1. MEDITECH Innovations for Better Health & Hygiene SHISHIR JAIPURIA Chairman, FICCI Taskforce on Technical Textiles Sunday, May 03, 2015

2. What is Meditech? Market Potential Healthcare & Hygiene Problems with Existing Medical Textiles in India Technological Developments Way Forward Sunday, May 03, 2015

3. What is Meditech? Meditech includes textile materials used in hygiene, health, personal care, surgical applications Depending upon the area of application, medical textiles are categorized as under: -Non- implantables -Healthcare & Hygiene products -Implantables -Extra-corporeal Sunday, May 03, 2015

5. Non-ImplantablesHealthcare Prod.ImplantablesExtra Corporeal Absorbents with and without x-ray detactable  Abdominal pad with x-Ray  Abdominal pad without x-Ray  Absorbent gauze/absorbent layers/Dressing packs  Wadding Gauze Bandages  W/W bandage (open bandages or gauze bandages)  Triangular Bandages  POP bandages  Synthetic cast Extensible Bandages  Crepe bandages  Elastic bandages (with rubber or lycra)  Compression bandages  Elastic adhesive bandages  Cohesive bandages (these would also include non-adhesive bandages) Tubular bandages  Knitted fabric in tubular form  Surgical hosiery Wound dressing and medicated bandages  Chlorhexidine gauze dressing  Elastic 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 Biodegradabl e and non- biodegradabl e sutures Soft tissues 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 - Non- woven filter (used for dialysis etc)  Artificial liver – Made of hollow viscose fibre  Artificial heart  Mechanical lung – made with hollow PP fibre or a hollow silicone membrane Sunday, May 03, 2015

6. Market for Medical Textiles Current Domestic Consumption of Medical Textiles- Rs 2365 cr Rs 1514 cr is the Technical Textiles Component By 2012-13 Domestic Consumption of Medical Textiles- Rs 3737 cr Rs 2263 cr is the Technical Textiles Component Heavily Import Dependent Unorganised Segment Sunday, May 03, 2015

7. Healthcare & Hygiene- Largest Segment Includes products like – Surgical / wound dressings Gowns / drapes Diapers / fem-care pads / adult incontinence diapers Bed sheet / curtains / Towels / Mitts / Wipes One of the fastest growing segment in Textiles Sunday, May 03, 2015

8. Healthcare & Hygiene- Largest Segment Reasons for growth of this segment – Growing awareness among society for hygiene and safety Frequent interactions of medical professionals with international medical societies Availability of new technologically advanced products Medical tourism Sunday, May 03, 2015

9. Desired Properties of Meditech Bio – degradablePurified and Hygienic Fast & Highly absorbentWicking performance Barrier to percolationGood Insulation Good thermal stabilityNon toxic Non allergicAbility to be sterilized Mechanical propertiesSoft feel StrengthElasticity DurabilityBio-compatibility Excellent drape ability Breathability Static DissipationEngineered Specialties Anti-microbial Sunday, May 03, 2015

10. Limitations of Meditech Made of Traditional Fibres like Cotton Less durable in view of lower tensile and tearing strengths Form lint due to protruding surface fibres which can adhere to the wounds Less resistant to acids and can contain residual acids harmful to the skin Do not have anti microbial properties Can attract mildew under hot and humid conditions prevalent in India and thus is not the right choice for medical use Residual starch left in cotton can act as a feedstock for micro-organisms which is harmful to the skin affected by wounds Attract more dust and can lead to growth of micro-organisms and other pests Foreign impurities like hair, jute, colour yarn, HDPE, motes, kities, leaves, etc. left in the finished fabric and may be harmful Sunday, May 03, 2015

11. Technological Developments In India, traditionally the segment is dominated by Woven Textiles Lately, new technology Nonwoven products have provided innovative product options Nonwoven fabrics – Engineered fabrics from sheet of fibres, with desired properties (performance characteristics) to suite specific applications; such as – Very high fluid repellency or absorbency Extremely low linting Fast wicking of liquids Anti-static Nonwoven fabrics are providing customized solutions in cost effective manner, and are thus taking important place in meditech worldwide Fabrics with anti-microbial properties Fire retardant fabrics Single Use Fabrics Sunday, May 03, 2015

12. Technological Developments Breathable Viral Barrier Gown- Level 4 Surgical gowns Reduces cross-contamination between medical staff & patient’s body fluids Superior barrier against viruses such as: Hepatitis, HIV, AIDS, CJD MRSA (bacteria) SARS, Avian influenza PPE (Personal Protective Equipment) apparel Protection for pandemic Influenza Sunday, May 03, 2015

13. AAMI Level Classifications for Surgical Gowns LevelTestResult 1 AATCC 42 Water Impact (WI) < 4.5 g 2 AATCC 42, WI AATCC 127 Hydro Head (HH) < 1.0 g > 20 cm 3 AATCC 42, WI AATCC 127, HH < 1.0 g > 50 cm 4 ASTM F1671, Gowns ASTM F1670, Drapes Pass Least Protective Most Protective Sunday, May 03, 2015

14. Way Forward Amendments in Schedule F-II of Indian Drugs & Cosmetic Act to include Medical Textiles made from man-made fibres Sunday, May 03, 2015

15. Way Forward Need to Adopt International Standards Overburdened health infrastructure and high costs in the west, a key driver for looking at India Around 50 mn citizens are uninsured in US India offers highly cost-competitive and technologically advanced treatments options With the growing awareness, the world is going for stringent product quality standards Need to align Indian standards with these global developments, like – Barrier efficiency of gowns / drapes Chemical & Micro-biological testing for dressings Need to adopt standards for newly developed products, like – Disposable gowns Nonwoven dressings Face masks Key Areas Dentistry Eye care Preventive health checks Orthopedics surgery Cosmetics Cardiology Surgical Specialty Cosmetic surgery Dental surgery Vision correction Organ transplants Hip replacement Cardiac bypass surgery Sunday, May 03, 2015

16. Way Forward The British Pharmacopia (BP -2007) and Other National Standards British Pharmacopia, European and Japanese standards specify the use of woven and non- woven spun lace made of man-made fibres and their blends in view of their better functional and performance properties. Sunday, May 03, 2015

17. Way Forward Promote Usage of Disposable/Single Use Medical Fabrics Why prefer single-use fabrics to reusable textile: Safer for doctors, nurses and patient High barrier to blood or body fluids Lower lint than linen (lint is a source of infection) Proven sterilization performance Comfort and breathability Compliance with International Standards (AAMI-Association for the Advancement of Medical Instrumentation etc) Sunday, May 03, 2015

18. Way Forward Provide Incentives for Export Promotion Latest Foreign Trade Policy Announcement included Technical Textiles Products under Focus Product Scheme Provide DEPB/Drawback benefits Also Sunday, May 03, 2015

19. Way Forward Incentives to Encourage Conversion of Technical Textiles Under TUFS Provide 20-25% Capital Subsidy in lieu of 5% Interest Rate Sunday, May 03, 2015

20. Your Suggestions are Welcome Thank You Sunday, May 03, 2015