REGD. OFFICE: ROYPARA, HATIARA,NEAR REGD. OFFICE: ROYPARA, HATIARA,NEAR VIVEKANANDA CLUBVIVEKANANDA CLUB

KOLKATA -700157KOLKATA -700157WEST BENGAL ,INDIAWEST BENGAL ,INDIA

PHONE: 91-033-32966920,033-25720056PHONE: 91-033-32966920,033-25720056www.premiumhealthcare.co.inwww.premiumhealthcare.co.in

Mail Id: Mail Id: premiumcare@gmail.compremiumcare@gmail.com sales@premiumhealthcare.co.insales@premiumhealthcare.co.in

AgendaAgenda

1.1. Premium Healthcare Disposables Premium Healthcare Disposables Pvt. Ltd Presentation Pvt. Ltd Presentation

2.2. Facts on Indian marketFacts on Indian market

3.3. Stop infection with single use non-Stop infection with single use non-woven & plastic disposables woven & plastic disposables

1.1. Premium Healthcare Disposables Premium Healthcare Disposables Pvt. Ltd Presentation Pvt. Ltd Presentation

2.2. Facts on Indian marketFacts on Indian market

3.3. Stop infection with single use non-Stop infection with single use non-woven & plastic disposables woven & plastic disposables

Premium’s todayPremium’s today

Leading supplier and manufacturer of Leading supplier and manufacturer of plastic and non-woven disposablesplastic and non-woven disposables

Serving nationally and InternationallyServing nationally and Internationally Business segments: Plastic & Non-Business segments: Plastic & Non-

woven Disposableswoven Disposables Registered with NSIC and PlexconcilRegistered with NSIC and Plexconcil

HIV-AIDS Population in IndiaHIV-AIDS Population in India

In 2007, following the first survey of HIV among the general In 2007, following the first survey of HIV among the general

population, UNAIDS and NACO agreed on a new estimate – population, UNAIDS and NACO agreed on a new estimate –

between 2 million and 3.6 million people living with HIV. between 2 million and 3.6 million people living with HIV.

The figure was confirmed to be 2.4 million in 2008. This The figure was confirmed to be 2.4 million in 2008. This

puts India behind South Africa and Nigeria in numbers living puts India behind South Africa and Nigeria in numbers living

with HIV.20 21with HIV.20 21

In terms of AIDS cases, the most recent estimate comes In terms of AIDS cases, the most recent estimate comes from August 2006, at which stage the total number of AIDS from August 2006, at which stage the total number of AIDS cases reported to NACO was 124,995. Of this number, 29% cases reported to NACO was 124,995. Of this number, 29% were women, and 36% were under the age of 30. These were women, and 36% were under the age of 30. These figures are not accurate reflections of the actual situation figures are not accurate reflections of the actual situation though, as large numbers of AIDS cases go unreported. though, as large numbers of AIDS cases go unreported.

Premium’s business segmentPremium’s business segment Plastic Ethylene Vinyl Plastic Ethylene Vinyl

Acetate gloves (EVA)Acetate gloves (EVA)

Low density poly ethylene Low density poly ethylene (LDPE) shoe covers(LDPE) shoe covers

Low density poly ethylene Low density poly ethylene (LDPE) Apron’s (LDPE) Apron’s

Low density poly ethylene Low density poly ethylene Veterinary gloves (LDPE)Veterinary gloves (LDPE)

Non-woven Medical Face Non-woven Medical Face Mask with filter and Mask with filter and without filter, tie on and without filter, tie on and loop loop

Non-woven Medical Non-woven Medical Bouffant CapBouffant Cap

Non-woven Medical Non-woven Medical Surgeon’s capSurgeon’s cap

Products also available Products also available in SMS (spun bond melt in SMS (spun bond melt blown spun bond ) fabricblown spun bond ) fabric

Non-woven Medical Non-woven Medical Surgeon’s GownSurgeon’s Gown

Range of productsRange of products SAFE HAND EVA GLOVES STERILE GRIP SAFE HAND EVA GLOVES STERILE GRIP SAFE HAND EVA GLOVES NON-STERILE PLAINSAFE HAND EVA GLOVES NON-STERILE PLAIN SAFE HAND EVA GLOVES STERILE PLAINSAFE HAND EVA GLOVES STERILE PLAIN PREMIUM’S SHOE COVERPREMIUM’S SHOE COVER PREMIUM’S APRON PREMIUM’S APRON PREMIUM’S SHOE COVERPREMIUM’S SHOE COVER PREMIUM’S RVG SENSOR COVERPREMIUM’S RVG SENSOR COVER PREMIUM’S SURGEON’S CAPPREMIUM’S SURGEON’S CAP PREMIUM’S BOUFFANT CAPPREMIUM’S BOUFFANT CAP PREMIUM’S GOWN PREMIUM’S GOWN

Business areaBusiness area

Our advanced non-wovens and co-Our advanced non-wovens and co-polymer business area develops and polymer business area develops and supplies innovative, value added supplies innovative, value added materials.materials.

Medical Industry Food Industry Medical Industry Food Industry Manufacturing in the West Bengal since 2000 Manufacturing in the West Bengal since 2000

Need to Adopt International StandardsNeed to Adopt International StandardsMedical TourismMedical Tourism

Overburdened health Overburdened health infrastructure and high infrastructure and high costs in the west, a key costs in the west, a key driver for looking at Indiadriver for looking at India

Around 50 million citizens Around 50 million citizens are uninsured in USare uninsured in US

India offers India offers and technologically and technologically advanced treatments advanced treatments optionsoptions

Key AreasKey Areas

Dentistry Dentistry

Eye careEye care

Preventive health Preventive health checkschecks

Orthopedics surgeryOrthopedics surgery

Cosmetics Cosmetics

Cardiology Cardiology

Surgical SpecialtySurgical Specialty

Cosmetic surgeryCosmetic surgery

Dental surgeryDental surgery

Vision correctionVision correction

Organ transplantsOrgan transplants

Hip replacementHip replacement

Cardiac bypass Cardiac bypass surgerysurgery

Stop infection with single use Stop infection with single use medical fabricsmedical fabrics

Why prefer single-use fabrics to reusable Why prefer single-use fabrics to reusable textile:textile:

• Safer for doctors, nurses and patientSafer for doctors, nurses and patient

High barrier to blood or body fluidsHigh barrier to blood or body fluids

Lower lint than linen (lint is a source of Lower lint than linen (lint is a source of

infection)infection)

Proven Proven sterilizationsterilization performance performance

• Comfort and breath ability Comfort and breath ability

• Full compliance with the AAMI* PB70 Full compliance with the AAMI* PB70

Standard. *Association for the Standard. *Association for the

Advancement of Medical Advancement of Medical

InstrumentationInstrumentation

Shift to Single-Use - Why ? Shift to Single-Use - Why ? Need for Infection ControlNeed for Infection Control

± 1800 : about 60% of the patients died of hospital fever± 1800 : about 60% of the patients died of hospital fever

± 1867 : Lister was one of the first who acknowledged cross-± 1867 : Lister was one of the first who acknowledged cross-infections, aseptic technique. Reduced morbidity to 1.5%infections, aseptic technique. Reduced morbidity to 1.5%

Today, we are still talking about infection control. Cost of Today, we are still talking about infection control. Cost of Hospital Infection in England alone is 1 Billion pounds and Hospital Infection in England alone is 1 Billion pounds and 5000 deaths.5000 deaths.

Advent of super bugs such as Avian Flu, AIDS, Hepatitis makes Advent of super bugs such as Avian Flu, AIDS, Hepatitis makes infection control a high priority.infection control a high priority.

Use of disposable Use of disposable nonnon woven medical fabrics plays an woven medical fabrics plays an important role in reducing hospital infections.important role in reducing hospital infections.

A study by Moylan indicated that single-use non woven A study by Moylan indicated that single-use non woven products reduced infection by 2.5X compared to traditional products reduced infection by 2.5X compared to traditional textiles.textiles.

A study by Werner showed that 56% of reusable textiles had A study by Werner showed that 56% of reusable textiles had significant defects that could sacrifice their performancesignificant defects that could sacrifice their performance

Shift to Single-Use - Why ? Shift to Single-Use - Why ? High Barrier to blood and body fluidsHigh Barrier to blood and body fluids

Single-use fabrics are engineered to have high barrier/Liquid/Blood repellency.

Shift to Single-Use - Why ? Shift to Single-Use - Why ? Linen – Zero Barrier / High Risk Linen – Zero Barrier / High Risk

Re-usable

textiles can develop tears and holes during the washing process

•Traditional textiles are typically

• absorbent.

Shift to Single-Use - Why ? Shift to Single-Use - Why ? Low LintLow Lint

Lint is a source of infection since bacteria can use it as a carrier.

Re-usable generate lot of lint during washing process.

Single-use fabrics typically have low lint.

Shift to Single Use - Why ? Shift to Single Use - Why ? Proven Sterilization PerformanceProven Sterilization Performance

Non wovens are Non wovens are compatible with compatible with multiple multiple sterilization sterilization methods such as methods such as steam, ETO, steam, ETO, gamma (depending gamma (depending on composition).on composition).

Shift to Single-Use - Why ? Shift to Single-Use - Why ? ComfortComfort

Comfort critical for Comfort critical for gownsgowns

Non woven have good Non woven have good breath abilitybreath ability

Conformability imp. Conformability imp. for drapesfor drapes

Non woven are Non woven are flexible/softflexible/soft

Shift to Single-Use – WhyShift to Single-Use – Why ??Economic aspectEconomic aspect

Linen comes to avg 24cycles Linen comes to avg 24cycles (six months).(six months).

• Cost of a Terry cot Gown=Rs Cost of a Terry cot Gown=Rs 350/- approx.350/- approx.

• Cost of Reusable Gown per Cost of Reusable Gown per use /washing/extra use /washing/extra stock/Sterilization/ labour= Rs stock/Sterilization/ labour= Rs 50 approx.50 approx.

• Whereas cost of disposable Whereas cost of disposable single use surgeon gown - single use surgeon gown - comes higher by comes higher by 25-3025-30% that of % that of linenlinen..

• (min.Rs 10/-15/- per gown/per (min.Rs 10/-15/- per gown/per use higher than linen gown).use higher than linen gown).

Ease of use, hygiene and cost Ease of use, hygiene and cost effective by eliminating effective by eliminating laundering .laundering .

Washing of 1 ton of linen Washing of 1 ton of linen requires approx.7 tons of water.requires approx.7 tons of water.

Damp linen gowns breeding Damp linen gowns breeding ground for bacteria.ground for bacteria.

Shift to Single-Use – WhyShift to Single-Use – Why ??

BMW DisposalBMW Disposal Soiled waste Category 6 of Schedule 1Soiled waste Category 6 of Schedule 1

Recommended treatment & disposal Recommended treatment & disposal incineration/autoclaving/microwaving incineration/autoclaving/microwaving

In In yellow bag (for incineration)yellow bag (for incineration) or in or in red bag red bag (for Autoclaving/microwaving) (for Autoclaving/microwaving)

Soiled Gowns /DrapesSoiled Gowns /Drapes

Incineration --------- Autoclaving ---------Incineration --------- Autoclaving ---------Microwaving--------ShredderMicrowaving--------Shredder

Shredder

Shift to Single-Use – WhyShift to Single-Use – Why ??BMW Disposal – Autoclaving/ShreddingBMW Disposal – Autoclaving/Shredding

• Collection, Transportation, Treatment and Disposal of Bio Collection, Transportation, Treatment and Disposal of Bio Medical Waste Medical Waste

= approx Rs50/kg or Rs8/per Single Use Gown.= approx Rs50/kg or Rs8/per Single Use Gown.

• Methods – Methods – Autoclave Autoclave ShreddingShredding Land Fill Land Fill IncinerationIncineration

Autoclave: A dedicated waste autoclave is a must. Autoclave: A dedicated waste autoclave is a must. Steam disinfection is the one of the best-known forms of Steam disinfection is the one of the best-known forms of disinfection and can effectively and substantially reduce the disinfection and can effectively and substantially reduce the risks associated with disposal of bio-medical wasterisks associated with disposal of bio-medical waste

Shift to Single-Use - Why ? Shift to Single-Use - Why ? Meets New Regulatory StandardsMeets New Regulatory Standards

• Collection, Transportation, Treatment and Disposal of Bio Collection, Transportation, Treatment and Disposal of Bio Medical Waste Medical Waste

= approx Rs50/kg or Rs8/per Single Use Gown.= approx Rs50/kg or Rs8/per Single Use Gown.

• Methods – Methods – Autoclave Autoclave ShreddingShredding Land Fill Land Fill IncinerationIncineration

Autoclave: A dedicated waste autoclave is a must. Autoclave: A dedicated waste autoclave is a must. Steam disinfection is the one of the best-known forms of Steam disinfection is the one of the best-known forms of disinfection and can effectively and substantially reduce the disinfection and can effectively and substantially reduce the risks associated with disposal of bio-medical wasterisks associated with disposal of bio-medical waste

Shift to Single-Use - Why ? Shift to Single-Use - Why ? Meets New Regulatory StandardsMeets New Regulatory Standards

AAMI PB 70 standards for drapes AAMI PB 70 standards for drapes and gownsand gowns

ISO 11607 for sterilization wrapsISO 11607 for sterilization wraps

EN 14683 for face maskEN 14683 for face mask

Breathable Viral Barrier GownBreathable Viral Barrier Gown

Surgical gowns Surgical gowns Reduces cross-contamination Reduces cross-contamination between medical staff & patient’s between medical staff & patient’s body fluidsbody fluids

BVB TechnologyBVB Technology ConstructionConstruction

• Outer layerOuter layer: additional fluid repellency & strength : additional fluid repellency & strength • Middle layerMiddle layer: responsive, monolithic membrane for : responsive, monolithic membrane for • impervious barrier impervious barrier • Comfort layerComfort layer: soft touch to the wearer’s skin: soft touch to the wearer’s skin

BVB lets moisture out to BVB lets moisture out to provide comfort to provide comfort to the wearer while giving superior protection the wearer while giving superior protection against bacteria and viruses, as small as against bacteria and viruses, as small as 0.027 micron0.027 micron (Avian flu: 3x larger=0.08-0.12 microns)(Avian flu: 3x larger=0.08-0.12 microns)

The fabric has been tested and meets American SocietyThe fabric has been tested and meets American Society for Testing and Materials (for Testing and Materials (ASTMASTM)) F1670 and F1671 requirementsF1670 and F1671 requirements

Breathable Viral Barrier Gown Breathable Viral Barrier Gown BenefitsBenefits

Superior Superior barrier against virusesbarrier against viruses such as: such as:

• Hepatitis, HIV, AIDS, CJDHepatitis, HIV, AIDS, CJD

• MRSA (bacteria)MRSA (bacteria)

• SARS, Avian influenzaSARS, Avian influenza

Liquid barrierLiquid barrier

Reduces cross-contamination between medicalReduces cross-contamination between medical

staff & patient’s body fluidsstaff & patient’s body fluids

In compliance with In compliance with international standardsinternational standards

• Light weight and Light weight and breathablebreathable

• Cool and Cool and comfortablecomfortable

What do we do until standards come in India ?What do we do until standards come in India ?

Do Hospitals need to put specifications for procurementDo Hospitals need to put specifications for procurement ? ?

Premium’s Medical disposable Premium’s Medical disposable summarysummary

More than 15 years expertise More than 15 years expertise in the medical market.in the medical market.

Known for superior service Known for superior service and customer care.and customer care.

Growth through innovation. Growth through innovation.

Customized solutions based Customized solutions based on a broad manufacturing on a broad manufacturing technology base.technology base.

Nationally expanding Nationally expanding manufacturing and service manufacturing and service network network

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