Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

COMBAT & MEDICAL TEXTILES Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

FUTURE INDIAN SOLDIERS TOI, 21 Feb 2011

2 nd fastest growing economy & 4 th largest

We are using more Population – More People Demography – More People who need Income – More People who can afford Travel -Awareness Medical tourism – Attitudes Growth of healthcare industry – demand Products – Increasing Range of products

SCENARIO Application of textiles has started going beyond the usual wound care, incontinence pads, plasters etc., In India, traditionally the segment is dominated by Woven Textiles. Lately, Nonwoven products have provided innovative product options Newer products Largely import dependant

Personal Hygiene Dressings & bandages Linen, Protective clothing Implantables Extracorporeal devices Applications

Personal Hygiene Dressings & bandages Linen, Protective clothing Implantables Extracorporeal devices Applications

Why we need them

Standards  ‘A set of rules for ensuring quality‘  'A technical specification approved by a recognized standardization body for repeated or continuous application, with which compliance is compulsory, aimed at the achievement of the optimum degree of order in a given context‘

Why Standards? MedTex products have crucial life-saving applications

Standards  Confidence - positive impact on consumption  Internationally competitive  Decrease dependence on imports  Regulation of use

Non-ImplantablesHygieneImplantables Extra Corporeal Absorbents with and without x-ray detactable  Abdominal pad  Absorbent gauze/absorbent  Wadding Gauze Bandages  W/W bandage (open bandages or gauze bandages)  Triangular Bandages Rigid bandages  POP bandages  Synthetic cast  Scaffold Extensible Bandages  Crepe bandages  Compression bandages  Elastic adhesive bandages Tubular bandages  Knitted fabric in tubular form  Surgical hosiery Wound dressing and medicated bandages  Chlorhexidine gauze dressing  Medicated Adhesive dressing  Framycetin gauze dressing  Paraffin gauze dressing  Surgical gowns  Surgical caps  Surgical mask  Surgical covers, drapes  Cloths/Wipes  Hospital bed sheets, pillows, pillow covers, blankets, mattresses  Patient clothing, Protective clothing  Burns clothing  Operation theatre clothing  Diapers, cover stock  Sanitary napkins Sutures Soft tissue implants Artificial tendon Artificial ligament Artificial skin Eye lenses Artificial lumen Orthopaedic implants Artificial joint bones Cardio-vascular implants Vascular grafts, heart valves  Artificial kidney  Artificial liver  Artificial heart  Mechanical lung

Various types of textiles in medical care I. NaturalMan Made II. WovenNon-Woven III. Sterile Unsterile IV. Disposable Re-useable V. PatientNon-Patient

MEDICAL Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

Flexibility, Sterility, Tensile Strength, Non- fraying, Knotting Security, Bio-compatible, Durability, Stability, Sterilizability, Stiffness, Ease Of Handling, Low Adherence, No Loose Fibers, Absorbent, Adsorbent, Form-fitting, Causing no mechanical injury, Light -weight, Porosity, Firmness, Bio-degradable, Durable, Non-toxic, Absorbable, Comfortable, Ease of maintenance, Hydrophobic, Breathability, Hydrophilic, Environment-friendly, Disposable, Economy, Bio-compatible, Comfortable, Safe, Smart….

Patient comfort Hygeinic & non toxic Ease of usage Safety Affordable Quality Ease of disposal Aim

Requirements In the Patient – Biocompatible, Non toxic, Non Allergenic, Sterility Standards of Highest Level On the Patient – Non toxic, Non Allergenic, Sterile, Biocompatibility ?!! Near the Patient – Sterile, Lint free For the Patient – Clean General Properties – Strength, Elasticity, Durability, Fire Resistance, Antistatic, Biodegradability

Sutures & Ligatures  Easy to handle  Good knot security  Minimal tissue reaction  Unfriendly to bacteria  Strong yet small  Won’t tear through tissues  Affordable  Absorbable / Non-abs  Natural / Synthetic  Mono / Multi-filament  Double – barbs  Anti-bacterials  Staplers  Glue

Dressings  Cover  Stop bleeding  Aid healing  Prevent infection  Non-linting  Soft on granulation tissue  Drug delivery  Easy to remove  Affordable

Vascular Grafts, Mesh, Soft tissue implants  Bio-compatibility  Anti-coagulant  Flexibility, resilience  Porosity  Texture  Mech strength

Source: Illustrerad Vetenskap, No 5, 1999 Tissue engineering: Reserve parts for the human body Skin

Innovations Metallized textiles Nanotechnology Anti-microbial fabrics Fire retardant fabrics  Bones -Textiles are replacing metal implants  Nerve guidance channels  Smart / intelligent  Switches, Sensors, Secretions  Tissue Engineering  Scaffolds  Embroidery technology Spray on Surgical Drapes Nano-silver treated hospital linen for burn patients Controlled drug release

Quality Standards D&CA – schedule F2 fibre, yarn, fabrics as well as the final product. Raw material suppliers Innovation

Criteria Conformance to tech specs Strength Flexibility Porosity Orientation of filaments Extensibility Memory Sterile Anti Allergenic Non toxic Sterilizable Biocompatible Resilient to infection Ease of storage Strict quality control Environment friendly Economical

Disposables  Resistance to liquid penetration - Blood / Water  Non-linting  Barrier against dry penetration  Tropicalization – western products are not automatically suitable Cost Environmental Issues Safety of users / handlers

COMBAT MEDICAL

MILITARY OPERATIONS “The object of war is not to die for your country but to make the other bastard die for his”. George Patton

Uniforms Back packs First field dressings (FFD) Shell dressings Tourniquet SCOPE Life saving army uniforms: Engineers and scientists will work to develop ideas such as a uniform that is nearly invisible and soft clothing that can become a rigid cast when a soldier breaks his or her leg. - DuPont

Tourniquet

Conclusion Textile-based materials for medical use are helping to improve people’s lives—and in some cases transform them. We have to leverage innovations in this field to improve health care delivery and make it affordable & safe. Standards are essential. Interesting changes in the market will follow.

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