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

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

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:

Calculations

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

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

Summary of Findings

•  BD generated $17.3 billion in 2019 revenues.
•  Medline's revenues reached $13.9 billion in 2019.
•  ResMed generated revenues of $2.607 billion in 2019.
•  Teleflex's revenues reached $2,595 billion in 2019.

Research Strategy

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

Selected Findings

• ResMed offers sleep apnea products, portable oxygen products, mechanical ventilation products, and Software as a service (SaaS) solutions for healthcare providers.
• Other products and services include home medical equipment, durable medical equipment, remote monitoring, patient engagement, respiratory care, medical devices, health IT, digital health, medical software, portable oxygen, ventilation, and interoperability.

Calculations

Assumptions

Most Recent CPAP Mask Tenders

•  Nov 09, 2020:
• Agency: HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
• On November 9, 2020, the Department of Health and Human Services put out a solicitation for CPAP masks, NIACS Code 339112. The solicitation number is 75N98021Q00010 with a request for a quote. The standard size for this solicitation is 150 employees.

•  Nov 09, 2020:
• Agency: HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
• On November 9, 2020, the Department of Health and Human Services put out a solicitation for CPAP masks, NIACS Code 339112. The solicitation number is 75N98021Q00009 with a request for a quote. The standard size for this solicitation is 150 employees.
•  Nov 05, 2020:
• Agency: DEPT OF DEFENSE 
• On November 5, 2020, the Naval Medical Center put out a solicitation for a monthly drop shipment of adult CPAP masks, NIACS Code 339112. The solicitation number is N0018321Q0007 looking for an "All or None" evaluation. No values were provided.
•  May 01, 2020:
• Agency: DEPT OF DEFENSE 
• On May 1, 2020, the Depart of the Army put out a solicitation for CPAP masks, NIACS Code 339112. The solicitation number is W91B4N-20-Q-5050 with a request for a quote. The standard size for this solicitation is 1,000 employees.
•  Feb 01, 2018:
• Agency: VETERANS AFFAIRS, DEPARTMENT OF 
• On February 1, 2018, the Department of Veteran Affairs put out a solicitation for CPAP masks, NIACS Code 339113. The solicitation number is 36C26218Q0308 with a request for a quote. The standard size for this solicitation is 750 employees.

Research Strategy

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