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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

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

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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

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 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

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

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.

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

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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

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 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..???

Health is WealthLet us acquire both thru NW

Healthcare…… A Recession-proof Industry

Thank You