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2
FICCI
National Conference
On
Stimulating Investment in Technical Textiles: Meditech and Geotech
Manoj VirmaniReliance 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 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 13795 )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 ( 2007 -12 ) Govt.of India
PP NW is emerging as a preferred medical textile
Surgical products
Sutures
Artificial implants
Disposables
Sanitary napkins, healthcare and hygiene products
Others
50
21
17
2
1.65 8
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: USD US Thailand India India healthcare cost-% of US
Cardiac surgery 50,000 14,250 4,000 12.5
Bone marrow transplant
62,500 62,500 30,000 13.33
Liver transplant 500,000 75,000 45,000 11.11
Orthopedic surgery 16,000 6,900 4,500 3.56
Source: IBEF Research
PP NW to grow thru growing Healthcare sector
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 LaidHydro 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.)
Properties Multi use Linen wear
PPNW Single use wear
Microbial barrier Low High
Liquid repellency Low High
Lint High Low
Drapeability Excellent Better
Comfort Excellent Better
Storage space High Low
Contamination High Low
BMW creation Low High
Cost savings High Low
Probability of Surgical Site Infection High Low
Mechanical resistance High Medium
Probability of Hospital-acquired infection (HAI)
High Low
Internationally accepted material for single use medical wear
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
useSafeguard against infection
AIDS Kit/Delivery kit
Gowns in Operating Rooms
Breathable Viral Barrier
Avoids Pathogenic
Transmission
Low Lint
Softness, Breath ability and
DrapeTested for suitability to check Avian Influenza, Healthcare Associated Infections, Hepatitis, AIDS, MRSA, SARS etc.
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
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 000
Concept
Product
Identification
Market data
Feasibility
Studies
Development
Implementation
Supply chain
Nurturing new
development360° Support – Concept to Commercialization
Support
Entrepreneur development
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 10993-10)
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..???