MEDICAL ULTRASOUND DEVICES: TECHNOLOGIES AND GLOBAL MARKETS

MEDICAL ULTRASOUND DEVICES: TECHNOLOGIES AND GLOBAL MARKETS IAS040B October 2016 Paul Taylor Project Analyst ISBN: 1-62296-372-5 BCC Research 49 Walnut Park, Building 2 Wellesley, MA 02481 USA 866-285-7215 (toll-free within the USA), or (+1) 781-4-7301 www.bccresearch.com information@bccresearch.com

TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 2 INTRODUCTION TO THE REPORT 2 SCOPE OF THE REPORT 3 OBJECTIVES 3 METHODOLOGY 4 PRIMARY DATA AND INFORMATION GATHERING 4 SECONDARY DATA AND INFORMATION GATHERING 5 MARKET SHARE ANALYSIS AND MARKET FORECAST PREDICTION 5 ANALYST'S CREDENTIALS 6 RELATED BCC RESEARCH REPORTS 6 BCC RESEARCH WEBSITE 6 DISCLAIMER 7 CHAPTER 2 EXECUTIVE SUMMARY 9 SUMMARY TABLE GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, SUMMARY FIGURE GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015-10 10 CHAPTER 3 INTRODUCTION AND BACKGROUND TO MEDICAL ULTRASOUND DEVICES 13 MARKET OVERVIEW AND DEFINITIONS 13 WHAT IS ULTRASOUND IMAGING 13 MEDICAL ULTRASOUND TECHNOLOGY 14 DIFFERENT ULTRASOUND MODALITIES 16 MEDICAL ULTRASOUND AND THE HUMAN BODY 17 TABLE 1 ULTRASONIC PROPERTIES OF BIOLOGICAL MATERIALS 18 TABLE 2 BENEFITS OF MEDICAL ULTRASOUND IMAGING 18 TABLE 3 KEY ULTRASOUND SENSOR APPLICATIONS USED IN OBSTETRICS AND GYNECOLOGY TABLE 4 KEY ULTRASOUND SENSOR APPLICATIONS USED IN CARDIOLOGY 19 TABLE 5 ULTRASOUND DEVICES USED IN UROLOGY 20 APPLICATIONS OF MEDICAL ULTRASOUND 20 TABLE 6 CHARACTERISTICS OF FDA APPROVED MODES USED IN ULTRASOUND THERAPY DIAGNOSTIC APPLICATIONS 21 TABLE 7 MEDICAL APPLICATIONS OF DIAGNOSTIC ULTRASOUND 22 THERAPEUTIC APPLICATIONS 24 Thermal Medical Applications of Ultrasound 25 TABLE 8 REGULATORY APPROVAL FOR HIGH-INTENSITY FOCUSED ULTRASOUND (HIFU), BY REGION Nonthermal Medical Applications of Ultrasound 26 MATERIALS USED IN ULTRASONIC TRANSDUCERS 27 TABLE 9 PROPERTIES OF PIEZOELECTRIC MATERIALS SUITABLE FOR MEDICAL ULTRASOUND APPLICATIONS TABLE 10 KEY ADVANTAGES OF ZIRCONATE TITANATE IN MEDICAL ULTRASOUND SENSOR DESIGN LATEST DEVELOPMENTS IN ULTRASOUND MATERIALS 29 19 20 25 28 28

Polyvinylidene Difluoride (PVDF) 29 TABLE 11 KEY ADVANTAGES OF PVDF AS AN ULTRASOUND SENSOR MATERIAL 29 Metamaterials 30 Organic Nanostructures 30 MAJOR TECHNOLOGICAL ADVANCES AND DEVELOPMENTS IN ULTRASOUND 30 DIAGNOSTIC ULTRASOUND 30 Improvements in Image Quality 30 Advancements in Volumetric Ultrasound 31 Evolution of Microbubble Contrast Agents 31 Fusion Technologies 31 ZONE Sonography 31 Ultrasound Imaging from Molecules 32 3-D Haptic Shapes 32 Bone-Penetrating Ultrasound 32 Thermo Acoustic Enhanced UltraSound (TAEUS) 33 4-D Imaging with Color 33 Handheld Imaging Systems 33 Intelligent Fetal Imaging and Diagnosis Project, (ifind) 33 EMERGING TRENDS IN ULTRASOUND IMAGING 34 MORE MOBILITY 34 ENHANCEMENTS TO TRADITIONAL ULTRASOUND 34 INNOVATION CONTINUES 36 CHAPTER 4 OVERVIEW: GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES 38 INTRODUCTION 38 MARKET REVENUE ANALYSIS 38 GLOBAL MARKET REVENUE ANALYSIS 38 TABLE 12 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, FIGURE 1 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015- GLOBAL MARKET REVENUE ANALYSIS BY INDIVIDUAL REGION 39 FIGURE 2 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015 (%) North America 41 TABLE 13 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, Europe 41 TABLE 14 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH Asia-Pacific 42 TABLE 15 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, Latin America 42 TABLE 16 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, Middle East/Africa 43 TABLE 17 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 39 39 40 41 42 42 43 43

GLOBAL MARKET REVENUE ANALYSIS BY INDIVIDUAL MARKET SEGMENTS 43 FIGURE 3 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 Cardiology Applications 44 TABLE 18 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL AND CARDIOLOGY APPLICATIONS, THROUGH 2021 ($ Obstetrics/Gynecology 45 TABLE 19 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY AND CARDIOVASCULAR APPLICATIONS, THROUGH Urology and Breast Imaging 45 TABLE 20 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY AND BREAST IMAGING APPLICATIONS, Anesthesiology and Thyroid Imaging 46 TABLE 21 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY AND THYROID APPLICATIONS, Other Applications 46 TABLE 22 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, MARKET SHARE ANALYSIS 47 Global Market Share Analysis 47 TABLE 23 GLOBAL MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) FIGURE 4 GLOBAL MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 (%) 49 43 45 45 46 46 47 48 CHAPTER 5 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES 51 REGULATORY AND LEGISLATIVE REQUIREMENTS 51 UNITED STATES 51 FDA Medical Device Regulations 51 Regulatory Approval Process for Medical Ultrasound Devices 54 Diagnostic Ultrasound Devices 54 Regulation of Existing Imaging Technologies 54 Therapeutic Ultrasound Devices 55 Centers for Medicare and Medicaid Services (CMS) 55 The 2010 Affordable Care Act 56 Private Insurance 56 Summary of Health Insurance Coverage in the United States 58 FIGURE 5 PRIVATE HEALTH INSURANCE COVERAGE IN THE UNITED STATES AMONG PERSONS UNDER AGE 65, 2007-2011 (MILLIONS/%) TABLE 24 PERSONAL HEALTHCARE EXPENDITURES: AGGREGATE AND PER CAPITA AMOUNTS, PERCENTAGE DISTRIBUTION AND ANNUAL PERCENTAGE CHANGE, BY SOURCE OF FUNDS, 2006-2018 ($ BILLIONS) CANADA 59 MARKET DYNAMICS 60 MARKET DRIVERS 60 Technological Advances in Ultrasound Is a Major Market Driver in North America Ultrasound Demand Is Increasing Due to the Aging Population in the North American Market 58 59 60 60

Growing Market Demand for Minimally Invasive Treatments Using Ultrasound North American Ultrasound Market Driven by Growth in Point-of-Care (POC) Segment Rising Incidence of Chronic and Lifestyle-Related Diseases in the North American Market Evolution and Development of Point-of-Care Ultrasound 62 MARKET RESTRAINTS 62 Impact of the Patient Protection and the Affordable Care Act of 2010 on the U.S. Ultrasound Market Lack of Skilled Diagnostic Medical Sonography (DMS) Professions in the United States Increased Cost Sharing 64 MARKET REVENUE ANALYSIS 64 NORTH AMERICAN MARKET REVENUE ANALYSIS 64 TABLE 25 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, FIGURE 6 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- North American Market Revenue Analysis by Individual Country 65 TABLE 26 U.S. MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ TABLE 27 CANADIAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH North American Market Revenue Analysis by Individual Market Segments FIGURE 7 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 Radiological/General Imaging and Cardiology 67 TABLE 28 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, TABLE 29 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, Obstetrics/Gynecology and Cardiovascular 68 TABLE 30 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY, TABLE 31 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, Urology and Breast Imaging 69 TABLE 32 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 33 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, Anesthesiology and Thyroid and Endocrinology 70 TABLE 34 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 35 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, Other Applications 71 TABLE 36 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, 61 61 61 63 63 64 65 65 66 66 66 67 67 68 69 69 69 70 71 71

MARKET SHARE ANALYSIS 73 NORTH AMERICA: MARKET SHARE ANALYSIS 73 TABLE 37 NORTH AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 73 CHAPTER 6 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES 76 REGULATORY AND LEGISLATIVE REQUIREMENTS 76 (GENERAL) MEDICAL DEVICE DIRECTIVE, MDD (93/42/EEC) 76 ACTIVE IMPLANTABLE MEDICAL DEVICE DIRECTIVE, AIMDD (90/383/EEC) 77 IN VITRO DIAGNOSTIC MEDICAL DEVICE DIRECTIVE, IVDMDD (98/79/EC) 78 PROPOSAL FOR CHANGES TO THE MEDICAL DEVICE DIRECTIVE, MDD (93/42/EEC) THE RUSSIAN FEDERATION 80 MARKET DYNAMICS 81 MARKET DRIVERS 81 Point-of-Care Represents Fastest Growing Segment 81 Growing Aging Population in Europe 82 Technological Advances Herald New Era in Diagnostic Ultrasound Services Variety of Different and Specific Factors Influencing the Growth and Development of the Ultrasound Market in Europe MARKET RESTRAINTS 83 Consequences of the European Economic Crisis on Radiology 83 Austerity Measures Have Been Introduced throughout Europe. 83 Lack of Adequately Trained Sonographers in Europe 84 Increased Competitive Product Pricing and Mandatory Tendering Regarded as a Major Market Restraint MARKET REVENUE ANALYSIS 84 EUROPEAN MARKET REVENUE ANALYSIS 84 TABLE 38 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH FIGURE 8 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012-2021 ($ FIGURE 9 EUROPEAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) EUROPEAN MARKET REVENUE ANALYSIS BY SELECTED INDIVIDUAL COUNTRY France and Germany 86 TABLE 39 FRANCE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 40 GERMANY'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH Italy and Spain 87 TABLE 41 ITALY'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 42 SPAIN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 United Kingdom and the Benelux Countries 88 TABLE 43 UNITED KINGDOM'S MARKET FOR MEDICAL ULTRASOUND DEVICES, 79 82 83 84 85 85 85 86 87 87 88 88

TABLE 44 SCANDINAVIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 45 BENELUX'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 46 AUSTRIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 47 REST OF EUROPE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, EUROPEAN MARKET REVENUE ANALYSIS BY INDIVIDUAL MARKET SEGMENTS Radiology/General and Cardiology 90 FIGURE 10 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 TABLE 48 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, TABLE 49 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, Obstetrics/Gynecology and Cardiovascular 92 TABLE 50 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY, TABLE 51 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, Urology and Breast Imaging 93 TABLE 52 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 53 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, Anesthesiology and Thyroid Imaging 94 TABLE 54 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 55 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, Other Imaging Applications 94 TABLE 56 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, MARKET SHARE ANALYSIS OF EUROPE'S SUPPLIERS 95 TABLE 57 EUROPEAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 90 91 92 92 92 93 93 93 94 94 94 95 CHAPTER 7 ASIA-PACIFIC MARKET FOR MEDICAL ULTRASOUND DEVICES 98 JAPAN 98 REGULATORY AND LEGISLATIVE REQUIREMENTS 98 TABLE 58 OVERVIEW OF PHARMACEUTICAL AFFAIRS LAW (PAL) AND JAPANESE MEDICAL DEVICES NOMENCLATURE (JMDN) CODES AND RELATED CODES ACCORDING TO THE EU MDD Marketing Authorization System 99 Device Reimbursement 101 TABLE 59 REIMBURSEMENT CATEGORIES: JAPAN 101 CHINA 102 OVERVIEW OF CHINA'S HEALTHCARE SYSTEM 102 FIGURE 11 THE CHINESE HEALTHCARE SYSTEM 103 99

Healthcare Reforms 103 The New Rural Cooperative Medical Care System (NRCMCS) 103 The Urban Residents Healthcare Insurance Scheme 104 Healthcare Institutions 104 TABLE 60 NUMBER OF HEALTHCARE INSTITUTIONS IN CHINA, BY OWNERSHIP, 2010 Hospital Resources 105 TABLE 61 TOTAL NUMBER OF HOSPITALS BY RANKING IN CHINA, 2010 105 China Food and Drug Administration (CFDA) 106 Regulations of Medical Devices 106 INDIA 108 OVERVIEW OF THE HEALTHCARE SYSTEM 108 National Level 108 State Level 108 Regional Level 109 District Level 109 Subdivision/Taluka Level 109 Community Level 109 Primary Health Center's (PHC) Level 109 Sub Health Center (SHC) Level 110 TABLE 62 OVERVIEW OF HEALTHCARE IN INDIA 110 HOSPITAL RESOURCES 111 POPULATION STATISTICS 112 SOUTH KOREA 113 MARKET DYNAMICS 115 MARKET DRIVERS 115 Aging Demographics in Japan 115 Political Initiatives to Revitalization the Medical Device Market 115 Westernized Lifestyle Increase Cardiovascular Problems in the Asia-Pacific Region Growth in the Indian Market 116 Strengthening Distribution Networks in APAC by Ultrasound Manufacturers The Impact of the Chinese Government s 2012 Healthcare Reform Plan on the Ultrasound Market MARKET RESTRAINTS 118 China 118 India 119 Japan 120 MARKET REVENUE ANALYSIS FOR ASIA-PACIFIC 120 TABLE 63 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, FIGURE 12 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 13 ASIA-PACIFIC'S MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) ASIA-PACIFIC'S MARKET REVENUE ANALYSIS BY SELECTED INDIVIDUAL COUNTRY China 122 104 116 118 118 120 121 121 122

TABLE 64 CHINA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 Japan 123 TABLE 65 JAPAN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 India 124 TABLE 66 INDIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 South Korea 125 TABLE 67 SOUTH KOREA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, Taiwan 125 TABLE 68 TAIWAN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH Rest of Asia-Pacific 126 TABLE 69 REST OF ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, ASIA-PACIFIC'S MARKET REVENUE ANALYSIS BY INDIVIDUAL MARKET SEGMENTS FIGURE 14 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 General Radiology and Cardiology 127 TABLE 70 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN GENERAL RADIOLOGY, TABLE 71 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, Obstetrics and Gynecology 128 TABLE 72 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, Cardiovascular 129 TABLE 73 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, Urology 129 TABLE 74 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, Breast Imaging 130 TABLE 75 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, Anesthesiology Applications 130 TABLE 76 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, Thyroids 130 TABLE 77 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, Other Uses of Ultrasound Application 131 TABLE 78 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, ASIA-PACIFIC'S MARKET SHARE ANALYSIS 131 TABLE 79 ASIA-PACIFIC'S MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 123 123 124 125 126 126 126 126 127 128 129 129 129 130 130 131 131 132

CHAPTER 8 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES 135 BRAZIL 135 BACKGROUND 135 REGULATORY AND LEGISLATIVE REQUIREMENTS 136 MARKET ENTRY AND REIMBURSEMENT OF MEDICAL DEVICES IN BRAZIL 137 ARGENTINA 139 BACKGROUND 139 GOVERNMENT-FUNDED PUBLIC HEALTH SECTOR 139 Social Health Insurance Sector 139 PRIVATE SECTOR 140 REGULATORY AND LEGISLATIVE REQUIREMENTS 141 MEXICO 142 LEGISLATION AND REGULATIONS GOVERNING MEDICAL DEVICES IN MEXICO HEALTH INSURANCE STRUCTURE IN MEXICO 143 MARKET DYNAMICS 144 MARKET DRIVERS 144 Significant Market Growth Opportunities in Brazil 144 Expansion of Healthcare Opportunities in Mexico 145 Introduction of Tax-Funded Universal Health Coverage throughout Latin America Anticipated Increase in the Burden of Cardiovascular Disease in Central and Latin America MARKET RESTRAINTS 146 Diverse Regulatory Environment Constrains Latin American Medical Device Market Challenges Associated with Local Business Practices and Cultural Conditions in Brazil Issues Associated with the Distribution of Medical Devices in Latin America Pricing Issues 147 LATIN AMERICAN MARKET REVENUE ANALYSIS 148 TABLE 80 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, FIGURE 15 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 16 LATIN AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) Market Revenue Analysis by Individual Country in Latin America 149 TABLE 81 ARGENTINA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 82 BRAZIL'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 83 CHILE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 84 MEXICO'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 85 REST OF CENTRAL AND LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 142 145 146 146 147 147 148 148 149 149 150 150 150 150

Market Revenue Analysis by Individual Market Segments in Latin America FIGURE 17 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 General Radiology Applications 152 TABLE 86 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN GENERAL RADIOLOGY, Cardiology 152 TABLE 87 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, Obstetrics and Gynecology 153 TABLE 88 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, Cardiovascular 153 TABLE LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, Urology 153 TABLE 90 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, Breast Imaging 154 TABLE 91 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, Anesthesiology Applications 154 TABLE 92 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, Thyroid Applications 155 TABLE 93 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, Other Imaging Applications 155 TABLE 94 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, LATIN AMERICAN MARKET SHARE ANALYSIS 155 TABLE 95 LATIN AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 150 151 152 152 153 153 154 154 154 155 155 157 CHAPTER 9 MIDDLE EAST/AFRICA MARKET FOR MEDICAL ULTRASOUND DEVICES 159 INTRODUCTION 159 SOUTH AFRICA 159 REGIONAL REGULATIONS, LEGISLATION AND REIMBURSEMENT IN THE MIDDLE EAST/AFRICA Medical Device Regulatory Requirements in South Africa 159 Health Insurance Structure in South Africa 160 Reimbursement of Medical Devices in South Africa 161 SAUDI ARABIA 162 THE PUBLIC HEALTHCARE SYSTEM 162 Primary Healthcare Services 163 Secondary and Tertiary Healthcare Services 163 FIGURE 18 CURRENT STRUCTURE OF THE HEALTHCARE SECTORS IN SAUDI ARABIA 163 FIGURE 19 TOTAL NUMBER OF HOSPITALS IN SAUDI ARABIA, 2012 (NO.) 164 The Private Healthcare Sector 165 159

MEDICAL DEVICE REGULATORY REQUIREMENTS IN SAUDI ARABIA 165 HEALTH INSURANCE STRUCTURE IN SAUDI ARABIA 166 MARKET DYNAMICS 167 MARKET DRIVERS 167 Encouraging Signs that Africa's Medical Device Market Is Growing 167 Substantial Financial Support for Healthcare in Saudi Arabia 167 South Africa's Political Stability and Improved Economic Outlook Helps Support Growth in Healthcare Market Low-Cost Teleradiology for Community-Based and Rural Ultrasound Settings MARKET RESTRAINTS 168 Limited Infrastructure Capacity 168 Inherent Political and Economic Issues Constrain the Provision of Healthcare in Africa Poor Distribution Structure and Networks in Africa 169 Medical Tourism to India for African Patient Requiring High-Frequency Ultrasound for Prostate Cancer MARKET REVENUE ANALYSIS IN THE MIDDLE EAST AND AFRICA 169 TABLE 96 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, FIGURE 20 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 21 MIDDLE EAST/AFRICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 (%) Market Revenue Analysis by Individual Country in the Middle East and Africa TABLE 97 MIDDLE EAST MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 98 AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 Market Revenue Analysis by Individual Market Segments in the Middle East and Africa FIGURE 22 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 General Radiology and Cardiology 173 TABLE 99 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, Cardiology 174 TABLE 100 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, Obstetrics and Gynecology 174 TABLE 101 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, Cardiovascular Applications 174 TABLE 102 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, Urology 175 TABLE 103 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, Breast Imaging 175 168 168 169 169 170 170 170 171 171 172 172 172 173 174 174 175 175

TABLE 104 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, Anesthesiology Applications 176 TABLE 105 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, Thyroid Applications 176 TABLE 106 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 107 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, MARKET SHARE ANALYSIS IN THE MIDDLE EAST AND AFRICA 177 TABLE 108 MIDDLE EAST/AFRICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 175 176 176 177 178 CHAPTER 10 COMPANY PROFILES 181 ALPINION MEDICAL SYSTEMS 181 ANALOGIC CORPORATION (BK ULTRASOUND) 182 CARESTREAM HEALTH INC. 183 CHISON MEDICAL IMAGING CO. LTD. 183 ECHO MEDICAL CONTROL (ECM) 184 ESAOTE S.P.A 185 FUKUDA DENSHI CO. LTD. 185 GENERAL ELECTRIC COMPANY 186 HITACHI MEDICAL CORPORATION 187 KALAMED GMBH MEDICAL SYSTEMS 1 MEDISONO LLC 1 MINDRAY 190 NEUSOFT MEDICAL 191 PHILIPS HEALTHCARE COMPANY 191 SAMSUNG MEDISON 193 SHANTOU INSTITUTE OF ULTRASONIC INSTRUMENTS CO. LTD. (SIUI) 194 SHENZHEN LANDWIND INDUSTRY CO., LTD, 194 SIEMENS 195 SONACARE MEDICAL 197 SONOSITE INC. (FUJIFILM) 197 TELEMED LDT 198 TERASON (TERATECH CORPORATION) 199 TOMTEC IMAGING SYSTEMS GMBH 200 TOSHIBA CORPORATION 201 VOLCANO (PHILIPS MEDICAL) 202 CHAPTER 11 CONTACT DETAILS AND ACRONYMS 204 COMPANY ADDRESSES AND CONTACT DETAILS 204 TABLE 109 COMPANIES 204 COMMONLY USED ACRONYMS IN ULTRASOUND 215

LIST OF TABLES TABLE HEADING SUMMARY TABLE GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, TABLE 1 ULTRASONIC PROPERTIES OF BIOLOGICAL MATERIALS 18 TABLE 2 BENEFITS OF MEDICAL ULTRASOUND IMAGING 18 TABLE 3 KEY ULTRASOUND SENSOR APPLICATIONS USED IN OBSTETRICS AND GYNECOLOGY TABLE 4 KEY ULTRASOUND SENSOR APPLICATIONS USED IN CARDIOLOGY 19 TABLE 5 ULTRASOUND DEVICES USED IN UROLOGY 20 TABLE 6 CHARACTERISTICS OF FDA APPROVED MODES USED IN ULTRASOUND THERAPY TABLE 7 MEDICAL APPLICATIONS OF DIAGNOSTIC ULTRASOUND 22 TABLE 8 REGULATORY APPROVAL FOR HIGH-INTENSITY FOCUSED ULTRASOUND (HIFU), BY REGION TABLE 9 PROPERTIES OF PIEZOELECTRIC MATERIALS SUITABLE FOR MEDICAL ULTRASOUND APPLICATIONS TABLE 10 KEY ADVANTAGES OF ZIRCONATE TITANATE IN MEDICAL ULTRASOUND SENSOR DESIGN TABLE 11 KEY ADVANTAGES OF PVDF AS AN ULTRASOUND SENSOR MATERIAL 29 TABLE 12 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, TABLE 13 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 14 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 15 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 16 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 17 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 18 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL AND CARDIOLOGY APPLICATIONS, THROUGH 2021 ($ TABLE 19 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY AND CARDIOVASCULAR APPLICATIONS, THROUGH 2021 TABLE 20 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY AND BREAST IMAGING APPLICATIONS, TABLE 21 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY AND THYROID APPLICATIONS, TABLE 22 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 23 GLOBAL MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) TABLE 24 PERSONAL HEALTHCARE EXPENDITURES: AGGREGATE AND PER CAPITA AMOUNTS, PERCENTAGE DISTRIBUTION AND ANNUAL PERCENTAGE CHANGE, BY SOURCE OF FUNDS, 2006-2018 ($ BILLIONS) TABLE 25 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 26 U.S. MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ 10 19 20 25 28 28 39 41 42 42 43 43 45 45 46 46 47 48 59 64 65

TABLE HEADING TABLE 27 CANADIAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 28 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, TABLE 29 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, TABLE 30 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY, TABLE 31 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, TABLE 32 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 33 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, TABLE 34 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 35 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 36 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 37 NORTH AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) TABLE 38 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 39 FRANCE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 40 GERMANY'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 41 ITALY'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ TABLE 42 SPAIN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ TABLE 43 UNITED KINGDOM'S MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 44 SCANDINAVIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 45 BENELUX'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 46 AUSTRIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 47 REST OF EUROPE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 48 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, TABLE 49 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, TABLE 50 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS/GYNECOLOGY, TABLE 51 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, TABLE 52 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, 66 67 67 68 69 69 69 70 71 71 73 85 87 87 88 88 92 92 92 93 93

TABLE HEADING TABLE 53 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, TABLE 54 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 55 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 56 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 57 EUROPEAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) TABLE 58 OVERVIEW OF PHARMACEUTICAL AFFAIRS LAW (PAL) AND JAPANESE MEDICAL DEVICES NOMENCLATURE (JMDN) CODES AND RELATED CODES ACCORDING TO THE EU MDD TABLE 59 REIMBURSEMENT CATEGORIES: JAPAN 101 TABLE 60 NUMBER OF HEALTHCARE INSTITUTIONS IN CHINA, BY OWNERSHIP, 2010 104 TABLE 61 TOTAL NUMBER OF HOSPITALS BY RANKING IN CHINA, 2010 105 TABLE 62 OVERVIEW OF HEALTHCARE IN INDIA 110 TABLE 63 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 64 CHINA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 65 JAPAN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 66 INDIA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ TABLE 67 SOUTH KOREA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 68 TAIWAN'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 69 REST OF ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 70 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN GENERAL RADIOLOGY, TABLE 71 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, TABLE 72 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, TABLE 73 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, TABLE 74 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 75 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, TABLE 76 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 77 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 78 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 79 ASIA-PACIFIC'S MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) 93 94 94 94 95 99 120 123 123 124 125 126 126 127 128 129 129 129 130 130 131 131 132

TABLE HEADING TABLE 80 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 81 ARGENTINA'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 82 BRAZIL'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 83 CHILE'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 ($ TABLE 84 MEXICO'S MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 85 REST OF CENTRAL AND LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 86 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN GENERAL RADIOLOGY, TABLE 87 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, TABLE 88 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, TABLE LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, TABLE 90 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 91 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, TABLE 92 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, TABLE 93 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 94 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 95 LATIN AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) TABLE 96 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, TABLE 97 MIDDLE EAST MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH TABLE 98 AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, THROUGH 2021 TABLE 99 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN RADIOLOGY/GENERAL, TABLE 100 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOLOGY, TABLE 101 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OBSTETRICS AND GYNECOLOGY, TABLE 102 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN CARDIOVASCULAR APPLICATIONS, TABLE 103 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN UROLOGY, TABLE 104 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN BREAST IMAGING, TABLE 105 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN ANESTHESIOLOGY, 148 149 150 150 150 150 152 152 153 153 154 154 154 155 155 157 170 171 172 173 174 174 175 175 175 176

TABLE HEADING TABLE 106 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN THYROID APPLICATIONS, TABLE 107 MIDDLE EAST AND AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES USED IN OTHER IMAGING APPLICATIONS, TABLE 108 MIDDLE EAST/AFRICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 ($ MILLIONS/%) TABLE 109 COMPANIES 204 176 177 178

LIST OF FIGURES FIGURE TITLE SUMMARY FIGURE GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015- FIGURE 1 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015- FIGURE 2 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY REGION, 2015 (%) FIGURE 3 GLOBAL MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 FIGURE 4 GLOBAL MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 (%) 49 FIGURE 5 PRIVATE HEALTH INSURANCE COVERAGE IN THE UNITED STATES AMONG PERSONS UNDER AGE 65, 2007-2011 (MILLIONS/%) FIGURE 6 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 7 NORTH AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 FIGURE 8 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012-2021 ($ FIGURE 9 EUROPEAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) FIGURE 10 EUROPEAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 FIGURE 11 THE CHINESE HEALTHCARE SYSTEM 103 FIGURE 12 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 13 ASIA-PACIFIC'S MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) FIGURE 14 ASIA-PACIFIC'S MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 FIGURE 15 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 16 LATIN AMERICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, BY COUNTRY, 2015 (%) FIGURE 17 LATIN AMERICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 FIGURE 18 CURRENT STRUCTURE OF THE HEALTHCARE SECTORS IN SAUDI ARABIA 163 FIGURE 19 TOTAL NUMBER OF HOSPITALS IN SAUDI ARABIA, 2012 (NO.) 164 FIGURE 20 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, 2012- FIGURE 21 MIDDLE EAST/AFRICAN MARKET SHARE OF MEDICAL ULTRASOUND DEVICES, 2015 (%) FIGURE 22 MIDDLE EAST/AFRICAN MARKET FOR MEDICAL ULTRASOUND DEVICES, BY SEGMENT, 2015 10 39 40 43 58 65 66 85 85 91 121 121 126 148 149 151 170 170 172