THE SOUTH INDIA TEXTILE RESEARCH ASSOCIATION MEDICAL TEXTILES Sunrise sector in Non-traditional Textiles CENTER OF EXCELLENCE - MEDITECH THE SOUTH INDIA TEXTILE ASSOCIATION 13/37 Avinashi Road, Civil Aerodrome Post Coimbatore - 641014 CENTER OF EXCELENCE IN MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES Textile has always been a part of health care Textiles are used in medical / healthcare sector in various forms –woven, non-woven, knitted The complexity of the applications as well as that of the Meditech products have increased with research and developments in medical sciences. Meditech is one of the most rapidly expanding sectors in the technical textile market (8-9% / annum) SITRA - CoE FOR MEDICAL TEXTILES

CLASSIFICATION OF MEDICAL TEXTILES SURGICAL EXTRA CORPOREAL HEALTHCARE & HYGINE IMPLANTABLE NON-IMPLANTABLE SITRA - CoE FOR MEDICAL TEXTILES

Non-implantable Products Healthcare & Hygiene Products Extracorporeal devices Biodegradable sutures Compression bandages Surgical gowns Artificial kidney Non-Biodegradable sutures Orthopaedic bandages Surgical caps Artificial liver Artificial tendon Plaster of Paris bandage Surgical mask Mechanical lung Artificial ligament Gauze dressing Surgical drapes Artificial skin Tubular Bandages Surgical hosiery Eye-contact lenses and Artificial cornea Crepe bandages Hospital bed sheets Artificial joints/ bones Elastic bandages Wipes Vascular grafts Paraffin gauze dressings Baby diaper Heart valves Waddings Sanitary napkin SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES MEDITECH CONSUMPTION Technical textiles consumption under Meditech was estimated at around Rs. 1,514 crore (2007-08). The key Meditech product is Surgical dressings which accounts for over 50% of the total technical textile consumption across Meditech segment. Surgical sutures account for around 21% of the total consumption followed by contact lenses and artificial implants with shares of around 12% and 8% respectively in the total consumption. SITRA - CoE FOR MEDICAL TEXTILES

MARKET SIZE (Rs. Crores) Source: ICRA Study 2009 Products (2007-2008) Total Consumption (Projected) 2012-13 Prod. Import Export Sanitary Napkins 700.00 40.00 1.00 739.00 1300.00 Surgical Dressings 887.00 31.00 93.00 825.00 1000.00 Surgical Sutures 330.00 36.00 41.00 325.00 415.00 Artificial implants 17.50 97.25 - 114.75 249.10 SITRA - CoE FOR MEDICAL TEXTILES

MARKET SIZE (Rs. Crores) Source: ICRA Study (Contd..) Products (2007-2008) Total Consumption (Projected) 2012-13 Prod. Import Export Baby Diapers - 135.00 193.00 Surgical Disposables 33.95 1.35 3.00 32.30 61.00 Incontinence Diapers 15.00 45.70 1968.00 552.00 156.00 2365.00 3737.00 SITRA - CoE FOR MEDICAL TEXTILES

Some Artificial Implants Knee ligament Vascular graft Hernial Mesh Artificial skin Artificial cornea Artificial liver tissue SITRA - CoE FOR MEDICAL TEXTILES

ARTIFICIAL VASCULAR GRAFTS Vascular diseases are characterised by variations to the geometry and structure of the walls of the blood vessels. Variations in the mechanical characteristics of the vessels result in multiple complications like Thrombosis and Arteriosclerosis. TTK Healthcare in collaboration with SITRA & Sri Chitra Tirunal is the pioneer of vascular grafts manufacturing in India. SITRA - CoE FOR MEDICAL TEXTILES

ARTIFICIAL HEART VALVES Artificial heart valves are implanted in the heart of the patients who need treatment for valve related diseases. The natural heart valve needs a replacement when two or more valves stop functioning properly. Generally an open heart surgery is performed to replace the valve. The heart valve market in India is approximately Rs. 74 crore. The only producer in India is TTK Healthcare. SITRA - CoE FOR MEDICAL TEXTILES

ARTIFICIAL TENDON (MESH) Artificial Tendons or meshes are used in hernia repair and abdominal wall replacement, where mechanical strength and fixation are very important. The long term function of the mesh is optimised by adjusting the porosity and the texture of the mesh. Requirement of meshes is met through imports. The major domestic producer is TTK Healthcare with production of around 1 lakh square inch annually. SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES SURGICAL DISPOSABLES The surgical disposables primarily consist of masks, caps, drapes, gowns, covers and shoe covers made of polypropylene spun bonded fabric (non-woven) with or without polyethylene film. A few manufacturers in India Thea-Tex Healthcare Pvt. Ltd, Mumbai, Maharashtra. Mediklin Healthcare Ltd, Mumbai, Maharashtra. Sivshree Medittex India Pvt Ltd, Coimbatore, Tamilnadu. Surgiwear India, Uttarpradesh. Dispoline , Bangalore, Karnataka SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES Cotton balls SITRA - CoE FOR MEDICAL TEXTILES

SURGICAL DRESSING MATERIAL Surgical dressing material is applied on the wound to expedite the process of healing and prevent further harm due to wound exposure. A few manufacturers in India Johnson & Johnson Lavino Kapoor – Absorbent cotton – 100% EOU, Mumbai. Dr. Sabharwal Laboratories, Panchkula, Haryana. Ramanathan Surgicals Private Limited, Rajapalyam, Tamil Nadu. KOB textiles – Dressing Material - 100% EOU (Export Oriented Unit) – Coimbatore, Tamil Nadu. Ramaraju Surgical Cotton Limited , Rajapalyam, Tamil Nadu. Shanti Surgicals Jajoo Surgical Private Limited, Mumbai. SITRA - CoE FOR MEDICAL TEXTILES

Silicone gel dressing Dressing pads Alginate dressing Foam dressing Hydrogel dressing 4/20/2017

SITRA - CoE FOR MEDICAL TEXTILES SURGICAL SUTURES The surgical suture is used for stitching together skin deformations, open wounds, organs and blood vessels. There are two types – absorbable and non-absorbable sutures. A few manufacturers Johnson & Johnson Centennial Surgical Sutures, Thane, Maharashtra. Sutures India, Bangalore, Karnataka. SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES BABY DIAPERS Diapers are essentially made by sandwiching an absorbent pad between fabric sheets. The baby diapers marketed in India are primarily imported and repackaged for sale. The major brands like Huggies (Kimberley Clark Lever), Pampers (Procter and Gamble), Snuggy (Godrej-SCA) and Wipro Baby Soft cover more than 95% of the domestic market. SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES INCONTINENCE DIAPERS Incontinence diapers are disposable single use products specifically designed to absorb and retain fluids. Kimberley-Clark Lever with Depend and Godrej- SGA with Tena are the major branded players in the market. The other players are Elder Hartmann, Nobel Hygiene Care with Friends and Diaper India (Total Care). SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES SANITARY NAPKINS Sanitary napkins are essentially made by sandwiching an absorbent pad between fabric sheets. The sanitary napkins market in India is dominated by Procter and Gamble, Johnson & Johnson and Kimberley Clark Lever. Johnson & Johnson (brand Stayfree) and Procter & Gamble (brand Whisper) cover close to 85-90% of sanitary napkins market. The other smaller players in the market are Prime Hygiene Care Pvt. Ltd., Actifit India Pvt. Ltd., Dima Products, Donisi International, Hindustan Latex and Kaul Impex Pvt. Ltd. SITRA - CoE FOR MEDICAL TEXTILES

OBJECTIVES OF CoE - Meditech To house world class facilities to test and evaluate Meditech products as per national / international standards A Resource Centre for Meditech products comprising of a technical reference library, a product library along with I.T. infrastructure Facilities for training of personnel from the industry Preparation of standards for different Meditech products Facilities for indigenous development of prototypes Knowledge sharing with stake holders Incubation Centre that will help entrepreneurs from ‘Concept to Commercialisation’ SITRA - CoE FOR MEDICAL TEXTILES

KARL MAYER WARP KNITTING MACHINE SITRA - CoE FOR MEDICAL TEXTILES Useful for Manufacture of 1 Vascular prostheses 2 Heart patch 3 Hernia Mesh 4 Compression flat bandages SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES SPUNLACE LINE Operation theatre apparels, wound dressings, gauze, wet wipes , baby wipes SITRA - CoE FOR MEDICAL TEXTILES

Merz Compression Sock Knitting Machine SITRA - CoE FOR MEDICAL TEXTILES

Other machines available at the CoE Coating and Lamination facility Surgical face mask manufacturing facility Cotton-wool roll making facility SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES LISTER AC & WETBACK Measures time taken for a known volume of simulated urine to pass through top layer of diaper and to examine ability of diaper’s top layer to resist rewetting by a liquid which has already penetrated thro’ the same once SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES HYDRO HEAD TESTER To determine the resistance of specimen to water penetration SITRA - CoE FOR MEDICAL TEXTILES

SWEATING GUARDED HOT PLATE Useful for assessing wear comfort of a fabric by determining its thermal resistance & water vapour transmission SITRA - CoE FOR MEDICAL TEXTILES

ATOMIC ABSORPTION SPECTROPHOTOMETER For the analysis of 1 Arsenic 2 Selenium 3 Mercury 4 Lead 5 Nickel SITRA - CoE FOR MEDICAL TEXTILES

GAS CHROMATOGRAPHY – MASS SPECTRUM DETECTOR Useful For the analysis of 1 Pthalates 2 Organic metallic tin - OMT 3 Alkyl phenol exthoxylates - APEO 4 Flame retardant chemicals SITRA - CoE FOR MEDICAL TEXTILES

Important Machinery / Instruments planned for the second phase Rachel warp knitting machine – (3 D Spacer fabric) Sanitary napkin manufacturing line Nonwoven surgical gauze line Incontinence pad making line Wet wipes manufacturing line ETO Gas Steriliser Porometer Moisture management tester ICP-MS SITRA - CoE FOR MEDICAL TEXTILES

Products developed so far at SITRA Woven Arterial Prosthetic Grafts & Bi-furcated grafts Bandages using Bamboo Fibres Hernia Mesh Clinical Heart Patch Insoles / Liners for Diabetic Shoes Barbed, bi-directional Surgical Sutures Heart Valve Fabrics Woven Surgical Gowns Treated with Nano Finishes SITRA - CoE FOR MEDICAL TEXTILES

Products developed at SITRA Vascular graft Shoe insole for diabetic patients

Products developed at SITRA Contd.. Hernial Mesh Barbed bi-directional suture Surgical gown with nano finishes

List of R & D projects in the field of Meditech at SITRA (Ongoing) Development of Speciality 3 D Compression Bandages for Lymphedema Controlled Drug Release on Chitosan-coated Cotton gauze Development of special wound care dressing made of PVA / Chitosan and PVA/Silver nitrate nano membrane Compression bandage pressure measurement systems Development of rotator cuff repair devices for shoulder re-construction SITRA - CoE FOR MEDICAL TEXTILES

INSTRUMENTS DEVELOPED BACTRIAL FILTRATION EFFICIENCY TESTER To determine the extent to which a given O.T.Apparel filters bacteria trying to pass through it. SITRA - CoE FOR MEDICAL TEXTILES

Instruments under development Synthetic blood penetration resistance tester SITRA - CoE FOR MEDICAL TEXTILES

SITRA - CoE FOR MEDICAL TEXTILES Thank you SITRA - CoE FOR MEDICAL TEXTILES