Global Audiological Devices Industry

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Global Audiological Devices Industry
Published on January 2011

Report Summary

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. The report provides separate comprehensive
analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are
provided for the period 2007 through 2015. Also, a seven-year historic analysis is provided for these markets. The report profiles 85
companies including many key and niche players such as Advanced Bionics Corporation, Cochlear Limited, GN Resound A/S,
Med-EL Medical Electronics, Neurelec SA, Otovation LLC, Phonak AG, Siemens Audiologische Technik GmbH, Starkey Laboratories,
Inc., Sonic Innovations, Inc., Widex A/S, William Demant Holding, Oticon A/S, and Bernafon AG. Market data and analytics are
derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online
sources.

Table of Content

AUDIOLOGICAL DEVICESMCP-3306
A GLOBAL STRATEGIC BUSINESS REPORT

CONTENTS

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

Global Audiological Devices Industry (From Slideshare) Page 1/22


Cochlear Implants 5

2. MARKET DYNAMICS 6
Outlook 6
World Market Analysis 6
Hearing Aids: Maintain its Dominance 6
Cochlear Implants: Rearing its Head 7
Market Trends 7
Technology Advancements Rife in Hearing Aids Market 7
Aging Population Drives Market Growth 7
Table 1: Worldwide Distribution of 65+ Population by
Region/Country: As on July 2009 (includes corresponding
Graph/Chart) 8
Market Moves towards Miniaturization 8
Cochlear Implants Gain Visibility 8
Reimbursement of Cochlear Implants 9
Cochlear Implants Reimbursements: A Review 9
Poor Levels of Hearing Aid Penetration Promise Bright Prospects 9
Table 2: Market Potential for Hearing Systems (includes
corresponding Graph/Chart) 10

Table 3: Penetration Rate of Hearing Systems by Select
Country (In %) (includes corresponding Graph/Chart) 10
Factors Influencing Growth in Hearing Aids Market: 11
Growth in Cosmetic, Behind-The-Ear Hearing Aids Market 11
Binaural Fittings Market to Grow 12
Table 4: Prevalence of Hearing Impairment and Penetration of
Hearing Aids and Binaural Fittings Worldwide (2005 - A
Historic Perspective): Breakdown by Select Country US,
Western Europe and Rest of World Countries 12
Consumers Demand More Value-Added Features 12
Diagnostic Instruments Grow at a Modest Pace 12
Digitalization of Hearing Aids Stimulates Wider Adoption 13
Digital Hearing Aid Market: Highly Consolidated 13
Table 5: Leading OEMs in Digital Hearing Aids Market
(2008): Market Share Breakdown for Siemens, Oticon,
Starkey, Phonak, Widex, and Sonic (includes corresponding
Graph/Chart) 13
Imparting Disposability to Hearing Aids 13
MEMS-Based Hearing Aids Exhibit Immense Potential 14
Increasing Hearing Impairment Among Younger Population 14
Hearing Aids - An Overview 14
Hearing Impairment Statistics 14
Subsidy/Reimbursement Scenario for Hearing Aids 15
A Review of Subsidy/Reimbursement System for Hearing Aids in
Select Regional Markets 15
Competitive Scenario 16
Hearing Aids 16
Handful of Players Dominate the Marketplace 16
Composition of Leading Players in the Hearing Aids Industry 16



Table 6: Leading Players in the Global Hearing Aids Market
(2006): Market Share Breakdown of Value Sales for Siemens,
William Demant (Oticon), GN ReSound, Phonak, Starkey Lab,
Widex and Others (includes corresponding Graph/Chart) 17

Table 7: Leading Players in the Global Hearing Aids Market
(2006): Market Share Breakdown of Volume Sales for Siemens,
William Demant, Phonak, GN Re Sound, Starkey, Widex, Sonic,
Rion and Others (includes corresponding Graph/Chart) 17
Consolidation Trends During Early 2000 17
Horizontal Consolidation 17
Horizontal Consolidations: 2000-2002 18
Vertical Consolidation 18
Vertical Consolidations: 2000-2001 18
Distribution Trends 19
Percentage Breakdown of Value Chain in Hearing Aids Market 19
Entry Barriers 19
Higher R&D Costs and Patent Situation 19
Highly Competitive Environment 19
Cochlear Implants 20
Table 8: Leading Players in the Global Cochlear Implants
Market (2009): Percentage Breakdown of Value Sales for
Cochlear, Advance Bionics, Med El, and Others (includes
Audiometric Testing Devices 20

3. PRODUCT OVERVIEW 21
Human and Technical Aids 21
Audiological Devices 21
Classification of Audiological Devices 21
Hearing Aids 21
History of Hearing Aids 22
Types of Hearing Aids 23
Behind-The-Ear (BTE) 23
Advantages 23
Disadvantages 23
Open-Fit Mini Behind-The-Ear 23
In-the-Ear (ITE) 23
Advantages 24
Disadvantages 24
In-the-Canal (ITC) 24
Advantages 24
Disadvantages 24
Completely-in-the Canal (CIC) 24
Advantages 25
Disadvantages 25
Broader Classification of Hearing Aids 25
Conventional Hearing Aids 25
Programmable Hearing Aids 25



Digital Hearing Aids 26
Technology - Analog Vs.Digital 26
Disposable Hearing Aids 26
Hearing Aids Batteries 26
Common Problems Associated with Use of Hearing Aids 26
Common Cold Affects Functioning of Hearing Aids 26
Hygiene Problems Associated with Hearing Aids 27
Prevention of Transmission 27
Trends in Hearing Aids and Hearing Aids Batteries Market 27
Measurement/Testing Devices 28
Otoscopes 28
Video Otoscopes 28
Audiometers 28
Audiogram 29
Working of an Audiogram 29
Audiogram Interpretation 29
Audiometric Tests 29
Impedance Analyzers 30
Hearing Aid Analyzers 30
Other Measurement/Testing Devices 30
Cochlear Implant Technology 30
Beneficiaries of Cochlear Implant 31
Cochlear Implants Found Effective in Children 31

4. AN INSIGHT INTO THE HUMAN AUDITORY SYSTEM 32
The Hearing Process 32
Nature and Types of Hearing Loss 32
Determining the Level of Hearing Impairment 33
Hearing Impairments 33
Conductive Hearing Loss 33
Sensor Neural Hearing Loss (SNHL) 33
Noise Induced Hearing Loss 34
Congenital Hearing Loss 34
Common Causes of Hearing Loss 34
Presbycusis 34
Diseases 35
Otitis Media 35
Autoimmune Disease 35
Otosclerosis 35
Meniere's Disease 35
Tinnitus 35
Subjective Tinnitus 35
Objective Tinnitus 36
Treatment 36
Treatment for SNHL 36
Sound Amplification Through Hearing Aids 36
Ear Surgery 36
Stapedectomy 37
Tympanoplasty 37



Ear Tube Surgery and Myringotomy 37
Ear Surgery for Perforated Eardrum 38
Ear Surgery for Tumors 38
Ear surgery for Congenital Ear Defects 38
Other Ear Surgeries 39
Tinnitus 39
Hearing Conservation Programs 39
Strategies to Control Noise - Administrative and Engineering
Controls 39
Regulatory Steps Initiated in Europe 40
Effective Hearing Conservation Program - Characteristics 40

5. PRODUCT INNOVATIONS/LAUNCHES 41
ReSound Launches Live ITC Remote Microphone Custom Hearing
Instruments 41
Australia Cochlear Launches Hearing Aid Technology 41
Starkey Unveils S Series Hearing Aids 41
Cochlear Introduces Implantable Hearing Solutions 41
Sleek Audio Introduces the VQ System 42
Widex Introduces Hearing Aids with Integrated Digital Signal
Processing 42
America Hears Launches Digital Hearing Aids 42
Siemens Launches Hearing Aids Range 42
America Hears Unveils Digital Hearing Aid Range 43
Songbird Hearing Unveils Songbird Flexfit Hearing Aid 43
Widex Introduces World's Smallest RIC Device, Passion(tm) 44
Siemens Hearing Introduces Pure(r) 44
Siemens Hearing Unveils Vibe 44
Sonic Innovations Unveils Two Brand New Hearing Devices 45
GN ReSound Introduces New 'be by ReSound' Hearing Aid 45
GN ReSound Introduces ReSound Ziga Line 45
Phonak Introduces New ML11i and ML9i Dynamic FM Receivers 45
GN ReSound Introduces New 'dot by ReSound' Hearing Instrument 46
Sonic Introduces ion(tm) 400 and Velocity miniBTE Hearing Aids 46

6. PRODUCT INNOVATIONS/LAUNCHES IN RECENT PAST -
A PERSPECTIVE BUILDER 47
Sonic Innovations Launches ion(tm) 200 47
Audifon Introduces New Hearing Aid, Switch 47
Beltone Introduces the New Lightweight Hearing - Aid 47
Cochlear Americas Introduces Three New Pediatric Hearing
Solutions for Children 47
Starkey Laboratories Introduces the New Destiny 1600 Hearing Aid 48
America Hears Introduces Freedom AD SIE 48
Siemens Introduces ARTIS(tm) 2 and CIELO(tm) 2 Hearing
Instruments 48
Sonic Innovations Introduces New Velocity Range of Digital
Hearing Aids 49



3D Systems to Introduce Hearing-Aid Manufacturing System 49
William Demant Introduces World's First Wireless Binaural
Hearing Aid 49
Unitron Hearing Introduces the First Ever BTE Product with CRT 50
Siemens Launches CENTRA Active(tm) for Active Users 50
Otovation Releases Amplitude T-Series Audiometer 50
MED-EL Releases Soundbridge(r) Middle Ear Implant 50
Siemens Introduces INTUIS BTEs 51
ReSound Introduces Azure Hearing Aids with Natural
Directionality(tm) 51
Phonak Introduces Three New Dynamic FM Products 51
Bernafon Launches New 'brite' Hearing System 51
Bernafon Launches New ICOS Micro Hearing System 51
Siemens Introduces Nitro CIC Mini Hearing Device 52
Maico Introduces MI 44 52
RION Launches Digital Hearing Aid Series 52
America Hears Launches Hearing Aid Based on Dynamic Hearing's
Technology 52
GN Introduces ReSound Pulse 53
MED-EL Unveils New Cochlear Implant SONATATI100 53
Phonak Unveils Verve Steinway Edition 53
HearPod Introduces Directional Mic Open Fitting 54
Maico Launches Detective 54
Phonak Launches Ultra-Modern Savia Art Devices 54
HearPod Launches HearPod Micro 54
SeboTek Unveils Voice-Q 721 55
Sonic Innovation Introduces Balance(tm) 55
Unitron Hearing Launches Advanced Element(tm) Series 55
Unitron Hearing Unveils Indigo(tm) Moda and Element(tm) Moda 56
Cochlear Develops Hybrid Implant/Hybrid Hearing Instrument 56
Objet Introduces New Solution for Hearing Aids 56
SeboTek Releases InFocus Lifestyles 57
Sonic Introduces Open-Ear Hearing Aid 57
Starkey Launches DaVinci PsP(tm) 57
Starkey Unveils Smart Hearing Aid 57
Otologics Introduces Hearing Aid in India 57
William Demant Presents New Hearing Aid Product 58
Phonak Launches Eleva 58
GN Introduces New Hearing Aids 58
Phonak Launches Two New Product Segments 58
Widex Launches New Flagship Product for Hearing Impaired 58
GN ReSound Unveils Digital Hearing Aids in India 58
Widex Introduces Cost Efficient Hearing Aids in India 59
Phonak Launches Hi-Tech Hearing Model in India 59
Starkey Introduces Bluetooth(r) Hearing Aid Device 59
Med-El Launches Cochlear Implant in US 59
Med-El Corp. Introduces Cochlear Implant in Canada 59
Advanced Bionics and Phonak Launches Auria iConnect 59
Med-El Unveils DUET 60
Phonak Presents Revolutionary Products 60



Cochlear Americas Receives FDA Approval for Nucleus Freedom CI
System 60
Phonak Launches Savia Digital Hearing System 60
Sonic Innovations Introduces Innova Digital Hearing Aid 60
GN ReSound Launches ReSound Metrix Hearing Aid 61
MED-EL Introduces PULSARci100 Cochlear Implant System 61
University of Iowa Develops Short Electrode Implant 61

7. RECENT INDUSTRY ACTIVITY 62
Sonova Holding Takes Over InSound Medical 62
Otix Global Signs Merger Agreement with William Demant 62
ON Semiconductor Takes Over Sound Design Technologies 62
Starkey Enters into Licensing Agreement with NVCP 62
HAL Holding Acquires Interest in Geers 63
Sonova Holdings Acquires Advanced Bionics 63
Cochlear Inks Agreement with NXP to Enhance Hearing Implant
Devices 63
Sonomax Hearing Healthcare Sells Rights for Software System to 3M 63
HearAtLast Holdings to Open Tinnitus Clinic in Canada 64
Natus Medical Completes Acquisition of Sonamed 64
Technitrol Announces Sonion Acquisition 64
Sonomax Completes Sale of Vitasound 65
ReSound North America Partners with Sonus 65
Starkey and SeboTek Enter into Patent License Agreement 66
GoAmerica Completes the Acquisition of Verizon TRS Division 66
AidRight Plans for Nationwide Expansion 67

8. CORPORATE ACTIVITY IN THE RECENT PAST - A PERSPECTIVE BUILDER 68
IntriCon Acquires Tibbetts Industries 68
Phonak Holding Changes Name to 'Sonova Holding AG' 68
Sonomax and HearAtlast Extend Business Collaboration 68
The Hearing Solution and Advanced Bionics Enter into Partnership 69
Phonak AG and ReVolt Technology Enter into Collaboration 69
AuDNet Enters into a Supply Arrangement with Vivatone 69
Sonic Innovations Divests Tympany 69
Sonic Innovations and Amplifon Enter into Supply Agreement 70
Gennum Divests Hearing Instrument and Manufacturing Business 70
Amplifon Completes Acquisition of Horakustik Gerland 70
Amplifon Completes Acquisition of Hörgeräte Weigmann and
Hörakustik Heckhuis 70
Westone and Siemens Enter into an Exclusive Strategic Alliance 71
Sonic Innovations Takes Over American-Hearing 71
Hearing Healthcare Management Announces Cascade Hearing
Centers Acquisition 71
AMI Semiconductor Acquires Select Starkey Design Center Assets 72
Sonomax Takes Over VitaSound 72
Sonomax Enters into an Agreement with Aearo 72
Amplifon Takes Over Audimed GmbH 73
Amplifon Takes Over Schnabel 73
Amplifon Announces the Acquisition of Ultravox 73



Amplifon Completes Acquisition of Laudio and Bioacustica 74
Sonomax Signs Deal with Hear Atlast 74
Sonomax Collaborates with Gennum 74
FDA Approves Cochlear's Next Generation Implant System 74
Cochlear Bags Huge Order for Nucleus Cochlear Implants 75
GN Pockets Interton 75
Sonic Innovations Acquires Tympany 75
Cochlear Americas Acquires Entific Medical 75
Dynamic Hearing Licenses House Ear Institute 75
Misonix Signs Service Contract with Ceres Biotechnology 75
Acacia Obtains Patents for ECS 76
Sonion Establishes Hearing Aids Plant in Vietnam 76
US CMS Widens Eligibility Criteria for Cochlear Implants 76
Boston Scientific Acquires Advanced Bionics 76

9. FOCUS ON SELECT GLOBAL PLAYERS 77
Advanced Bionics Corporation (US) 77
Cochlear Limited (Australia) 77
GN Resound A/S (Denmark) 77
Med-EL Medical Electronics (Austria) 78
Neurelec SA (France) 78
Otovation LLC (USA) 78
Phonak AG (Switzerland) 79
Siemens Audiologische Technik GmbH (Germany) 79
Starkey Laboratories, Inc. (US) 79
Sonic Innovations, Inc. (US) 79
Widex A/S (Denmark) 80
William Demant Holding (Denmark) 80
Oticon A/S (Denmark) 80
Bernafon AG (Switzerland) 80

10. GLOBAL MARKET PERSPECTIVE 81
Table 9: World Recent Past, Current & Future Analysis 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 Sales
Figures in US$ Million for Years 2007 through 2015 (includes

Table 10: 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 Sales Figures in US$
Million for Years 2000 through 2006 (includes corresponding
Graph/Chart) 82

Table 11: World 11-Year Perspective for Audiological Devices
by Geographic Region- Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2005,2010 &



2015 (includes corresponding Graph/Chart) 83

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 2007 through 2015 (includes

Table 13: World Historic Review 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 Sales Figures in US$ Million for Years
2000 through 2006 (includes corresponding Graph/Chart) 85

Table 14: World 11-Year Perspective for Hearing Aids by
Geographic Region- Percentage Breakdown of Dollar Sales for
Latin America and Rest of World Markets for Years 2005, 2010 &

Hearing Aids by Product Segment - Behind-the-Ear, In- the-
Ear, In-the-Canal and Completely-in-the Canal Markets
Graph/Chart) 87

Table 16: 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 Sales Figures in US$ Million for Years 2000 through

Table 17: World 11-Year Perspective for Hearing Aids by
Product Segment -Percentage Breakdown of Dollar Sales for
Behind-the-Ear, In- the-Ear, In-the-Canal and Completely-
in-the Canal Markets for 2005, 2010 & 2015 (includes

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

Table 19: World Historic Review for Behind-the-Ear (BTE)
Hearing Aids by Geographic Region - US, Canada, Japan, Europe,




Table 20: World 11-Year Perspective for Behind-the-Ear (BTE)
Hearing Aids by Geographic Region- Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2005, 2010 & 2015 (includes corresponding Graph/Chart) 91

In-the-Ear (ITE) Hearing Aids by Geographic Region- US,

Table 22: World Historic Review for In-the-Ear (ITE) Hearing
Aids by Geographic Region - US, Canada, Japan, Europe,

Table 23: World 11-Year Perspective for In-the-Ear (ITE)

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

Table 25: World Historic Review for In-the-Canal (ITC) Hearing
Aids by Geographic Region - US, Canada, Japan, Europe,

Table 26: World 11-Year Perspective for In-the-Canal (ITC)



Completely-in-the-Canal (CIC) Hearing Aids by Geographic
Region- US, Canada, Japan, Europe, Asia-Pacific (excluding

Table 28: World Historic Review for Completely-in-the-Canal
(CIC) Hearing Aids by Geographic Region - US, Canada, Japan,

Table 29: World 11-Year Perspective for Completely-in-the-
Canal (CIC) Hearing Aids by Geographic Region- Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
World Markets for Years 2005, 2010 & 2015 (includes

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
Sales Figures in US$ Million for Years 2007 through 2015
(includes corresponding Graph/Chart) 101

Table 31: World Historic Review for Measurement/Testing
Devices by Geographic Region - US, Canada, Japan, Europe,

Table 32: World 11-Year Perspective for Measurement/ Testing
Devices by Geographic Region- Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets for Years
2005, 2010 & 2015 (includes corresponding Graph/Chart) 103

Measurement/Testing Devices by Product Segment - Otoscopes,
Audiometers, Impedance Analyzers, Hearing Aid Analyzers and
Others Markets Independently Analyzed with Annual Sales

Table 34: World Historic Review for Measurement/Testing
Devices by Product Segment - Otoscopes, Audiometers, Impedance



Analyzers, Hearing Aid Analyzers and Others Markets
Graph/Chart) 105

Table 35: World 11-Year Perspective for Measurement/ Testing
Devices by Product Segment - Percentage Breakdown of Dollar
Sales for Otoscopes, Audiometers, Impedance Analyzers, Hearing
Aid Analyzers and Others Markets for 2005, 2010 & 2015

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

Table 37: World Historic Review for Otoscopes by Geographic

Table 38: World 11-Year Perspective for Otoscopes by

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

Table 40: World Historic Review for Audiometers by Geographic

Table 41: World 11-Year Perspective for Audiometers by




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

Table 43: World Historic Review for Impedence Analyzers by
Graph/Chart) 114

Table 44: World 11-Year Perspective for Impedence Analyzers by

Hearing Aid Analyzers by Geographic Region- US, Canada, Japan,

Table 46: World Historic Review for Hearing Aid Analyzers by
Graph/Chart) 117

Table 47: World 11-Year Perspective for Hearing Aid Analyzers
by Geographic Region- Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia- Pacific (excluding Japan),

Other Measurement/Testing Devices by Geographic Region- US,

Table 49: World Historic Review for Other Measurement/ Testing
Devices by Geographic Region - US, Canada, Japan, Europe,




Table 50: World 11-Year Perspective for Other Measurement/
Testing Devices by Geographic Region- Percentage Breakdown of

Cochlear Implants by Geographic Region - US, Canada, Japan,

Table 52: World Historic Review for Cochlear Implants by
Geographic Region - US, Canada, Japan, Europe, Asia- Pacific
Graph/Chart) 123

Table 53: World 11-Year Perspective for Cochlear Implants by

11. THE UNITED STATES 125
A.Market Analysis 125
Hearing Aids Market Temporarily Impacted by Recession 125
Outlook 125
US Hearing Aids Market Overview 125
Table 54: US Recent Past & Current Analysis for Hearing Aid
Devices - Independently Analyzed with Annual Sales Figures
in Thousand Units for Years 2000 through 2010 (includes

Table 55: US Recent Past & Current Analysis for Hearing Aid
Devices by Product Segment - Behind- the-Ear, In- the-Ear,
In-the-Canal, and Completely- in-the Canal Markets
Independently Analyzed with Annual Sales Figures in
Thousand Units for Years 2007 through 2010 (includes

Table 56: US 4-Year Perspective for Hearing Aid Devices by
Product Segment -Percentage Breakdown of Volume Sales for
Behind-the-Ear, In- the-Ear, In-the-Canal, and
Completely-in-the Canal Markets for 2007, 2008 & 2010



Unabated VA's Purchases Rebounds Hearing Aids Market
Swiftly from Recession 127
Table 57: US Recent Past & Current Analysis for Hearing
Aid Devices by Sector - VA and Non-VA Markets
Independently Analyzed with Annual Sales Figures in
Thousand Units for Years 2000 through 2010 (includes

Table 58: US 11-Year Perspective for Hearing Aid Devices
by Sector -Percentage Breakdown of Volume Sales for VA and
Non-VA Markets for 2000, 2005, 2009 & 2010 (includes
Lack of Reimbursement: A Major Concern for Hearing Aids Market 129
Hearing Aid Tax Credit Proposal: A Harbinger for Growth 129
Proposed Hearing Aid Tax Credit Bills Presently Under
Review at House of Representatives and Senate 129
Market Trends 129
Digital Products Gain Ground 129
Penetration Levels Expected to Rise 130
Growing Prevalence of Hearing Impairment Boosts Market 130
Binaural Penetration 130
Cochlear Implants on the Road to Widespread Adoption 131
Reimbursement Issues in Cochlear Implants 131
Table 59: Costs Associated with a Cochlear Implant
Procedure in the US (2004) - A Historic Perspective
Facts and Figures about Hearing Impairment 132
Table 60: Percentage of Individuals with Hearing Loss
Relative to the General Population by Age Group in the US
Competitive Landscape 133
Table 61: Leading Players in the US Hearing Instruments
Market (2006): Percentage Breakdown of Value Sales for
Starkey Laboratories, Siemens Hearing Instruments, GN
ReSound, Oticon, Phonak, Widex Hearing and Others (includes

Table 62: Leading Players in the US Cochlear Implants
Market (2008 - Percentage Share Breakdown of Sales for
Cochlear Ltd., Advanced Bionics, and MED-EL (includes
Players in ABR/ OAE Analyzers 133
Table 63: Leading Players in the US ABR/ OAE Analyzers
Market (2006): Percentage Share Breakdown of sales for
Natus Medical, Grason Stadler, SonaMed, and Others
Product Distribution System 134
Regulations & Acts 134
Safe Medical Devices Act (SDMA) 134



Hearing Aid Compatibility Act 1988 135
American Disabilities Act (ADA) 135
Federal Hearing Conservation Amendment 135
ANSI Standards for the US 135
Export- Import Scenario 136
Exports: 136
Table 64: Hearing Aids Market in the US (2006-07): Exports
in US$ 'Million by Select Countries - Mexico, China,
Denmark, Canada, Germany, France, Switzerland, Argentina,
Colombia and Australia (includes corresponding
Graph/Chart) 136
Imports: 137
Table 65: US Imports (*) of Hearing Aids (Including
Digital Aids) by Select Country of Origin (2009 & 2008):
Breakdown of Value Imports (In US$ Million) for China,
Denmark, Singapore, Switzerland, Mexico, Vietnam, Sweden,
Austria, Thailand, and Djibouti (includes corresponding
Graph/Chart) 137
B.Market Analytics 138
Table 66: The US Recent Past, Current & Future Analysis for
Audiological Devices by Product Segment- Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and Completely-
in-the Canal), Measurement/Testing Devices (Otoscopes,
Others) and Cochlear Implants Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2007
through 2015 (includes corresponding Graph/Chart) 138

Table 67: The US Historic Review for Audiological Devices by
Product Segment - Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal), Measurement/
Testing Devices (Otoscopes, Audiometers, Impedance
Analyzers, Hearing Aid Analyzers and Others) and Cochlear
Implants Markets Independently Analyzed with Annual Sales

Table 68: The US 11-Year Perspective for Audiological
Sales for Hearing Aids (Behind-the-Ear, In- the-Ear,
In-the-Canal and Completely-in-the Canal),
Measurement/Testing Devices (Otoscopes, Audiometers,
Impedance Analyzers, Hearing Aid Analyzers and Others) and
Cochlear Implants Markets for 2005, 2010 & 2015 (includes

12. CANADA 141
Outlook 141



Export-Import Scenario 141
Exports: 141
Table 69: Canadian Hearing Aids Market (2006-07): Exports
in US$ '000 by Select Countries - Japan, United Kingdom,
Brazil, United States, China, Switzerland, Singapore,
Chile, South Korea and Germany (includes corresponding
Graph/Chart) 141
Imports: 142
Table 70: Canadian Imports of Hearing Aids (Including
Digital Aids) by Select Country of Origin (2009 & 2008):
Breakdown of Value Imports (In US$ Million) for Denmark,
China, Switzerland, United States, Vietnam, Australia,
Singapore, Mexico, Sweden, and Austria (includes
Table 71: Canadian Recent Past, Current & Future Analysis
for Audiological Devices by Product Segment- Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and
Completely-in-the Canal), Measurement/Testing Devices
(Otoscopes, Audiometers, Impedance Analyzers, Hearing Aid
Analyzers and Others) and Cochlear Implants Markets
Graph/Chart) 143

Table 72: Canadian Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely- in-the Canal),
Measurement/ Testing Devices (Otoscopes, Audiometers,
Cochlear Implants Markets Independently Analyzed with Annual

Table 73: Canadian 11-Year Perspective for Audiological
Sales for Hearing Aids (Behind- the-Ear, In- the-Ear,
In-the-Canal and Completely- in-the Canal), Measurement/
Implants Markets for 2005, 2010 & 2015 (includes

13. JAPAN 146
Regulatory Environment 146
Distribution System 146
Rion Co. Ltd. - A Key Player 147
Table 74: Japanese Recent Past, Current & Future Analysis



(Behind-the-Ear, In- the-Ear, In-the- Canal and
Completely-in-the Canal), Measurement/ Testing Devices
Graph/Chart) 148

Table 75: Japanese Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind- the-Ear, In-
the-Ear, In-the-Canal and Completely- in-the Canal),

Table 76: Japanese 11-Year Perspective for Audiological

14. EUROPE 151
Outlook 151
Cochlear Implants Market 151
Table 77: Leading Players in the European Cochlear Implants
Market (2005 - A Historic Perspective): Percentage
Breakdown by Value Sales for Cochlear, MED-EL, MXM, and
Advanced Bionics (includes corresponding Graph/Chart) 152
Regulatory Environment 152
Private Sector Offers Lucrative Opportunities 152
Reimbursement Issues 152
Standards for Hearing Protection 152
Table 78: European Recent Past, Current & Future Analysis
for Audiological Devices by Geographic Region - France,
Germany, Italy, UK, Spain, Russia and Rest of Europe Markets
Graph/Chart) 153

Table 79: European Historic Review for Audiological Devices
by Geographic Region - France, Germany, Italy, UK, Spain,
Russia and Rest of Europe Markets Independently Analyzed




Table 80: European 11-Year Perspective for Audiological
Devices by Geographic Region - Percentage Breakdown of
Dollar Sales for France, Germany, Italy, UK, Spain, Russia
and Rest of Europe Markets for Years 2005, 2010 & 2015

Table 81: European Recent Past, Current & Future Analysis
(Behind-the-Ear, In- the-Ear, In-the-Canal and Completely-
in-the Canal), Measurement/Testing Devices (Otoscopes,
Others) and Cochlear Implants Markets Independently Analyzed

Table 82: European Historic Review for Audiological Devices
by Product Segment - Hearing Aids (Behind-the-Ear, In-
the-Ear, In-the-Canal and Completely-in-the Canal),

Table 83: European 11-Year Perspective for Audiological

14a. FRANCE 159
Outlook 159
Competition 159
Table 84: Leading Players in the French Hearing Aids Market
(2006 - A Recent Past Perspective): Percentage Breakdown of
Volume Sales for - Audika, Amplifon, Audition santé,
Audition conseil, Mutualist Audition, Entendre, and Others
Amplifon Groupe - A Key Player 159
Table 85: French Recent Past, Current & Future Analysis for
Audiological Devices by Product Segment- Hearing Aids
(Behind-the-Ear, In- the-Ear, In-the-Canal and



Completely-in-the Canal), Measurement/Testing Devices
Graph/Chart) 160

Table 86: French Historic Review for Audiological Devices by
Product Segment - Hearing Aids (Behind-the- Ear, In-
the-Ear, In-the-Canal and Completely-in-the Canal),

Table 87: French 11-Year Perspective for Audiological
corresponding Graph/Chart)



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