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2 FICCI National Conference On Stimulating Investment in Technical Textiles: Meditech and Geotech Manoj Virmani Reliance Industries Ltd. 18th Nov 2010 Polypropylene Nonwoven in Medical Applications : Opportunities Unlimited.

 India’s Gift to Healthcare  Medical textiles  History  Global scenario  Indian Scenario  PP Non Woven  Why PP NW..?  Existing & Emerging Applications  Recron® Safeband  RIL Role  Summary Contents

India’s Gift to Healthcare :Dates Back to BC A Noble Service to Entire Humanity ….. Never Ending Yoga Prevention Ayurveda Siddha Cure

India’s Gift to Healthcare – 600 BC Sushruta – Believed to be 1st Plastic Surgeon in World Sushruta Samhita' is considered to be a part of Atharvaveda.

India’s Gift to Healthcare – 20th Century Jaipur Foot:  Prosthetic limbs for Rehabiliation  Dr P K Sethi & Mr R C Sharma revolutionized the concept  Cost – Few Hundred Rupees Vs Several Thousand Dollars  Service to Physically Challenged all over the world Provides Second Life at an Affordable Cost – Gandhian Engineering

India’s Association with Healthcare will continue to flourish with Medical textile…….like PP Non Woven

Medical textiles

Medical Textiles means…  Products & constructions for medical and biological applications.  Used primarily for first aid, clinical and hygienic purposes.  E.g. Bandages, operating room attires like drapes, gowns and face masks etc. One of the rapidly expanding sectors in the technical textile market

History  First recorded use in the " Egyptian Surgical Papyrus" nearly 4000 years ago.  Hand-woven cloth or spider webs used earlier to stop bleeding.  "Susanta Sambita",an Indian literature, 500 AD mentioned many suture materials like horsehair, leather strips, cotton, animal sinews, and fibrous tree bark. The trend continues with emergence of Modern day medical textiles

Classification Medical Textiles Protective & Healthcare textiles External devices Extra corporeal devices Hygiene textiles Implantable material/ Dental products Surgical Gowns, Drapes,Sterilisation wraps, staff uniform,facemasks,bedding Wound/orthopedic dressing, pressure garments & prosthetic socks Surgical sutures,vascular grafts & artificial ligaments/ Toothbrush filaments Blood filters, artificial lung/kidney etc Baby diapers, feminine hygiene products & adult incontinence diapers Healthcare and Hygiene are the key areas for PP NW

Global Scenario  Medical textiles 9 % of total technical textiles(8238 US$ mn)  Comprise of 33% of the total NW market  NW disposable market growing at CAGR of 7.5% ($12 bn market by 2010).  US NW market to exceed $3.4 bn by 2010  NW Medical fabrics account for 80% of the items used in USA(2.75 Bn Sq Mtr )  It varies in Europe between 40-60%.  Penetration in China has crossed 40%.  Growth drivers  Growing consumer awareness  Stringent standards by regulatory agencies (EN ) Surgical market is the largest growing segment among all Medical textiles

Indian Scenario  NW usage < 1% of USA consumption  Medical Textile comprises ~4% of the Indian technical textiles market  Significant use of multiple use healthcare textiles  Market to touch Rs 2263 Cr by 2012(CAGR-8%)#  Growth Drivers  11th Five Year Plan recommends use of Non-Woven in Govt. Hospitals *  Growing Consumer Awareness and Stringent Standards  Medical tourism #Baseline survey of Technical textile industry in India_-2009 *Report of Textile & Jute Industry 11th Five Year Plan ( ) Govt.of India PP NW is emerging as a preferred medical textile

 Why India..??  World class treatment  Technologically advanced diagnostic equipment  Stringent quality assurance.  1/3rd Costs Medical tourism in India=World class treatment + Holidays+ Big savings Ref:CII Mckinsy study India–Emerging Medical Tourism Centre Cost of Key HealthCare Procedures Currency: USDUSThailandIndiaIndia healthcare cost-% of US Cardiac surgery50,00014,2504, Bone marrow transplant 62,500 30, Liver transplant500,00075,00045, Orthopedic surgery16,0006,9004, Source: IBEF Research PP NW to grow thru growing Healthcare sector

Non Woven

Wide Variety of Processes …Wide Choice of Raw Materials Non Woven (NW) A Non-Woven is a fabric obtained without weaving. Made from either synthetic or natural fibers. Spun Laid Needle Punched Chemically Bonded Air Laid Hydro Entangled

Materials for Non Woven PP followed by Polyester - The Most Widely Used Material Today  Polypropylene (PP): The material of choice  Chemically Inert  Light Weight  Food grade and FDA approved  Sterilize-able

Why Non Woven..??  Protection against dry/wet contact & air-borne particles  Optimal fluid absorbency  Breathable: Exchange of air, body heat and moisture  Hygienic: Bacteria, Fungus, Virus Resistant  Excellent barrier properties  Stain free & lint free Safety - the prime consideration

Why Non Woven..??...contd  Strong yet lightweight  Excellent fluid repellency  Optimum wearer comfort & convenience  Single-use = 100% certainty  Gives fresh new look  Engineered stability for ETO, plasma, radiation, or steam sterilization Linen usages still prevalent in India

Linen Vs Non Woven fabric  Eliminates (V/s. Linen)  Collection  Sorting  Washing  Inspection  Inventory  Accounting Comfort, Convenience, Cost & Hygiene are blended perfectly.

Linen Vs Non Woven fabric..(contd.) PropertiesMulti use Linen wear PPNW Single use wear Microbial barrierLowHigh Liquid repellencyLowHigh LintHighLow DrapeabilityExcellentBetter ComfortExcellentBetter Storage spaceHighLow ContaminationHighLow BMW creationLowHigh Cost savingsHighLow Probability of Surgical Site InfectionHighLow Mechanical resistanceHighMedium Probability of Hospital-acquired infection (HAI) HighLow Internationally accepted material for single use medical wear

EXISTING APPLICATION OF NON WOVEN

Surgical Face Mask Outbreak of swine flue causes wide spread usage of face masks in India  Bacteria Filtration Capability  Barrier Properties  Splash Resistance  Breath ability  Cost Efficiency  Skin Friendly

Head Wear  The hair and scalp area frequently contain large numbers of micro organisms.  If hair is kept still from movement then less bacteria is released  Effective way to keep the hair still Most effective way to prevent falling of Hairs

 Gown Isolation  Surgeon cap  Face mask  Bed Sheet  Shoe cover  Advantages  Prevent infection  Non toxic/non pyrogenic  Safe and convenient to use Safeguard against infection AIDS Kit/Delivery kit

Gowns in Operating Rooms  Breathable Viral Barrier  Avoids Pathogenic Transmission  Low Lint  Softness, Breath ability and Drape Tested for suitability to check Avian Influenza, Healthcare Associated Infections, Hepatitis, AIDS, MRSA, SARS etc.

EMERGING APPLICATION OF NON WOVEN

Adult Incontinence Diapers Increasing Demand for Senior Citizen Healthcare  Useful for Bed ridden Patients  Managing leakages associated with Urine and Bowel Incontinence.  Advantages  Ease of use  Comfort  Odor control

Bed Sheet and Pillow Cover Offer more softness & feel very close to traditional textile fabrics. Cost of new PP NW pillow cover same as the washing cost  Bed Sheet and Pillow Cover  Replacement of Uncomfortable Oil Cloth  Gives a Fresh New look vis-à-vis a washed linen  Better Hygiene as compared to a washed linen  More resistance to the tear and a nice touch  Anti Bacterial Treated Bed Drape  In built pouches to enable fluid management.  Conformable to body contours  Useful for Patients having Bed Sores.

Disposable Innerwear The all season solution, can also be used during travelling  Light Weight  Better Hygiene  The low cost alternative for all patients  No hassles of washing

Maternity Kit  For patient use  For doctor use  For new born baby  Gown Isolation  Surgeon cap  Face mask  Drape  Towel  Shoe cover  Wrapper A Perfect way to offer ultimate comfort and convenience

OT kit/Surgeon kit  Can be used in  Operation theatre  Clinical autopsy  Pharmaceutical industry  Laboratories Surgical infection prevention safeguards are upgraded by hospitals

Personalized Care  Cubicles  Isolation Curtain Chambers. Need of time – Better materials for better hygiene

Others  Examination Table Sheet  Angiography Drapes  Laparatomy Pack  Ready Made Packs for various Procedures

Disposal mechanism  Disposal Method  The ideal method recommended is Incineration.  No emission of toxic gases during Incineration  Presently practiced in many hospitals for disposables like face mask, gowns, head caps, etc. Non Woven – Consume less energy for disposal

Reliance Role

360° partnership Reliance and You

Supply Chain  Supply chain in place for PP NW  Abundant availability of Raw material (PP &PP non woven fabric) indigenously.  200+ converters / manufacturers of medical Disposables operating across the country  Supply to Hospitals through Distributors  Machinery available to manufacture single use medical wear.  Well capable disposable facilities The established supply chain will ensure smooth supply of medical wears Raw Material Manufacturers Roll Good Manufacturers Converters End user

Reliance Industries Ltd : Major Link in supply chain PP at your doorsteps from 185 marketing outlets in India  2.7 MMTA capacity  5th Largest producer in the world  Wide Range of Grades  Superior Technological Strengths  Strong Focus on Innovations and R&D

Awareness creation  Awareness Creation on various platforms  Joint programs with IMA  Displays and presentations in hospitals  Trials to demonstrate efficacy  Articles in medical magazines

Indian standards initiative  Draft BIS standards for applications like  Face mask  Surgical Gown etc Standards ensure quality and sustainable growth

42  Machine Manufacturers  Existing Customers  New Entrepreneur  OEM / End Users RIL  Concept  Product Identification  Market data  Feasibility Studies  Development  Implementation  Supply chain  Nurturing new development 360° Support – Concept to Commercialization Support Entrepreneur development

Recron® Safeband Where INNOVATION is a CONTINUOUS process

Rolled Bandage  Light weight woven fabrics used for dressing of injuries, cuts and wounds  Inherently antibacterial and antifungal  Antimicrobial activity (JISL 1902 & ISO 20473)  Prevents growth of micro-organisms in hot and humid conditions  Stronger and Highly durable  Non allergic (ISO )  Lint free  Painless changing of dressing

Crepe Bandage  A uniquely designed fabric with high stretchability  Used for General surgical, orthopaedic and sports injuries  Extremely convenient for pressure dressing  Provide muscular support for Sprains, strains, aches, dislocations and painful joints  Inherent antimicrobial and anti fungal properties  Odour free  Stronger and durable  Washable and reusable  Hold muscles and joints tighter

Summing up..  PP NW  Emerging medical textile.  Potential exist for untapped applications.  Supply chain in place.  Opportunity exist for investment. Medical textile fraternity…Are we geared up to meet the challenge..???

Health is Wealth Let us acquire both thru NW Healthcare…… A Recession-proof Industry

Thank You