Table of Content

PORTABLE OXYGEN CONCENTRATOR EXECUTIVE SUMMARY    5
Portable Oxygen Concentrator    5
Home Oxygen Market, Moves to Portable Concentrators    6
Portable Oxygen Concentrator Home Medical Market Driving Forces    8
Change in Home Oxygen Market    10
Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA)    11
Direct to Consumer Model Replaces Distribution and Home Services Model    12
Portable Oxygen Concentrators (POCs) Market Driving Forces    13
Portable Oxygen Concentrator Market Shares    14

1.    PORTABLE OXYGEN CONCENTRATOR MARKET DESCRIPTION AND MARKET DYNAMICS 16
1.1    Homecare Market Growth Factors    16
3.1.1    Growth In Population Over Age 65    18


1.2    Oxygen Concentrator Uses    18
1.2.1    Portable Oxygen Concentrator Functions    19
1.2.2    Separation Of Oxygen From Air    20
1.2.3    Technical Trade-Offs Necessary To Design A Portable Oxygen Concentrator (POC)    20
1.3    Oxygen Concentrator Insurance Coverage    21

2.    PORTABLE OXYGEN CONCENTRATOR MARKET SHARES AND FORECASTS    
23
2.1    Portable Oxygen Concentrator    23
2.1.1    Home Oxygen Market, Moves to Portable Concentrators    24
2.1.2    Portable Oxygen Concentrator Home Medical Market Driving Forces    26
2.1.3    Change in Home Oxygen Market    28
2.1.4    Pressure To Reduce Costs As Part Of the Deficit Reduction Act (DRA)    29
2.1.5    Direct to Consumer Model Replaces Distribution and Home Services Model    30
2.1.6    Portable Oxygen Concentrators (POCs) Market Driving Forces    31
2.2    Portable Oxygen Concentrator Market Shares    33
2.2.1    Portable Oxygen Concentrators    33
2.2.2    Portable Oxygen Concentrators Coded by Medicare    39
2.2.3    Inogen Portable Oxygen Concentrator    40
2.2.4    Inogen Product Development    42
2.2.5    Inogen Homecare Services Business    43
2.2.6    Philips Respironics SimplyGo and EverGo    43
2.2.7    Respironics EverGo and SimplyGo Portable Oxygen Concentrator    44
2.2.8    Invacare Portable Concentrator    44
2.2.9    Philips Respironics EverGo Portable Oxygen Concentrator from Respironics FAA Approved For

Air Travel    45    
3.1.2    NTK Caire    45
2.2.10    NTK / Chart / AirSep NewLife Elite    46
2.2.11    NTK / Chart / AirSep    47
2.2.12    NTK / Caire Portable Oxygen Concentrator 16 Cell Rechargeable Battery    47
2.2.13    Drive-DeVilbiss iGo2    49

2.3    Portable Oxygen Concentrator Market Forecasts    49
2.3.1    Worldwide Patients on Oxygen Market Forecasts, Worldwide, 2020-2026    54
2.3.2    Unit Analysis    59
2.3.3    Homecare Is Poised To Grow    63
2.3.4    Unified Supply Network    63
2.3.5    Telemedicine Being Integrated Into Homecare    64
2.3.6    Competitive Bidding Program Cuts Reimbursement    66
2.3.7    Reimbursement Shifts    67
2.3.8    Pulse vs Continuous Flow    68
2.3.9    Conserving Devices    77


2.4    Respiratory Disease Market Metrics    87
2.4.1    Percentage of Older People by State    90
2.4.2 COPD Patient Care Providers    94
2.5    Oxygen Concentrator Prices    94
i.    Sequal Eclipse Rental Prices    102
ii.    Daily Rate *    102
iii.    Weekly Rate    102
iv.    Additional Weeks    102
v.    Inogen One Rental Prices    102
vi.    Daily Rate *    102
vii.    Weekly Rate    102
viii.    Additional Weeks    102
Inogen One G2 Rental Prices    103
Daily Rate *    103
Weekly Rate    103
Additional Weeks    103
Respironics EverGo Rental    103
Daily Rate *    103
Weekly Rate    103
Additional Weeks    103
Invacare XPO2 Rental Prices    104
Daily Rate *    104
Weekly Rate    104
Additional Weeks    104
2.6    Medical Conditions Requiring Supplemental Oxygen    105
2.6.1    Global Obesity    107
2.7    Oxygen Concentrator Regional Market Analysis    108
2.7.1    Oxygen Concentrator Regional Market Forecasts    110
2.7.2    Worldwide Patients on Oxygen Market Forecasts, Worldwide, 2019-2026    112
2.7.3    North American Home Medical Equipment    112
2.7.4    United States    114
2.7.5    Japan    114
2.7.6    NTK Market Leader For Oxygen Concentrators in Japan.    115
2.7.7    Philips Acceleration of Participation in Japanese Market    115
2.7.8    Teijin Pharma Home Healthcare Oxygen Concentrators In Japan    120
2.7.9    Longfian Scitech Targets China, Africa, Russia, and the Arab Countries    122
2.7.10    China    122
2.7.11    Chinese Built Units Used Widely In Homecare, Hospitals, Clinics, Beauty Salons And In Sports 123
 
2.7.12    Invacare Geographically Diverse    124
2.7.13    Nidek Global Presence    125
2.7.14    Gardner Denver Global Presence    126
2.7.15    Chart Industries Global Presence    128
2.7.16    European Homecare Market    129
2.7.17    Germany    131
2.7.18    France Oxygen Concentrators    131
2.7.19    Philips Global Market Position    132
2.7.20    Chart    137
2.7.21    Inogen Direct to Consumer Regional Strategy    138
2.7.22    Inogen Private Label Partner Applied Home Healthcare Equipment    139
2.7.23    Inogen Concentration of Customers    140
2.7.24    Inogen International    140
3.    OXYGEN THERAPY    142
3.1    The Goal of Oxygen Therapy    142
3.1.1    How To Change The Amount of Oxygen In The Air We Breathe    142
3.1.2    Oxygen Concentrator Components    143
3.1.3    Lifestyle in the Home Health Care Business    146
3.1.4    Portable Oxygen Concentrator Airline Travel    146
3.1.5    Portable Oxygen Concentrator Pulse Mode    147
3.1.6    Continuous Flow Portable Oxygen Concentrator    148
3.2    Types of Oxygen Systems    148
3.2.1    Treatment Trends.    149
3.2.2    Technological Trends.    150
3.2.3    Health Care Cost Containment Trends.    150
2.7.12    Invacare Geographically Diverse    124
2.7.13    Nidek Global Presence    125
2.7.14    Gardner Denver Global Presence    126
2.7.15    Chart Industries Global Presence    128
2.7.16    European Homecare Market    129
2.7.17    Germany    131
2.7.18    France Oxygen Concentrators    131
2.7.19    Philips Global Market Position    132
2.7.20    Chart    137
2.7.21    Inogen Direct to Consumer Regional Strategy    138
2.7.22    Inogen Private Label Partner Applied Home Healthcare Equipment    139
2.7.23    Inogen Concentration of Customers    140
2.7.24    Inogen International    140
3.    OXYGEN THERAPY    142
3.1    The Goal of Oxygen Therapy    142
3.1.1    How To Change The Amount of Oxygen In The Air We Breathe    142
3.1.2    Oxygen Concentrator Components    143
3.1.3    Lifestyle in the Home Health Care Business    146
3.1.4    Portable Oxygen Concentrator Airline Travel    146
3.1.5    Portable Oxygen Concentrator Pulse Mode    147
3.1.6    Continuous Flow Portable Oxygen Concentrator    148
3.2    Types of Oxygen Systems    148
3.2.1    Treatment Trends.    149
3.2.2    Technological Trends.    150
3.2.3    Health Care Cost Containment Trends.    150
3.2.4    Society’s Mainstreaming of People with Disabilities.    151
3.2.5    Distribution Channels    151
3.2.6    Oxygen Therapy Systems    151
4.    OXYGEN CONCENTRATOR TECHNOLOGY    152
4.1    Standardizing The Definition Of Liter Flow Equivalents    152
4.2    Oxygen Concentrator Compressor    153
4.2.1    Oxygen Concentrator Compressors    153
4.2.2    Inogen Compressor    155
4.2.3    Air Squared Compact, Quiet, Efficient, And Oil-Free Medical Compressors    155
4.2.4    Air Squared Sub-1-HP Scroll Portable Oxygen Concentrator Compressors    156
4.2.5    Stationary Oxygen Concentrator Compressors (Thomas or Gast)    157
4.3    Oxygen Concentrator Air Management    157
4.3.1    Pressure Swing Adsorption (PSA) Technology    159
4.3.2    Pressure Swing Adsorption Principles    159
4.3.3    Pressure Swing Adsorption Principles    161
4.3.4    Comparison of Conventional Oxygen Concentrators and Advanced Technology Fractionators 162
4.3.5    SeQual Advanced Technology Fractionator (ATF®)    164

List of Tables and Figures

Figure 1.    Portable Oxygen Concentrator Advantages    6

Figure 2.    Portable Oxygen Concentrator Home Medical Market Driving Forces    8
Figure 3.    Home Medical Portable Oxygen Concentrator Systems Market Factors    9
Figure 4.    Portable Oxygen Concentrators (POCs) Market Driving Forces    13
Figure 5.    Oxygen Concentrator Market Shares, Dollars, 2016    15
Figure 6.    Homecare Market Growth Factors    16
Figure 7.    Invacare View of Benefits of Homecare    17
Figure 8.    Portable Oxygen Concentrator Advantages    24
Figure 9.    Portable Oxygen Concentrator Home Medical Market Driving Forces    26
Figure 10.    Home Medical Portable Oxygen Concentrator Systems Market Factors    27
Figure 11.    Portable Oxygen Concentrators (POCs) Market Driving Forces    31
Figure 12.    Portable Oxygen Concentrator Company Products    33
Figure 13.    Portable Oxygen Concentrators    34
Figure 14.    Top Selling Portable Oxygen Concentrators    35
Figure 15.    Portable Oxygen Concentrator Market Shares, Dollars, 2019    36
Figure 16.    Portable Oxygen Concentrator Market Shares, Units and Dollars, Worldwide, 2019    38
Figure 17.    Worldwide Patients on Oxygen Market Forecasts Worldwide, 2019-2026    39

Figure 18.    Portable Oxygen Concentrator Market Shipments Forecasts, Dollars, Worldwide, 2020-2026 51
Figure 19.    Portable Homecare Oxygen Concentrator Market Forecasts, Shipments, Dollars, Worldwide, 2020-2026    52
Figure 20.    Portable Oxygen Concentrator Shipment Market Forecasts Units Percent of Total Market, Worldwide, 2020-2026    53
Figure 21.    Worldwide Patients on Oxygen Market Forecasts, Worldwide, 2020-2026    54
Figure 22.    China Allows Media to Report on Air Pollution Crisis    57
Figure 23.    Portable Medical Oxygen Concentrator Shipment Market Forecasts, Units, Worldwide, 2017-2023    59
Figure 24.    Portable Oxygen Concentrator Penetration and Installed Base Analysis Market Forecasts, Units Percent of Total Market, Worldwide, 2020-2026    60
Figure 25.    Factors Hindering Market Acceptance Of Portable Oxygen Concentrators:    62
Figure 26.    Portable Oxygen Unit Oxygen Production Capabilities    76
Figure 27.    Pulse Delivery Method Factors That Determine Oxygen Output    78
Figure 28.    Oxygen Conserving Devices    81
Figure 29.    Oxygen Conserving Devices    82
Figure 30.    Portable Oxygen Concentrator Nocturnal Options    83
Figure 31.    Portable Oxygen Concentrator Pulse and Continuous Options    84
Figure 32.    Invacare XPO2 Portable Oxygen Concentrator    85
Figure 33.    Invacare Solo 2 Transportable Oxygen Concentrator    86
Figure 34.    Philips Medical Chronic Disease Market Trends    88
Figure 35.    Percentage of Older People by State    90
Figure 36.    HME Expenditures By Provider    91
Figure 37.    HME Expenditures By Per Cent Increase    92
Figure 38.    Global Obesity    108
Figure 39.    Portable Oxygen Concentrator Regional Market Segments, Dollars, 2019    110
Figure 40.    Portable Oxygen Concentrator Regional Market Segments, 2019    111
Figure 41.    Philips Participation in Japanese Market    116
Figure 42.    Opportunities in Japanese Market    117
Figure 43.    Philips Acceleration of Participation in Japanese Market    118
Figure 44.    Invacare Geographically Diversity    124
Figure 45.    Nidek Global Presence    125
Figure 46.    Gardner Denver Global Presence    126
Figure 47.    Gardner Denver Global Presence    127
Figure 48.    Chart Industries Global Presence    129
Figure 49.    Philips Positioning in Europe    130
Figure 50.    Oxygen Concentrator Compressor Features    153
Figure 51.    Air Chemical Composition    157
Figure 52.    Air Management Terminology    158
Figure 53.    Stratification and Relative Adsorption of Gas as Air flows through a column of molecular 160    
Figure 54.    Conventional Two-Bed Oxygen Concentrator Air Flow    163
Figure 55.    SeQual ATF-Based Concentrator    165
Figure 56.    SeQual ATF Design Characteristics    166
Figure 57.    SeQual ATF Operating Pressures Versus Time Graph    167