CPAP Mask Market Analysis

Part
01
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Part
01

CPAP Mask Market Size: United States

The size of the US CPAP Masks market is estimated to be $569.2 million.

Market Overview & Size

  • By type, the continuous positive airway pressure (CPAP) Masks market is divided into "Nasal Pillow Mask, Nasal Masks, Full Face Mask, etc." It is divided by size into Small Face and Wide Mask.
  • By application, this market is divided into Hospitals & Clinics, Home Care, etc.
  • The global CPAP Mask market is divided into several regions, including North America, Europe, the Asia Pacific, South America, and the Middle East and Africa.
  • The rising number of sleep apnea patients, increasing demand for CPAP machines, and growing advancements of CPAP machines and masks' technology and structural characteristics are significant drivers of the CPAP Masks market.
  • The estimated size of the US CPAP Masks market is $569.2 million.

Research Strategy

To determine the size of the US CPAP Masks market in terms of revenue and the number of units, we examined several industry reports from MarketWatch, PR Newswire, GlobeNewswire, Markets Insider, and Marketquest.biz, among others. However, we only found global information in terms of revenue.
While some reports indicated that sales and regional values were available, they were behind a paywall. As such, we could not compute the data. We then resorted to triangulating the data since we already had the global value, as provided below.
We used an article beyond Wonder's standard two-year timeframe for sources as it provided us with relevant data for an earlier period.

Assumptions & Calculations

  • The 2020 Global CPAP Masks market size = $2,020.8 million.
  • North America held the largest share of this market in 2018. However, the available reports did not disclose the market share. North America also represented the largest market share for the larger CPAP Devices market at around 35%. We then assumed the percentage to be the same for the Global CPAP Masks market since it is a segment of the CPAP Devices market.
  • Using this assumption, the 2020 CPAP Masks market size in North America = 2020 Global CPAP Masks market size x the market share of North America.
  • Thus, the 2020 CPAP Masks market size in North America = $2020.8 million x 35% = $707.28 million.
  • The sleep apnea devices market comprises around 50% of the CPAP Devices market globally. It is a major driver of the Global CPAP Masks market. As such, we used this market as a proxy to determine the US market share of the 2020 CPAP Masks market in North America.
  • The US has the largest share of the CPAP Devices market in North America and globally due to the high awareness level of sleep apnea patients. Assuming the US CPAP Masks market mirrors the same market share of the Sleep Apnea Devices market in North America, we can determine its market size.
  • In 2013, the US held 92.2% of the North American Sleep Apnea Devices market. However, in 2017, the size of the US Sleep Apnea Devices market was $2.6 billion, and North America comprised 51.5% of the global market valued at $5.9 billion. Thus, the size of the North American Sleep Apnea Devices market in 2017 was $5.9 billion x 51.5% = $3.04 billion. Similarly, the US market share in 2017 = ($2.6 billion / $3.04 billion) x 100% = 85.5%
  • To obtain the annual growth rate, we computed the market shares in 2013 and 2017 over the four years from 2013 to 2017, i.e., (92.2% — 85.5%) / 4 = 6.7% / 4 = 1.675%.
  • Thus, the US market share in 2020 would be the 2017 market share — (3 x annual growth rate) = 85.5% — (3 x 1.675%) = 85.5% — 5.025% = 80.48% in 2020.
  • Assuming this market share, the 2020 US CPAP Masks market size = 2020 US CPAP Masks market share x 2020 CPAP Masks market size in North America.

The 2020 US CPAP Masks market size = 80.48% x $707.28 million. = $569.2 million

Part
02
of nine
Part
02

CPAP Mask Use: Hospitals

The average spending on CPAP masks in a hospital setting is approximately between $1,500 to $3,000. Full face masks, nasal masks, and nasal pillow masks are three types of CPAP masks used.

Helpful Findings

  • Based on the findings of numerous studies, the average duration of CPAP use in a hospital setting is roughly 5 hours per night.
  • According to SoClean CEO Bob Wilkins, about 8 million people in the U.S. use CPAP, and this increases by 8 to 9 percent per annum. "SoClean is the world’s first automated CPAP cleaner and sanitizer."
  • The estimated cost of a single CPAP machine in a hospital setting can range from about $1,500 to $3,000.
  • There are three types of CPAP machines used in a hospital setting. They include full face masks, nasal masks, and nasal pillow masks.
  • According to an industry expert, professor John Banzhaf, "there are millions of CPAP devices already in use in hospitals to reduce snoring and treat sleep apnea."
  • The average spending on sleep apnea in the US is between $65 and $165 billion.

Research Strategy

The research team searched through medical journals, statistical databases, and market research reports such as Healthline, Science Daily, NCBI, Journal of Hospital Medicine, IBISWorld, and more for stats on CPAP mask usage in U.S. hospitals. The team found some related data, including the average duration of CPAP usage, the number of CPAP users, the average cost of CPAP masks, etc. Unfortunately, statistics regarding the number of CPAP masks used annually and per bed in hospitals were hard to come by. The team also attempted to triangulate some of these statistics- for example, using the number of sleep apnea patients admitted per year to estimate the number of CPAP masks used in hospitals in the same period. We also searched medical journals, other industry-related articles, and market research databases but could not find the number of American's admitted to hospitals due to this disorder. We found other stats, such as the annual economic cost of sleep apnea in the United States. Therefore, after searching thoroughly, the team determined that there are a few CPAP and sleep apnea statistics in the public domain, and they don't seem easy to find.
Part
03
of nine
Part
03

CPAP Mask Market Segmentation: United States

Hospitals and clinics in the United States represent 60% of the overall CPAP market in the year 2020. Meanwhile, there are between 9.33 million and 9.5 million CPAP users in the nation.

CPAP Mask Market

  • According to data supplied by a UnivDatos report detailing a market analysis and forecast for the continuous positive airway pressure (CPAP) market, hospitals and clinics have a share of around 60% of the overall CPAP market.
  • UnivDatos claims that the demand for CPAP masks is highest within clinics and hospitals because of the COVID-19 pandemic and its usage in the Neonatal Intensive Critical Unit, or NICU, for neonates with underdeveloped lungs. The complete report is locked behind a paywall.
  • In 2018, there were an estimated 8 million users of CPAP masks in the United States, as stated by Bob Wilkins, CEO of SoClean (an automated CPAP sanitizer and cleaner). Presumably, this represents the "at-home use by consumers" segment of the market.
  • Wilkins also stated that the number of Americans that use CPAP masks increases by between 8% to 9% every year. Currently, there are between 9.33 million and 9.5 million CPAP users in the United States, as of 2020 (see calculations).
  • However, the number of potential CPAP users is estimated to be between 20 million to 30 million Americans, as of 2018.
  • UnivDatos states that the usage of CPAP masks in home care is helping to improve market growth.

Research Strategy:

Though we were able to find some information on the CPAP mask market in the United States breaks down in terms of hospitals/clinics and at-home use by consumers, we could not determine the share or usage volume in nursing homes.

For this request, we examined reports, articles, and press releases from reliable news and media sources to find relevant information on the topic. We explored through sources such as Forbes, PRNewswire, GlobeNewswire, Business Wire, and MedGadget, among others. Although we found a report from Forbes providing an estimate on the number of CPAP users in the United States, most of the reports, articles, and press releases we came across did not discuss a break down of the market or covered the sleep apnea market (CPAP is a recommended therapy for patients suffering from sleep apnea).

Furthermore, we searched for reports from nursing homes in the United States, hoping that they would provide either a budget breakdown that offered insight on how much they spend on CPAP masks or general information on the number of CPAP masks used in nursing homes throughout the United States. These nursing home facilities included those listed by Newsweek, which ranked the best nursing homes in 2020 by state. Nevertheless, none of the facilities we picked offered the information we were seeking.

We also searched through a multitude of market research reports from reputable sources such as Market Watch, Market and Markets, Grandview Research, Regal Intelligence, and UnivDatos, among others. While several of the sources offered information on the global CPAP market (e.g., revenue, CAGR, etc.), there was limited data available on how the market breaks down. UnivDatos presented insights on the end-user segment and usage in hospitals and clinics, the full report is behind a paywall and the available summary did not mention nursing homes/care facilities. It also presented information stating that hospitals and clinics comprise 60% of the global market, and hence, we made the assumption that this figure is indicative of the market share in the United States as well.

Finally, we searched for various data points that could help us to triangulate an answer, such as the amount of funds used to purchase CPAP masks for nursing homes, the number of nursing home residents using CPAP masks, etc. For this information, we consulted the sources listed above, along with the National Center for Health Statistics. However, this research path yielded limited results, as the National Center for Health Statistics offered outdated information that did not concern the use of CPAP (e.g., the number of nursing homes, number of nursing home residents and licensed beds).

Calculations

The report from Forbes claims that there were up to 8 million CPAP users in the nation in 2018, while the estimated growth rate was between 8% to 9%. To find the current number of CPAP users in the United States, we performed some simple multiplication using both of the growth rate figures and a reverse CAGR calculator.

Number of CPAP users in 2018 (starting value) = 8 million
CAGR = 8% and 9%
Number of periods = 2 years

The result for a growth rate of 8% over two years is 9.33 million, while the result for a growth rate of 9% over the same time period is 9.5 million.
Part
04
of nine
Part
04

CPAP Mask Use: Nursing Homes

An exhaustive search did not find hard data on the usage of CPAP masks in nursing homes in the U.S. In the course of the research, the team gathered that while CPAP masks are used in CPAP machines for the treatment of sleep apnea, just a few nursing homes in the U.S. have a documented record of patients with this disorder.

Related Findings

  • The American Sleep Apnea reported that approximately, 22 million Americans suffer from different degrees of sleep apnea with about 80%, both moderate and severe cases, undiagnosed.
  • According to the most recently available analysis on the prevalence of sleep apnea in nursing homes, only 0.5% of the total sleep apnea cases in nursing homes were documented as of 2004. The report also hinted that this "may be due to selective mortality associated with sleep apnea, a perception on the part of physicians that apnea is a low priority or low impact condition in the context of the multiplicity of comorbidities in this patient population, or a combination of these and other factors."
  • While this may not necessarily be related to the number of CPAP masks used in nursing homes, the unavailability of this data makes triangulation impossible.
  • The common types of CPAP masks are nasal, nasal pillow, and full face masks.
  • Nasal prong, oral, hybrid, and total face masks are less common types of CPAP face mask.
  • CPAP masks are to be replaced at least once every 6 to 12 months.
  • A CPAP mask costs between $93 to $109.
  • The National Center for Health Statistics reported that in 2016, there were about 15,600 nursing homes with 1.3 million residents and 1.7 million licensed beds in the U.S.

Research Strategy

To provide an overview of CPAP mask usage in nursing homes in the U.S., the team commenced with a thorough search through articles and publication by experts, government databases, and health-related associations for insights into the usage of CPAP masks, and a breakdown of this usage by types, in nursing homes. We also searched for press releases from some top nursing homes in the country as provided by Newsweek. Unfortunately, no useful data was found. When it was obvious that no pre-compiled data specific to nursing homes existed, we expanded the scope of this research to include other healthcare facilities in the country. We searched through several media outlets and news publication, no useful data was found.

While no pre-existing data was found, the team attempted to triangulate relevant data points. We hoped to estimate the total number of patients at nursing homes that require CPAP masks from the total number of sleep apnea patients at nursing homes. We could assume that each patient uses 2 masks each year since it is to be replaced at least once every year. This would give us an idea of the minimum masks used at nursing homes each year should each patient's CPAP mask be changed at least once. Furthermore, the total number could be used to determine how much was spent by nursing homes on CPAP masks each year with information on the cost of one mask. However, we could not find records on the total or percentage of the total residents at nursing homes that have this disorder. As such, we could not proceed with the triangulation attempt.
Part
05
of nine
Part
05

CPAP Mask Manufacturers: Competitors

BD, Medline, ResMed, and Teleflex are the four largest CPAP Mask manufacturers based on 2019 revenues. The required information on the four has been added in the attached spreadsheet.

Summary of Findings


Research Strategy

We could not find a precompiled list of the largest CPAP mask manufacturers in the US. Therefore, the team embarked on a quest to determine the largest by revenue. We began by looking at various CPAP Mask reports from MarketQuest, BCFocus, Adalidda, All Market Insights, Market Watch and Health Sqre. The team ascertained all the identified company's annual revenues to determine the four largest CPAP mask manufacturers. Only companies with headquarters in the US were considered.
Part
06
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Part
06

CPAP Mask Manufacturers: Competitive Landscape, Pt. 1

BD is a medical technology company that is "advancing the world of health by improving medical discovery, diagnostics and care." We have populated the attached spreadsheet with the requested information on BD and Medline Industries.

Summary of Findings

  • In 2015, BD completed the acquisition of CareFusion, a medical device technology company known for the development of ventilation and respiratory products.
  • Some of the masks developed by CareFusion include; the "CareFusion Hush Nasal CPAP Mask," "CareFusion Full Advantage Full Face CPAP Mask," "CareFusion Nasal Masks," "CareFusion Nasal Masks," "CareFusion Nasal Pillow Masks," and "CareFusion Nasal Headgear."
  • Medline Industries is a manufacturer and distributor with a robust product portfolio and patient care solutions for healthcare providers. The company boasts of 1,600 direct sales representatives and "60+ of the top 150 healthcare systems" working with Medline.
  • The "DreamPort Sleep Solution," a special type of CPAP mask made by Bleed LLC in partnership with Medline is one of the product in Medline's product catalog.

Research Strategy

Finding a CPAP mask product that BD directly manufactures proved difficult. However, the team learnt of the acquisition of CareFusion in 2015. CareFusion has in the past manufactured CPAP masks, some of which are still available online for purchase. By completely acquiring CareFusion, we assumed that BD acquired all assets, including the manufacturing facilities of CareFusion. We have also assumed that BD continued the production of its line of CPAP Mask without changing its name.
The team scoured through the BD's website, and company reports going back to 2015, in an effort to establish CPAP mask sales volume and number of customers the company had. We did not find information on the same.
Medline Industries majors on partnering with other healthcare facilities in addition to its manufacturing and distribution business. The "DreamPort CPAP Mask solution" is a product of partnership with Bleep LLC. This was the only mask we found available that was directly related to Medline Industries.
Part
07
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Part
07

CPAP Mask Manufacturers: Competitive Landscape, Pt. 2

ResMed is a leading producer of cloud-connected medical devices that offer transformative care to people with sleep apnea, chronic obstructive pulmonary disease, and other chronic conditions. We have populated the attached spreadsheet with the requested information on how ResMed and Teleflex compare in the CPAP masks space.

Selected Findings

Calculations

Since we could not find the sales volume of ResMed's CPAP masks, we calculated a proxy using the annual revenue from CPAP masks and the average price of one a ResMed CPAP mask, i.e., Total Sales Volume = Annual Revenue from CPAP Masks / Average Price of One Mask
= £1,293,615,866 ($1,094,600,000) / £130.52
= 9.9 million CPAP masks.

ResMed's online shop has a complete list of the company's different masks, each with its price. We calculated the average price of one mask by adding all the individual prices and dividing them by the number of CPAP masks in the price list, as follows:

Average price = £6264.96 / 48
= £130.52

Assumptions

In its annual report, the company reports its revenue in the masks category as 'Masks and Other.' Since we could not establish the revenue for the mask segment alone, we have assumed that the revenue generated by 'other' is not significant enough to have a huge impact on our calculations and the ensuing proxies/estimations.


Part
08
of nine
Part
08

CPAP Mask Government Tenders

The five most recent CPAP mask tenders in the United States for the Federal government were from the Department of Health and Human Services, The Department of Defense, and The Department of Veteran Affairs. In addition, The Department of Veteran Affairs has several other bids out, however, most of them are for market research, not suppliers. The only values provided were between 150 and 1,000 employees. Details of our findings and research strategy have been provided below.

Most Recent CPAP Mask Tenders

Research Strategy

In order to determine the average order size and amount of United States Federal government tenders for CPAP masks and the five most recent tenders. We began our search by scouring federal and global tender databases. Through this search, we were able to identify open, closed, and awarded United States tenders for CPAP masks, however, the database requires a paid subscription to view any details of these tenders including order size and agencies involved. On a separate database, we were able to find the basic details of these tenders including the date, description, and agency, however, the values and order sizes were not available. In fact, in the orders that did provide further details through documents, all values of any kind had been redacted from the reports. Due to these findings, we provided the five most recent United States Federal tenders for CPAP masks and all publicly available data regarding them, however, we were unable to find or calculate an actual or estimated average order size or value of these tenders. In addition, we conducted a public search for the average size and value of CPAP mask tenders both in the United States and Globally, however, this search provided no results.
Part
09
of nine
Part
09

Pressurized Room Costs

Only historical estimates of the cost of building and maintaining a negative pressure room in a hospital are available in the public domain. These historical estimates indicate that constructing a new negative pressure room in 1988 cost USD 40,000 to USD 50,000, retrofitting an existing hospital room into a negative pressure room in 2003 cost USD 120,000, testing the pressure and maintaining the HVAC system of a negative pressure room in 2003 took about 42 hours per year and USD 50 per hour, and changing the HEPA filter and prefilter of a negative pressure room in 2003 cost USD 600 per year. At present, clean rooms, which could be positive pressure rooms or negative pressure rooms, cost anywhere between USD 100 per square foot to USD 1,500 per square foot to build.

Cost of Building a Negative Pressure Room in a Hospital

  • The cost of building and maintaining negative pressure rooms, or pressure rooms, in hospitals could not be readily located in the public domain, so it helps to understand what a negative pressure room is and what its features and cost components are.
  • Negative pressure rooms in medical or hospital settings are also known as airborne infection isolation (AII) rooms. In contrast to a positive pressure room or protective environment, a negative pressure room maintains an internal air pressure that is lower than the air pressure outside. This lower air pressure keeps harmful or infectious contaminants from leaving the room and protects individuals outside the room from being infected.
  • Both types of pressure room require at least 12 airflow changes every hour to maintain the desired environment. The required number of airflow changes per hour depends on factors such as the number of windows the room has, the orientation of the room, and the size of the room.
  • While an isolation room is quite similar to a regular medical-surgical patient room, it has a few separate requirements. For example, it can have one patient bed only, it should have a designated area for gowning and storing clean and soiled materials, and it should have its own toilet room and hand-washing sink, and it should have a door that closes automatically. It may have a self-closing anteroom, where protective equipment can be worn before entry, but in most cases, it does not require one.
  • Guidelines for the ventilation of health care facilities indicate that an isolation room should have a device for visually monitoring the room's air pressure differential when the room is in use by a patient who needs to be isolated. This monitoring device, which should be permanently installed, could be a flutter strip, a calibrated ball in tube, or an electronic pressure monitor. The electronic pressure monitor, the most reliable of the three, typically consists of a sensor and a wall-mounted control panel that deploys audible and visual alarms in instances of room pressurization loss.
  • An isolation room is supported by a mechanical system or air-handling unit, which could be a large system serving multiple rooms or a small system serving only one room. Both system serviceability and system redundancy are important considerations. The mechanical system for an isolation room typically involves an exhaust fan, and depending on how an isolation room was designed, the room can be converted to a standard patient room via a key switch.
  • Negative pressure rooms account for only 2% to 4% of the hospital rooms in the United States. This is perhaps due to the fact that they are an added expense for hospitals. A government-funded study also found that only a third of isolation rooms in Minnesota satisfied standards for ventilation.
  • A study covering the cost of building a hospital in the United States only shows that patient circulation areas and emergency rooms, which are typically designed as negative pressure rooms, cost USD 280 to USD 400 per square foot, while surgical units, which are typically designed as positive pressure rooms, cost USD 350 to USD 600 per square foot. A study published in 2004 also shows that in 1988, the total cost of constructing a new negative pressure room ranged from USD 40,000 to USD 50,000. Based on this study, an alternative environment using portable high-efficiency particulate air (HEPA) filtered forced air units, serving 30 patients, and costing around USD 6,000 could be used.
  • While the current cost of building negative pressure rooms in hospitals could not be located in the public domain, recent estimates of the cost of building a clean room, which could be positive pressure room or a negative pressure room, offer a few helpful insights. Recent estimates from Cleanroom Technology and Workstation Industries indicate that the cost of a clean room ranges from USD 100 per square foot to USD 1,500 per square foot. Portable, modular, or softwall clean rooms are in the range of USD 100 to USD 150 per square foot, while traditional or hardwall clean rooms can be as expensive as USD 1,500 per square foot.
  • The factors that affect the cost are the classification of the clean room, the size of the clean room, the use of fume hoods or biosafety cabinets, the type of monitoring system to be used, the space and location of the installation, the use of utilities and access panels, and the look.

Cost of Maintaining a Negative Pressure Room in a Hospital

  • Negative pressure rooms or isolation rooms require periodic maintenance, as hospitals need to check if they are operating as desired. To ensure that airflow quantities and pressure relationships are still correct and room controls, pressure monitor, and alarms are working as designed, hospitals need to have their isolation rooms checked by a balancing or mechanical contractor on a regular basis.
  • Room pressure needs to be checked monthly, while pressure monitors need to be checked and calibrated annually. Guidelines for the ventilation of health care facilities indicate that when in use by a patient, an isolation room has to be tested daily.
  • Hospital staff using or maintaining the isolation room also have to be given proper training.
  • Recent estimates of the maintenance cost of a negative pressure room in a hospital do not appear to be available, but a study published in 2003 provides clues. This study estimates the costs of testing the pressure and maintaining the heating, ventilation, and air conditioning (HVAC) system of a negative pressure room at USD 50 per hour.
  • According to this study, a total of 26 hours per year is spent on pressure testing, and a total of 16 hours per year is spent on HVAC maintenance. HEPA filters and prefilters are also changed once a year, and this change costs USD 600.
  • This study indicates as well that the cost of retrofitting or converting an existing hospital room to a negative pressure room is around USD 120,000.

Research Strategy

We typically use only recently published sources, that is, sources that were published in the past two years, but for this research, we had to look at older sources as well. Current estimates of the costs do not appear to be available in the public domain, and only research studies published in the 2000s provide estimates of the cost of building and maintaining a negative pressure room. There are up-to-date estimates of the cost of building a clean room, however. It appears a clean room could be a positive or negative pressure room.
Sources
Sources