for HiRes 90K Cochlear

Implant Market Re-entry II-64

MED-EL Introduces New MAESTRO™ CI System II-64

Siemens Hearing Instruments Rolls Out Eclipse: a Discreet

Hearing Aid II-64

Starkey Laboratories Launches X Series: a New Range of Digital

Hearing Aids II-65

Audiotoniq Launches Professional Hearing Test and Digital BTE II-65

Siemens Launches Aquaris II-66

Cochlear Americas Gets FDA Clearance for Cochlear™ Baha® 3

Power Sound Processor II-66

OTOVATION and Widex Jointly Release OTOPod ProgLink II-66

ReSound Launches New Alera Extensions II-67

Los Gatos Audiology and Hearing Aid Center Introduces New

Website LosGatosHearingAid.com II-67

American Hearing Aid Associates Introduces Consumer Website

SecondSenseHearing.com II-67

Beltone Introduces Beltone True MIC and Beltone True Flex BTE II-68

Comfort Audio Introduces Comfort Digisystem Series of Digital

ALDs in North America II-68

ExSilent Unveils Ytango Product Range II-68

ExSilent Launches Qleaf Pro Hearing Aids II-69

HearPod Introduces Clear Choice Hearing Aids II-69

InSound Medical Introduces Invisible Hearing Device Lyric in UK II-69

IntriCon Introduces APT™ Open ITC Hearing Aid II-69

Miracle-Ear Launches Mirage Hearing Aid II-70

North Shore Eye Launches Hearing Services II-70

Phonak Introduces Audéo S SMART Ceramics II-70

Purple Communications Introduces ClearCaptions™ Service for

Hearing Disabled People II-71

Siemens Hearing Instruments Unveils Aquaris™ II-71

Sonic Innovations Launches Groove CIC Hearing Aid II-71

Sonic Innovations Unveils Varicom Product Line II-72

Starkey Rolls Out AMP Hearing Aid II-72

Unitron Introduces Era Platform II-72

US NewSound Launches CIC - Bee II-72

NowiHear.com Launches NowiHear Application for Android II-73

ReSound Introduces ReSound Alera Configurable BTE 77/87

Hearing Aid II-73

Hansaton USA Rolls Out AQ X-Mini II-73

Siemens Hearing Instruments Launches iMini Hearing Instrument II-73

ReSound Develops Remote Microphone Technology for Hearing Aids II-73

Inmedico Launches Oscilla USB-350SP II-74

Oticon Unveils Acto and Chili Hearing Aids II-74

Oticon Medical Launches Four New Hearing Aids II-75

Oticon Launches Safari SP II-75

AB Launches Harmony II-76

Unitron to Launch Wireless Digital Hearing Aids II-76

HIOKI to Launch IM3570 II-77

Apple Biomedical Launches MDScope II-77

OTOVATION Launches OTOpod M2 II-77

Otovation Introduces New OTOPod® M2 and Improved Symphony®

Software II-78

GN ReSound Launches ReSound Live 312 ITC II-78

Ear Specialists of Omaha Introduce New Website II-78

HearSource.com Introduces New Hearing Aids Website II-79

SeboTek Launches Sebo HD Product Range II-79

Ascent Hearing Introduces iSync iNSTAFit II-79

Widex Hearing Aids to Introduce Fusion Product Range II-79

Sonova Launches Multiple Products II-80

ReSound Unveils Alera II-80

Sonic Innovations to Launch Endura II-80

IntriCon to launch ScenicTM DSP Amplifier II-80

Siemens Hearing Instruments Unveils BestSound Technology Products II-81

Sonova Holding Unveils New Brand, Sona II-81

Oticon to Launch Oticon Agil II-81

Hansaton Introduces Products in the US Market II-81

ReSound Launches Live ITC Remote Microphone Custom Hearing

Instruments II-82

Cochlear Launches Hearing Aid Technology II-82

9. PRODUCT INNOVATIONS/LAUNCHES IN RECENT PAST - A PERSPECTIVEBUILDER II-83Starkey Unveils S Series Hearing Aids II-83Cochlear Introduces Implantable Hearing Solutions II-83Sleek Audio Introduces the VQ System II-83Widex Introduces Hearing Aids with Integrated Digital SignalProcessing II-83America Hears Launches Digital Hearing Aids II-83Siemens Launches Hearing Aids Range II-84America Hears Unveils Digital Hearing Aid Range II-84Songbird Hearing Unveils Songbird Flexfit Hearing Aid II-85

10. RECENT INDUSTRY ACTIVITY II-86

Advanced Bionics Receives U.S FDA Approval for ClearVoice™ II-86

Amplifon Acquires Majority Stake of Maxtone II-86

IntriCon Enters into Manufacturing Agreement with Hi

HealthInnovations II-86

Wolfson Microelectronics to Takeover Dynamic Hearing II-86

Diagnostic Group Takes Over Sensory Devices II-87

Audiology Distribution Acquires HearUSA II-87

Alliance Data Systems Enters into Long-Term Agreement with

Sycle to Offer Credit Services II-87

HearAtLast Holdings and VitaSound Audio Ink Partnership Deal II-88

National Hearing Care Group Introduces Operations in India II-88

Panasonic to Enter into US Hearing Care Market II-88

Phonak to Expand into Tier-3 Cities and Rural Indian Settings II-89

Otix Global Merges with William Demant Holding II-89

Sonova Takes Over InSound Medical II-89

Amplifon Acquires NHC II-90

WDH-Otix Merger Awaiting Finalization II-90

Unitron Establishes Indian Subsidiary II-90

Starkey Laboratories and NCBH to Start Hearing-Aid.com II-90

Sonova Holding Takes Over InSound Medical II-91

Otix Global Signs Merger Agreement with William Demant II-91

ON Semiconductor Takes Over Sound Design Technologies II-91

Starkey Enters into Licensing Agreement with NVCP II-92

HAL Holding Acquires Interest in Geers II-92

11. CORPORATE ACTIVITY IN THE RECENT PAST - A PERSPECTIVE BUILDER II-93Sonova Holdings Acquires Advanced Bionics II-93Cochlear Inks Agreement with NXP to Enhance Hearing ImplantDevices II-93Sonomax Hearing Healthcare Sells Rights for Software System to 3M II-93HearAtLast Holdings to Open Tinnitus Clinic in Canada II-93Natus Medical Completes Acquisition of Sonamed II-94Technitrol Announces Sonion Acquisition II-94Sonomax Completes Sale of Vitasound II-94ReSound North America Partners with Sonus II-95Starkey and SeboTek Enter into Patent License Agreement II-95GoAmerica Completes the Acquisition of Verizon TRS Division II-96AidRight Plans for Nationwide Expansion II-96

12. FOCUS ON SELECT GLOBAL PLAYERS II-97

Cochlear Limited (Australia) II-97

GN ReSound A/S (Denmark) II-97

Med-EL Medical Electronics (Austria) II-97

Neurelec SA (France) II-98

Neurelec's Product Portfolio II-98

Otovation LLC (USA) II-98

Siemens Audiologische Technik GmbH (Germany) II-98

Starkey Laboratories, Inc. (US) II-99

Sonova Holding AG (Switzerland) II-99

Advanced Bionics Corporation (US) II-99

Phonak AG (Switzerland) II-100

Widex A/S (Denmark) II-100

William Demant Holding (Denmark) II-100

Bernafon AG (Switzerland) II-101

Sonic Innovations, Inc. (US) II-101

Oticon A/S (Denmark) II-101

13. GLOBAL MARKET PERSPECTIVE II-102Table 19: World Recent Past, Current & Future Analysis forAudiological Devices by Geographic Region - US, Canada, Japan,Europe, Asia-Pacific (excluding Japan), Latin America and Restof World Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2010 through 2018 (includescorresponding Graph/Chart) II-102

Table 20: World Historic Review for Audiological Devices by

Geographic Region - US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets

Independently Analyzed with Annual Revenues Figures in US$

Million for Years 2005 through 2009 (includes corresponding

Graph/Chart) II-103

Table 21: World 14-Year Perspective for Audiological Devicesby Geographic Region - Percentage Breakdown of Revenues forUS, Canada, Japan, Europe, Asia- Pacific (excluding Japan),Latin America and Rest of World Markets for Years 2005, 2011 &2018 (includes corresponding Graph/Chart) II-104

Table 22: World Recent Past, Current & Future Analysis for

Hearing Aids by Geographic Region - US, Canada, Japan, Europe,

Asia-Pacific (excluding Japan), Latin America and Rest of

World Markets Independently Analyzed with Annual Volume Sales

in Thousand Units for Years 2010 through 2018 (includes

corresponding Graph/Chart) II-105

Table 23: World 9-Year Perspective for Hearing Aids byGeographic Region - Percentage Breakdown of Unit Sales for US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets for Years 2010, 2012 & 2018(includes corresponding Graph/Chart) II-106

Table 24: World Recent Past, Current & Future Analysis for

Hearing Aids by Geographic Region - US, Canada, Japan, Europe,

Asia-Pacific (excluding Japan), Latin America and Rest of

World Markets Independently Analyzed with Annual Revenues

Figures in US$ Million for Years 2010 through 2018 (includes

corresponding Graph/Chart) II-107

Table 25: World Historic Review for Hearing Aids by GeographicRegion - US, Canada, Japan, Europe, Asia-Pacific (excludingJapan), Latin America and Rest of World Markets IndependentlyAnalyzed with Annual Revenues Figures in US$ Million for Years2005 through 2009 (includes corresponding Graph/Chart) II-108

Table 26: World 14-YearPerspective for Hearing Aids by

Geographic Region - Percentage Breakdown of Revenues for US,

Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin

America and Rest of World Markets for Years 2005, 2011 & 2018

(includes corresponding Graph/Chart) II-109

Table 27: World Recent Past, Current & Future Analysis forHearing Aids by Product Segment - Behind-the-Ear, In- the-Ear,In-the-Canal and Completely-in-the Canal Markets IndependentlyAnalyzed with Annual Revenues Figures in US$ Million for Years2010 through 2018 (includes corresponding Graph/Chart) II-110

Table 28: World Historic Review for Hearing Aids by Product

Segment - Behind-the-Ear, In-the-Ear, In-the-Canal and

Completely-in-the Canal Markets Independently Analyzed with

Annual Revenues Figures in US$ Million for Years 2005 through

2009 (includes corresponding Graph/Chart) II-111

Table 29: World 14-YearPerspective for Hearing Aids by ProductSegment - Percentage Breakdown of Revenues for Behind-the-Ear,In-the-Ear, In-the-Canal and Completely-in-the Canal Marketsfor Years 2005, 2011 & 2018 (includes correspondingGraph/Chart) II-112

Table 30: World Recent Past, Current & Future Analysis for

Behind-the-Ear (BTE) Hearing Aids by Geographic Region - US,

Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin

America and Rest of World Markets Independently Analyzed with

Annual Sales Figures in US$ Million for Years 2010 through

2018 (includes corresponding Graph/Chart) II-113

Table 31: World Historic Review for Behind-the-Ear (BTE)Hearing Aids by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2005 through 2009 (includescorresponding Graph/Chart) II-114

Table 32: World 14-YearPerspective for Behind- the-Ear (BTE)

Hearing Aids by Geographic Region - Percentage Breakdown of

Revenues for US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets for

Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-115

Table 33: World Recent Past, Current & Future Analysis forIn-the-Ear (ITE) Hearing Aids by Geographic Region - US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets Independently Analyzed withAnnual Revenues Figures in US$ Million for Years 2010 through2018 (includes corresponding Graph/Chart) II-116

Table 34: World Historic Review for In-the-Ear (ITE) Hearing

Aids by Geographic Region - US, Canada, Japan, Europe,

Asia-Pacific (excluding Japan), Latin America and Rest of

World Markets Independently Analyzed with Annual Revenues

Figures in US$ Million for Years 2005 through 2009 (includes

corresponding Graph/Chart) II-117

Table 35: World 14-YearPerspective for In-the-Ear (ITE)Hearing Aids by Geographic Region - Percentage Breakdown ofRevenues for US, Canada, Japan, Europe, Asia-Pacific(excluding Japan), Latin America and Rest of World Markets forYears 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-118

Table 36: World Recent Past, Current & Future Analysis for

In-the-Canal (ITC) Hearing Aids by Geographic Region - US,

Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin

America and Rest of World Markets Independently Analyzed with

Annual Sales Figures in US$ Million for Years 2010 through

2018 (includes corresponding Graph/Chart) II-119

Table 37: World Historic Review for In-the-Canal (ITC) HearingAids by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2005 through 2009 (includescorresponding Graph/Chart) II-120

Table 38: World 14-YearPerspective for In-the- Canal (ITC)

Hearing Aids by Geographic Region - Percentage Breakdown of

Revenues for US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets for

Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-121

Table 39: World Recent Past, Current & Future Analysis forCompletely-in-the-Canal (CIC) Hearing Aids by GeographicRegion- US, Canada, Japan, Europe, Asia-Pacific (excludingJapan), Latin America and Rest of World Markets IndependentlyAnalyzed with Annual Revenues Figures in US$ Million for Years2010 through 2018 (includes corresponding Graph/Chart) II-122

Table 40: World Historic Review for Completely-in-the-Canal

(CIC) Hearing Aids by Geographic Region - US, Canada, Japan,

Europe, Asia-Pacific (excluding Japan), Latin America and Rest

of World Markets Independently Analyzed with Annual Revenues

Figures in US$ Million for Years 2005 through 2009 (includes

corresponding Graph/Chart) II-123

Table 41: World 14-YearPerspective for Completely-in-the-Canal (CIC) Hearing Aids by Geographic Region-Percentage Breakdown of Revenues for US, Canada, Japan,Europe, Asia-Pacific (excluding Japan), Latin America and Restof World Markets for Years 2005, 2011 & 2018 (includescorresponding Graph/Chart) II-124

Table 42: World Recent Past, Current & Future Analysis for

Measurement/Testing Devices by Geographic Region- US, Canada,

Japan, Europe, Asia-Pacific (excluding Japan), Latin America

and Rest of World Markets Independently Analyzed with Annual

Revenues Figures in US$ Million for Years 2010 through 2018

(includes corresponding Graph/Chart) II-125

Table 43: World Historic Review for Measurement/ TestingDevices by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2005 through 2009 (includescorresponding Graph/Chart) II-126

Table 44: World 14-YearPerspective for Measurement/Testing

Devices by Geographic Region - Percentage Breakdown of

Revenues for US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets for

Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-127

Table 45: World Recent Past, Current & Future Analysis forMeasurement/Testing Devices by Product Segment - Otoscopes,Audiometers, Impedance Analyzers, Hearing Aid Analyzers andOthers Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2010 through 2018 (includescorresponding Graph/Chart) II-128

Table 46: World Historic Review for Measurement/ Testing

Devices by Product Segment - Otoscopes, Audiometers, Impedance

Analyzers, Hearing Aid Analyzers and Others Markets

Independently Analyzed with Annual Revenues Figures in US$

Million for Years 2005 through 2009 (includes corresponding

Graph/Chart) II-129

Table 47: World 14-YearPerspective for Measurement/ TestingDevices by Product Segment - Percentage Breakdown of Revenuesfor Otoscopes, Audiometers, Impedance Analyzers, Hearing AidAnalyzers and Others Markets for Years 2005, 2011 & 2018(includes corresponding Graph/Chart) II-130

Table 48: World Recent Past, Current & Future Analysis for

Otoscopes by Geographic Region - US, Canada, Japan, Europe,

Asia-Pacific (excluding Japan), Latin America and Rest of

World Markets Independently Analyzed with Annual Revenues

Figures in US$ Million for Years 2010 through 2018 (includes

corresponding Graph/Chart) II-131

Table 49: World Historic Review for Otoscopes by GeographicRegion - US, Canada, Japan, Europe, Asia-Pacific (excludingJapan), Latin America and Rest of World Markets IndependentlyAnalyzed with Annual Revenues Figures in US$ Million for Years2005 through 2009 (includes corresponding Graph/Chart) II-132

Table 50: World 14-YearPerspective for Otoscopes by Geographic

Region - Percentage Breakdown of Revenues for US, Canada,

Japan, Europe, Asia-Pacific (excluding Japan), Latin America

and Rest of World Markets for Years 2005, 2011 & 2018

(includes corresponding Graph/Chart) II-133

Table 51: World Recent Past, Current & Future Analysis forAudiometers by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2010 through 2018 (includescorresponding Graph/Chart) II-134

Table 52: World Historic Review for Audiometers by Geographic

Region - US, Canada, Japan, Europe, Asia-Pacific (excluding

Japan), Latin America and Rest of World Markets Independently

Analyzed with Annual Revenues Figures in US$ Million for Years

2005 through 2009 (includes corresponding Graph/Chart) II-135

Table 53: World 14-YearPerspective for Audiometers byGeographic Region - Percentage Breakdown of Revenues for US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets for Years 2005, 2011 & 2018(includes corresponding Graph/Chart) II-136

Table 54: World Recent Past, Current & Future Analysis for

Impedence Analyzers by Geographic Region - US, Canada, Japan,

Europe, Asia-Pacific (excluding Japan), Latin America and Rest

of World Markets Independently Analyzed with Annual Revenues

Figures in US$ Million for Years 2010 through 2018 (includes

corresponding Graph/Chart) II-137

Table 55: World Historic Review for Impedence Analyzers byGeographic Region - US, Canada, Japan, Europe, Asia-Pacific(excluding Japan), Latin America and Rest of World MarketsIndependently Analyzed with Annual Revenues Figures in US$Million for Years 2005 through 2009 (includes correspondingGraph/Chart) II-138

Table 56: World 14-YearPerspective for Impedence Analyzers by

Geographic Region - Percentage Breakdown of Revenues for US,

Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin

America and Rest of World Markets for Years 2005, 2011 & 2018

(includes corresponding Graph/Chart) II-139

Table 57: World Recent Past, Current & Future Analysis forHearing Aid Analyzers by Geographic Region - US, Canada,Japan, Europe, Asia-Pacific (excluding Japan), Latin Americaand Rest of World Markets Independently Analyzed with AnnualRevenues Figures in US$ Million for Years 2010 through 2018(includes corresponding Graph/Chart) II-140

Table 58: World Historic Review for Hearing Aid Analyzers by

Geographic Region - US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets

Independently Analyzed with Annual Revenues Figures in US$

Million for Years 2005 through 2009 (includes corresponding

Graph/Chart) II-141

Table 59: World 14-Year Perspective for Hearing Aid Analyzersby Geographic Region - Percentage Breakdown of Revenues forUS, Canada, Japan, Europe, Asia-Pacific (excluding Japan),Latin America and Rest of World Markets for Years 2005, 2011 &2018 (includes corresponding Graph/Chart) II-142

Table 60: World Recent Past, Current & Future Analysis for

Other Measurement/Testing Devices by Geographic Region - US,

Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin

America and Rest of World Markets Independently Analyzed with

Annual Revenues Figures in US$ Million for Years 2010 through

2018 (includes corresponding Graph/Chart) II-143

Table 61: World Historic Review for Other Measurement/ TestingDevices by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific (excluding Japan), Latin America and Rest ofWorld Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2005 through 2009 (includescorresponding Graph/Chart) II-144

Table 62: World 14-Year Perspective for Other Measurement/

Testing Devices by Geographic Region - Percentage Breakdown of

Revenues for US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets for

Years 2005, 2011 & 2018 (includes corresponding Graph/Chart) II-145

Table 63: World Recent Past, Current & Future Analysis forCochlear Implants by Geographic Region - US, Canada, Japan,Europe, Asia-Pacific (excluding Japan), Latin America and Restof World Markets Independently Analyzed with Annual RevenuesFigures in US$ Million for Years 2010 through 2018 (includescorresponding Graph/Chart) II-146

Table 64: World Historic Review for Cochlear Implants by

Geographic Region - US, Canada, Japan, Europe, Asia-Pacific

(excluding Japan), Latin America and Rest of World Markets

Independently Analyzed with Annual Revenues Figures in US$

Million for Years 2005 through 2009 (includes corresponding

Graph/Chart) II-147

Table 65: World 10-Year Perspective for Cochlear Implants byGeographic Region - Percentage Breakdown of Revenues for US,Canada, Japan, Europe, Asia-Pacific (excluding Japan), LatinAmerica and Rest of World Markets for Years 2005, 2011 & 2018(includes corresponding Graph/Chart) II-148III. MARKET

1. THE UNITED STATES III-1

A.Market Analysis III-1

Outlook III-1

Demographic Review III-1

Facts and Figures about Hearing Impairment III-2

Table 66: Hearing Impaired Population in the US for Years

2000-2020 (includes corresponding Graph/Chart) III-2

Table 67: Hearing Loss Prevalence in the US by Age Group(2011): Percentage of Individuals with Hearing LossRelative to the General Population (includes correspondingGraph/Chart) III-3

Table 68: Hearing Aid Adoption Rate in the US by Age Group:

2011 (includes corresponding Graph/Chart) III-3

Table 69: US Binaural Hearing Aid Adoption Rates by AgeGroup: 2011 (includes corresponding Graph/Chart) III-3

Table 70: Percentage Breakdown of Severe to Profound

Hearing Impaired Population in the US by Age Group: 2011

(includes corresponding Graph/Chart) III-4

US Hearing Aids Market Overview III-4

Pent Up Demand for Hearing Aids Post Recession III-4

Table 71: US Hearing Aid Devices Market: Annual Sales

Figures in Thousand Units for Years 2007 through 2015

(includes corresponding Graph/Chart) III-4

Table 72: Share of Third Party Payments in the US HearingAids Market: 1997-2011 (includes correspondingGraph/Chart) III-5

Table 73: Third Party Payments in the US Hearing Aid

Market (2011): Percentage Breakdown of Volume Sales for

VA, Insurance, Medicare, Medicaid, HMO and Others

(includes corresponding Graph/Chart) III-5

Table 74: US Out-Of-Pocket Payments for Hearing Aids byType: Average Retail Prices for BTE, ITC and ITE for Years2000, 2005 & 2010 (includes corresponding Graph/Chart) III-5Is Hearing Aids Market Truly Recession Proof? III-6Changing User Mix to Shape Future Demand III-6Reversal in Trend III-6Model Preferences III-7Digital Products Gain Ground III-7Penetration Levels Expected to Rise III-7US Veterans Market for Hearing Aids - An Insight III-7Table 75: US Veteran Administration Hearing Devices Marketby Type (2011): Percentage Breakdown of Unit Sales forHearing Aids and Other Devices (includes correspondingGraph/Chart) III-8New Companies Throng the VA Market III-8Table 76: Major Suppliers of Hearing Aids to the USVeteran Administration (2011): Unit Shipments for Sonova,Starkey, W.Demant, GN Resound and Siemens (includescorresponding Graph/Chart) III-8Player Dominance Varies by Type of Device III-9Product Distribution System III-9Table 77: Major Distribution Sources of Hearing Aids inthe US: 2011 (includes corresponding Graph/Chart) III-9Forward Integration of Manufacturers - The New Rage III-10A Focus on DTC Market in Hearing Aids III-10Online Sales of Hearing Aids - A New Controversy Brewing III-10The Laws of the Land III-11The Price Angle to the Controversy III-11Insurance Coverage for Hearing Aids in the US III-11Table 78: Major Health Insurers in the US by MembershipStrength: 2008 (In Million) (includes correspondingGraph/Chart) III-12Insurance Mandates on Hearing Aids in Select Sates of the US III-12A Focus on Medicaid Regulations in the US: Coverage onHearing Aids by State III-14Cochlear Implant Market - An Overview III-16Cochlear Implants on the Road to Widespread Adoption III-16Signs of Maturity Emerge in the US Pediatric Cochlear Market III-16Competitive Landscape III-16Table 79: Leading Players in the US Hearing InstrumentsMarket (2010): Percentage Breakdown of Value Sales forStarkey Laboratories, Siemens Hearing Instruments, GNReSound, Oticon, and Others (includes correspondingGraph/Chart) III-16

Table 80: Leading Players in the US Cochlear Implants

Market (2011) - Percentage Share Breakdown of Sales for

Cochlear Ltd., Advanced Bionics, and MED-EL (includes

corresponding Graph/Chart) III-17

Players in ABR/ OAE Analyzers III-17

Table 81: Leading Players in the US ABR/OAE Analyzers

Market (2011): Percentage Share Breakdown of Sales for

Natus Medical, Grason Stadler, and Others (includes

corresponding Graph/Chart) III-17

Regulations & Acts III-17

Safe Medical Devices Act (SDMA) III-17

Hearing Aid Compatibility Act 1988 III-17