AMBULANCE AND EMERGENCY EQUIPMENT: GLOBAL MARKETS

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AMBULANCE AND EMERGENCY EQUIPMENT: GLOBAL MARKETS HLC168A July 2014 Shalini Shahani Dewan Project Analyst ISBN: 1-56965-882-X BCC Research 49 Walnut Park, Building 2 Wellesley, MA 02481 USA 866-285-7215 (toll-free within the USA), or (+1) 781-489-7301 www.bccresearch.com information@bccresearch.com

TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 2 STUDY OBJECTIVES 2 REASONS FOR DOING THIS STUDY 2 CONTRIBUTIONS OF THE STUDY AND INTENDED AUDIENCE 3 SCOPE OF THE STUDY 3 METHODOLOGY 3 INFORMATION SOURCES 3 ANALYST'S CREDENTIALS 3 RELATED BCC RESEARCH REPORTS 4 BCC RESEARCH WEBSITE 4 DISCLAIMER 5 CHAPTER 2 SUMMARY 7 SUMMARY TABLE GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT, SUMMARY FIGURE GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT, 8 8 CHAPTER 3 OVERVIEW 11 HISTORY OF AMBULANCE AND EMS EQUIPMENT 11 TABLE 1 HISTORY OF AMBULANCE/EMS EQUIPMENT 12 CLASSIFICATION OF AMBULANCE/EMS EQUIPMENT 14 TRANSPORTATION EQUIPMENT 14 Stretchers and Cots 14 Inflatable Splint 14 Triangular Bandage 15 Cervical Collars 15 Collapsible or Folding Wheelchair 15 Neonatal Transport Equipment 15 BLOOD AND HEMORRHAGE CONTROL 16 Hemostatic Gauze 16 Compressed Gauge 16 BURN CARE 16 Burn Blankets 16 Burn Dressings and Masks 17 Burn Gels 17 DIAGNOSTICS 17 Stethoscope 17 Thermometer 18 Blood Pressure Monitor and Sphygmomanometer 18 Pulse Oximeter 19 Otoscope 19 CARDIAC AND RESPIRATORY 19 Airway Management Systems 19 Cardiac Monitor and Defibrillators 20 CPR Mask and CPR Lifeshield 20

Rescue Mask and Non-rebreathing Mask 20 Oxygen Regulator 20 Continuous Flow Oxygen Regulators 21 Oxygen Conserving Regulators 21 Nasal Cannula 21 INFECTION CONTROL 21 Biohazard Lock-up Container 21 Germicidal Wipes/Sprays/Sanitizers 22 Gloves and Safety Gowns 22 HYPOTHERMIA 22 Heat Reflective Shells 23 AIR AMBULANCE 23 CHAPTER 4 NEW DEVELOPMENTS AND REGULATORY ASPECTS 25 NEW PRODUCTS APPROVED FROM 2011 TO FEB. 2014 25 TABLE 2 FDA APPROVALS OF NEW AMBULATORY PRODUCTS, JAN. 2011 TO FEB. 2014 REGULATORY ASPECTS 26 FDA RECALLS AND SAFETY ALERTS 27 TABLE 3 FDA RECALLS OF AMBULATORY EQUIPMENT, JAN. 2011 TO FEB. 2014 27 TABLE 4 FDA SAFETY ALERTS FOR AMBULATORY EQUIPMENT, JAN. 2011 TO FEB. 2014 AMBULATORY EQUIPMENT REGULATORY ORGANIZATIONS 29 25 29 CHAPTER 5 MARKET ANALYSIS OF AMBULANCE AND EMERGENCY MEDICAL SERVICE EQUIPMENT MARKET BY TYPE OF EQUIPMENT 32 MARKET OVERVIEW 33 MARKET REVENUE 33 TABLE 5 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY TYPE, FIGURE 1 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY TYPE, TRANSPORTATION EQUIPMENT 34 Market Overview 34 Market Revenue 35 TABLE 6 GLOBAL MARKET FOR TRANSPORT EQUIPMENT, THROUGH 2018 ($ MILLIONS) FIGURE 2 GLOBAL MARKET FOR TRANSPORT EQUIPMENT, 36 BLOOD AND HEMORRHAGE CONTROL 36 Market Overview 37 Market Revenue 37 TABLE 7 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT, FIGURE 3 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT, TRAUMA AND BURN CARE 38 Market Overview 38 Market Revenue 39 32 33 34 36 38 38

TABLE 8 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT, THROUGH 2018 ($ MILLIONS) FIGURE 4 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT, 2011-2018 ($ MILLIONS) DIAGNOSTIC TOOLS 40 Market Overview 40 Market Revenue 41 TABLE 9 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT, THROUGH 2018 ($ MILLIONS) FIGURE 5 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT, 41 CARDIAC AND RESPIRATORY CARE 41 Market Overview 42 Market Revenue 43 TABLE 10 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT, FIGURE 6 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT, INFECTION CONTROL 44 Market Overview 44 Market Revenue 45 TABLE 11 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT, THROUGH 2018 ($ MILLIONS) FIGURE 7 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT, 2011-2018 ($ MILLIONS) HYPOTHERMIA PREVENTION 46 Market Overview 46 Market Revenue 47 TABLE 12 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT, FIGURE 8 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT, REGIONAL MARKETS 48 MARKET OVERVIEW 48 MARKET REVENUE 48 TABLE 13 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 9 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC REGION, MARKET SHARE 49 TABLE 14 MARKET SHARES OF AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC FIGURE 10 MARKET SHARES OF AMBULANCE AND EMS EQUIPMENT BY TRANSPORTATION EQUIPMENT 50 TABLE 15 GLOBAL MARKET FOR TRANSPORT EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 11 GLOBAL MARKET FOR TRANSPORT EQUIPMENT BY GEOGRAPHIC REGION, Market Share 51 39 39 41 43 43 45 45 47 47 49 49 50 50 51 51

TABLE 16 GLOBAL MARKET SHARES OF TRANSPORT EQUIPMENT BY GEOGRAPHIC FIGURE 12 GLOBAL MARKET SHARES OF TRANSPORT EQUIPMENT BY GEOGRAPHIC BLOOD AND HEMORRHAGE CONTROL 52 TABLE 17 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 13 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY GEOGRAPHIC REGION, Market Share 53 TABLE 18 GLOBAL MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY FIGURE 14 GLOBAL MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY TRAUMA AND BURN CARE 54 TABLE 19 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 15 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT BY GEOGRAPHIC REGION, Market Share 55 TABLE 20 GLOBAL MARKET SHARES OF TRAUMA AND BURN CARE EQUIPMENT BY FIGURE 16 GLOBAL MARKET SHARES OF TRAUMA AND BURN CARE EQUIPMENT BY DIAGNOSTIC TOOLS 56 TABLE 21 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 17 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC REGION, Market Share 57 TABLE 22 GLOBAL MARKET SHARES OF DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC FIGURE 18 GLOBAL MARKET SHARES OF DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC CARDIAC AND RESPIRATORY CARE 58 TABLE 23 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 19 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT BY GEOGRAPHIC REGION, Market Share 59 TABLE 24 GLOBAL MARKET SHARES OF CARDIAC AND RESPIRATORY CARE EQUIPMENT BY FIGURE 20 GLOBAL MARKET SHARES OF CARDIAC AND RESPIRATORY CARE EQUIPMENT BY INFECTION CONTROL 60 TABLE 25 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 21 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT BY GEOGRAPHIC REGION, Market Share 61 52 52 53 53 54 54 55 55 56 56 57 57 58 58 59 59 60 60 61 61

TABLE 26 GLOBAL MARKET SHARES OF INFECTION CONTROL EQUIPMENT BY FIGURE 22 GLOBAL MARKET SHARES OF INFECTION CONTROL EQUIPMENT BY HYPOTHERMIA PREVENTION 62 TABLE 27 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 23 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT BY GEOGRAPHIC REGION, Market Share 63 TABLE 28 GLOBAL MARKET SHARES OF HYPOTHERMIA PREVENTION EQUIPMENT BY FIGURE 24 GLOBAL MARKET SHARES OF HYPOTHERMIA PREVENTION EQUIPMENT BY 62 62 63 63 64 64 CHAPTER 6 INDUSTRY STRUCTURE 66 TRANSPORTATION EQUIPMENT 66 MARKET LEADERS 66 TABLE 29 LEADING MANUFACTURERS OF TRANSPORTATION EQUIPMENT, 2012 66 MARKET SHARES 66 TABLE 30 MANUFACTURER MARKET SHARES OF TRANSPORTATION EQUIPMENT, 2012 (%) FIGURE 25 MANUFACTURER MARKET SHARES OF TRANSPORTATION EQUIPMENT, 2012 (%) BLOOD AND HEMORRHAGE CONTROL EQUIPMENT 67 MARKET LEADERS 68 TABLE 31 LEADING MANUFACTURERS OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT USED IN AMBULANCES, 2012 MARKET SHARE 68 TABLE 32 MANUFACTURER MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL FIGURE 26 MANUFACTURER MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL TRAUMA AND BURN CARE EQUIPMENT 69 MARKET LEADERS 69 TABLE 33 LEADING MANUFACTURERS OF TRAUMA AND BURN CARE EQUIPMENT USED IN AMBULANCES MARKET SHARE 70 TABLE 34 MANUFACTURER MARKET SHARES OF TRAUMA AND BURN CARE FIGURE 27 MANUFACTURER MARKET SHARES OF TRAUMA AND BURN CARE DIAGNOSTIC DEVICES 70 MARKET LEADERS 71 TABLE 35 LEADING MANUFACTURERS OF DIAGNOSTIC DEVICES USED IN AMBULANCES MARKET SHARE 71 TABLE 36 MANUFACTURER MARKET SHARES OF DIAGNOSTIC DEVICES USED IN AMBULANCES, 2012 (%) FIGURE 28 MANUFACTURER MARKET SHARES OF DIAGNOSTIC DEVICES USED IN AMBULANCES, 2012 (%) 67 67 68 68 68 69 70 70 71 72 72

CARDIAC AND RESPIRATORY CONTROL EQUIPMENT 72 MARKET LEADERS 73 TABLE 37 LEADING MANUFACTURERS OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES MARKET SHARES 73 TABLE 38 MANUFACTURER MARKET SHARES OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES, 2012 (%) FIGURE 29 MANUFACTURER MARKET SHARES OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES, 2012 (%) INFECTION CONTROL 74 MARKET LEADERS 75 TABLE 39 LEADING MANUFACTURERS OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL MARKET SHARES 75 TABLE 40 MANUFACTURER MARKET SHARES OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL, 2012 (%) FIGURE 30 MANUFACTURER MARKET SHARES OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL, 2012 (%) HYPOTHERMIA PREVENTION 76 MARKET LEADERS 77 TABLE 41 LEADING MANUFACTURER OF HYPOTHERMIA PREVENTION EQUIPMENT USED IN AMBULANCES MARKET SHARES 77 TABLE 42 MANUFACTURER MARKET SHARES OF HYPOTHERMIA PREVENTION FIGURE 31 MANUFACTURER MARKET SHARES OF HYPOTHERMIA PREVENTION 73 74 74 75 76 76 77 77 78 CHAPTER 7 PATENT ANALYSIS 80 PATENTS BY YEAR 80 TABLE 43 DISTRIBUTION OF U.S. PATENTS BY YEAR, JAN. 2011 TO FEB. 2014 80 FIGURE 32 DISTRIBUTION OF U.S. PATENTS BY YEAR, JAN. 2011 TO FEB. 2014 PATENTS BY CATEGORY 81 TABLE 44 DISTRIBUTION OF U.S. PATENTS BY CATEGORY, JAN. 2011 TO FEB. 2014 FIGURE 33 DISTRIBUTION OF U.S. PATENTS BY CATEGORY, JAN. 2011 TO FEB. 2014 PATENTS BY TYPE 82 TABLE 45 DISTRIBUTION OF U.S. PATENTS BY TYPE, JAN. 2011 TO FEB. 2014 82 FIGURE 34 DISTRIBUTION OF U.S. PATENTS BY TYPE, JAN. 2011 TO FEB. 2014 83 PATENTS BY COMPANY 84 TABLE 46 DISTRIBUTION OF U.S. PATENTS BY COMPANY, JAN. 2011 TO FEB. 2014 PATENTS BY COUNTRY 86 TABLE 47 DISTRIBUTION OF U.S. PATENTS BY PATENT HOLDER'S COUNTRY, JAN. 2011 TO FEB. 2014 FIGURE 35 DISTRIBUTION OF U.S. PATENTS BY PATENT HOLDER'S COUNTRY, JAN. 2011 TO FEB. 2014 PATENTS BY ASSIGNEE 87 80 81 82 84 86 86

TABLE 48 DISTRIBUTION OF U.S. PATENTS BY ASSIGNEE, JAN. 2011 TO FEB. 2014 FIGURE 36 DISTRIBUTION OF U.S. PATENTS BY ASSIGNEE TYPE, JAN. 2011 TO FEB. 2014 87 88 CHAPTER 8 CURRENT SITUATION 90 CHAPTER 9 COMPANY PROFILES 94 3M CO. 94 5.11 TACTICAL 94 ALLEGRO INDUSTRIES 94 ALLIED HEALTHCARE PRODUCTS 95 ALMEVA BV 95 AMBU A/S 96 AMERICAN DIAGNOSTICS CORP. 96 ASAHI KASEI CORP. 96 ASEPTIC CONTROL PRODUCTS INC. 97 BLS SYSTEMS LTD. 97 BOUND TREE MEDICAL 98 BOWEN MEDICAL 98 BRIGGS HEALTHCARE 98 BLACKHAWK 99 BURNFREE 99 CARDIAC SCIENCE 99 CERTIFIED SAFETY MANUFACTURING INC. 100 CFM TECHNOLOGIES INC. 100 CHIEF SUPPLY 100 CHINOOK MEDICAL GEAR INC. 101 CLEAR ADVANTAGE COLLAR INC. 101 COMBAT MEDICAL SYSTEMS 102 COVIDIEN 102 CREATIVE HEALTH PRODUCTS INC. 102 CURA SURGICAL 103 DEFIBTECH LLC 103 DICK MEDICAL SUPPLY 103 DRAGER MEDICAL INC. 104 DUKAL CORP. 104 EMERGENCY MEDICAL INTERNATIONAL 105 EMERGENCY MEDICAL PRODUCTS INC. 105 ESTILL MEDICAL TECHNOLOGIES INC. 105 FERNO WASHINGTON INC. 106 FIELDTEX PRODUCTS INC. 106 FIRST CARE PRODUCTS LTD. 106 GE HEALTHCARE 107 GRAHAM MEDICAL 107 HAMMOND ENTERPRISES LLC 107 H&H MEDICAL CORP. 108 HEARTSINE TECHNOLOGIES INC. 108

HEMCON MEDICAL TECHNOLOGIES INC. 109 HONEYWELL SAFETY PRODUCTS 109 INNOVATIVE TRAUMA CARE 109 INTERNATIONAL BIOMEDICAL 110 JUNKIN SAFETY APPLIANCE CO. 110 KIMBERLY CLARK 110 MANSELL NEONATAL RETRIEVAL SYSTEM 111 MCKESSON CORP. 111 MCR MEDICAL SUPPLY INC. 112 MEDICEPAX LLC 112 MEDTRADE PRODUCTS LTD. 112 MEDTRONICS 113 METREX RESEARCH 113 MICHIGAN INSTRUMENTS 113 MICROFLEX CORP. 114 MINTO RESEARCH & DEVELOPMENT 114 MOBI MEDIAL SUPPLY 114 MOORE MEDICAL 115 MORRISON MEDICAL 115 NATIONAL CREATIVE ENTERPRISES (NCE) 115 NICE NEOTECH MEDICAL SYSTEMS 116 NORTH AMERICAN RESCUE LLC 116 NUMASK INC. 117 PHILIPS HEALTHCARE 117 PHOENIX MEDICAL SYSTEMS 118 PRESTIGE MEDICAL 118 QUAKE KARE 119 QUANTUM EMS LLC 119 SAFETEC OF AMERICA INC. 119 STRYKER 120 TENDER CORP. 120 WATER-JEL TECHNOLOGIES LLC 120 WELCH ALLYN INC. 121 ZIAMATIC CORP. 121 Z-MEDICA CORP. 121 ZOLL MEDICAL CORP. 122 CHAPTER 10 APPENDIX 1: ACRONYMS 124

LIST OF TABLES TABLE HEADING SUMMARY TABLE GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT, TABLE 1 HISTORY OF AMBULANCE/EMS EQUIPMENT 12 TABLE 2 FDA APPROVALS OF NEW AMBULATORY PRODUCTS, JAN. 2011 TO FEB. 2014 TABLE 3 FDA RECALLS OF AMBULATORY EQUIPMENT, JAN. 2011 TO FEB. 2014 27 TABLE 4 FDA SAFETY ALERTS FOR AMBULATORY EQUIPMENT, JAN. 2011 TO FEB. 2014 TABLE 5 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY TYPE, TABLE 6 GLOBAL MARKET FOR TRANSPORT EQUIPMENT, THROUGH 2018 ($ MILLIONS) TABLE 7 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT, TABLE 8 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT, THROUGH 2018 ($ MILLIONS) TABLE 9 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT, THROUGH 2018 ($ MILLIONS) TABLE 10 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT, TABLE 11 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT, THROUGH 2018 ($ MILLIONS) TABLE 12 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT, THROUGH 2018 ($ MILLIONS) TABLE 13 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC REGION, TABLE 14 MARKET SHARES OF AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC TABLE 15 GLOBAL MARKET FOR TRANSPORT EQUIPMENT BY GEOGRAPHIC REGION, TABLE 16 GLOBAL MARKET SHARES OF TRANSPORT EQUIPMENT BY GEOGRAPHIC TABLE 17 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY GEOGRAPHIC REGION, TABLE 18 GLOBAL MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY TABLE 19 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT BY GEOGRAPHIC REGION, TABLE 20 GLOBAL MARKET SHARES OF TRAUMA AND BURN CARE EQUIPMENT BY TABLE 21 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC REGION, TABLE 22 GLOBAL MARKET SHARES OF DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC TABLE 23 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT BY GEOGRAPHIC REGION, TABLE 24 GLOBAL MARKET SHARES OF CARDIAC AND RESPIRATORY CARE EQUIPMENT BY TABLE 25 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT BY GEOGRAPHIC REGION, 8 25 29 33 36 38 39 41 43 45 47 49 50 51 52 53 54 55 56 57 58 59 60 61

TABLE HEADING TABLE 26 GLOBAL MARKET SHARES OF INFECTION CONTROL EQUIPMENT BY TABLE 27 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT BY GEOGRAPHIC REGION, TABLE 28 GLOBAL MARKET SHARES OF HYPOTHERMIA PREVENTION EQUIPMENT BY TABLE 29 LEADING MANUFACTURERS OF TRANSPORTATION EQUIPMENT, 2012 66 TABLE 30 MANUFACTURER MARKET SHARES OF TRANSPORTATION EQUIPMENT, 2012 (%) TABLE 31 LEADING MANUFACTURERS OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT USED IN AMBULANCES, 2012 TABLE 32 MANUFACTURER MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL TABLE 33 LEADING MANUFACTURERS OF TRAUMA AND BURN CARE EQUIPMENT USED IN AMBULANCES TABLE 34 MANUFACTURER MARKET SHARES OF TRAUMA AND BURN CARE TABLE 35 LEADING MANUFACTURERS OF DIAGNOSTIC DEVICES USED IN AMBULANCES TABLE 36 MANUFACTURER MARKET SHARES OF DIAGNOSTIC DEVICES USED IN AMBULANCES, 2012 (%) TABLE 37 LEADING MANUFACTURERS OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES TABLE 38 MANUFACTURER MARKET SHARES OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES, 2012 (%) TABLE 39 LEADING MANUFACTURERS OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL TABLE 40 MANUFACTURER MARKET SHARES OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL, 2012 (%) TABLE 41 LEADING MANUFACTURER OF HYPOTHERMIA PREVENTION EQUIPMENT USED IN AMBULANCES TABLE 42 MANUFACTURER MARKET SHARES OF HYPOTHERMIA PREVENTION TABLE 43 DISTRIBUTION OF U.S. PATENTS BY YEAR, JAN. 2011 TO FEB. 2014 80 TABLE 44 DISTRIBUTION OF U.S. PATENTS BY CATEGORY, JAN. 2011 TO FEB. 2014 TABLE 45 DISTRIBUTION OF U.S. PATENTS BY TYPE, JAN. 2011 TO FEB. 2014 82 TABLE 46 DISTRIBUTION OF U.S. PATENTS BY COMPANY, JAN. 2011 TO FEB. 2014 TABLE 47 DISTRIBUTION OF U.S. PATENTS BY PATENT HOLDER'S COUNTRY, JAN. 2011 TO FEB. 2014 TABLE 48 DISTRIBUTION OF U.S. PATENTS BY ASSIGNEE, JAN. 2011 TO FEB. 2014 62 63 64 67 68 68 69 70 71 72 73 74 75 76 77 77 81 84 86 87

LIST OF FIGURES FIGURE TITLE SUMMARY FIGURE GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT, FIGURE 1 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY TYPE, FIGURE 2 GLOBAL MARKET FOR TRANSPORT EQUIPMENT, 36 FIGURE 3 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT, FIGURE 4 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT, 2011-2018 ($ MILLIONS) FIGURE 5 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT, 41 FIGURE 6 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT, FIGURE 7 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT, 2011-2018 ($ MILLIONS) FIGURE 8 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT, FIGURE 9 GLOBAL MARKET FOR AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 10 MARKET SHARES OF AMBULANCE AND EMS EQUIPMENT BY GEOGRAPHIC FIGURE 11 GLOBAL MARKET FOR TRANSPORT EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 12 GLOBAL MARKET SHARES OF TRANSPORT EQUIPMENT BY GEOGRAPHIC FIGURE 13 GLOBAL MARKET FOR BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 14 GLOBAL MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL EQUIPMENT BY FIGURE 15 GLOBAL MARKET FOR TRAUMA AND BURN CARE EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 16 GLOBAL MARKET SHARES OF TRAUMA AND BURN CARE EQUIPMENT BY FIGURE 17 GLOBAL MARKET FOR DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 18 GLOBAL MARKET SHARES OF DIAGNOSTIC EQUIPMENT BY GEOGRAPHIC FIGURE 19 GLOBAL MARKET FOR CARDIAC AND RESPIRATORY CARE EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 20 GLOBAL MARKET SHARES OF CARDIAC AND RESPIRATORY CARE EQUIPMENT BY FIGURE 21 GLOBAL MARKET FOR INFECTION CONTROL EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 22 GLOBAL MARKET SHARES OF INFECTION CONTROL EQUIPMENT BY FIGURE 23 GLOBAL MARKET FOR HYPOTHERMIA PREVENTION EQUIPMENT BY GEOGRAPHIC REGION, FIGURE 24 GLOBAL MARKET SHARES OF HYPOTHERMIA PREVENTION EQUIPMENT BY FIGURE 25 MANUFACTURER MARKET SHARES OF TRANSPORTATION EQUIPMENT, 2012 (%) 8 34 38 39 43 45 47 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 67

FIGURE TITLE FIGURE 26 MANUFACTURER MARKET SHARES OF BLOOD AND HEMORRHAGE CONTROL FIGURE 27 MANUFACTURER MARKET SHARES OF TRAUMA AND BURN CARE FIGURE 28 MANUFACTURER MARKET SHARES OF DIAGNOSTIC DEVICES USED IN AMBULANCES, 2012 (%) FIGURE 29 MANUFACTURER MARKET SHARES OF CARDIAC AND RESPIRATORY DEVICES USED IN AMBULANCES, 2012 (%) FIGURE 30 MANUFACTURER MARKET SHARES OF AMBULANCE EQUIPMENT USED FOR INFECTION CONTROL, 2012 (%) FIGURE 31 MANUFACTURER MARKET SHARES OF HYPOTHERMIA PREVENTION FIGURE 32 DISTRIBUTION OF U.S. PATENTS BY YEAR, JAN. 2011 TO FEB. 2014 80 FIGURE 33 DISTRIBUTION OF U.S. PATENTS BY CATEGORY, JAN. 2011 TO FEB. 2014 FIGURE 34 DISTRIBUTION OF U.S. PATENTS BY TYPE, JAN. 2011 TO FEB. 2014 83 FIGURE 35 DISTRIBUTION OF U.S. PATENTS BY PATENT HOLDER'S COUNTRY, JAN. 2011 TO FEB. 2014 FIGURE 36 DISTRIBUTION OF U.S. PATENTS BY ASSIGNEE TYPE, JAN. 2011 TO FEB. 2014 68 70 72 74 76 78 82 86 88