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FUTURE INDIAN SOLDIERS
TOI, 21 Feb 2011
2nd fastest growing economy &
4th largest
We are using more
Population – More People
Demography – More People who need
Income – More People who can afford
Travel -Awareness
Medical tourism – Attitudes
Growth of healthcare industry – demand
Products – Increasing Range of products
SCENARIO
• Application of textiles has started going beyondthe usual wound care, incontinence pads,plasters etc.,
• In India, traditionally the segment is dominatedby Woven Textiles. Lately, Nonwoven productshave provided innovative product options
• Newer products
• Largely import dependant
• Personal Hygiene• Dressings & bandages• Linen, Protective clothing• Implantables • Extracorporeal devices
Applications
• Personal Hygiene• Dressings & bandages• Linen, Protective clothing• Implantables • Extracorporeal devices
Applications
Why we need them
Standards
‘A set of rules for ensuring quality‘
'A technical specification approved by a recognized standardization body for repeated or continuous application, with which compliance is compulsory , aimed at the achievement of the optimum degree of order in a given context‘
Why Standards?
MedTex products have crucial life-saving applications
Standards
Confidence - positive impact on consumption
Internationally competitive
Decrease dependence on imports
Regulation of use
Non-Implantables Hygiene ImplantablesExtra Corporeal
Absorbents with and without x-ray detactable Abdominal pad Absorbent gauze/absorbent Wadding
Gauze Bandages W/W bandage (open bandages or gauze
bandages) Triangular Bandages
Rigid bandages POP bandages Synthetic cast Scaffold
Extensible Bandages Crepe bandages Compression bandages Elastic adhesive bandages
Tubular bandages Knitted fabric in tubular form Surgical hosiery
Wound dressing and medicated bandages Chlorhexidine gauze dressing Medicated 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 Sanitary napkins
• Sutures• Soft tissue 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
Artificial liver
Artificial heart
Mechanical lung
Various types of textiles in medical care
I. Natural Man Made
II. Woven Non-Woven
III. Sterile Unsterile
IV. Disposable Re-useable
V. Patient Non-Patient
MEDICAL
Gp Capt RK PathniO/o DGAFMS, DG-2Gp
Flexibility, Sterility, Tensile Strength, Non-fraying, Knotting Security, Bio-compatible, Durability, Stability, Sterilizability, Stiffness, Ease Of Handling, Low Adherence, No Loose Fibers, Absorbent, Adsorbent, Form-fitting, Causing no mechanical injury, Light -weight, Porosity, Firmness, Bio-degradable, Durable, Non-toxic, Absorbable, Comfortable, Ease of maintenance, Hydrophobic, Breathability, Hydrophilic, Environment-friendly, Disposable, Economy, Bio-compatible, Comfortable, Safe, Smart….
• Patient comfort
• Hygeinic & non toxic
• Ease of usage
• Safety
• Affordable
• Quality
• Ease of disposal
Aim
Requirements
In the Patient – Biocompatible, Non toxic, Non Allergenic, Sterility Standards of Highest Level
On the Patient – Non toxic, Non Allergenic, Sterile, Biocompatibility ?!!
Near the Patient – Sterile, Lint free
For the Patient – Clean
General Properties – Strength, Elasticity, Durability, Fire Resistance, Antistatic, Biodegradability
Sutures & Ligatures
Easy to handle Good knot security Minimal tissue reaction Unfriendly to bacteria Strong yet small Won’t tear through
tissues Affordable
Absorbable / Non-abs
Natural / Synthetic
Mono / Multi-filament
Double – barbs
Anti-bacterials
Staplers
Glue
Dressings
Cover
Stop bleeding
Aid healing Prevent infection
Non-linting
Soft on granulation tissue
Drug delivery Easy to remove
Affordable
Vascular Grafts, Mesh, Soft tissue implants
Bio-compatibility
Anti-coagulant
Flexibility, resilience
Porosity
Texture
Mech strength
Source:
Illustrerad Vetenskap, No 5, 1999
Tissue
engineering:
Reserve parts for
the human body
Skin
Innovations Metallized textiles
Nanotechnology
Anti-microbial fabrics Fire retardant fabrics
Bones -Textiles are replacing metal implants
Nerve guidance channels
Smart / intelligent Switches, Sensors, Secretions
Tissue Engineering
Scaffolds Embroidery technology
Spray on Surgical DrapesNano-silver treated hospital
linen for burn patientsControlled drug release
Quality Standards
D&CA – schedule F2
fibre, yarn, fabrics as well as the final product.
Raw material suppliers
Innovation
Criteria
Conformance to tech specsStrengthFlexibilityPorosityOrientation of filamentsExtensibilityMemory
SterileAnti Allergenic Non toxicSterilizableBiocompatibleResilient to infection Ease of storageStrict quality controlEnvironment friendlyEconomical
Disposables
Resistance to liquid penetration - Blood / Water
Non-linting
Barrier against dry penetration
Tropicalization – western products are not automatically suitable
Cost
Environmental Issues
Safety of users / handlers
USERS’ PERSPECTIVE
COMBAT MEDICAL
MILITARY
OPERATIONS
“The object of war is not to die for your country but to make the other bastard die for his”.
George Patton
• Uniforms
• Back packs
• First field dressings (FFD)
• Shell dressings
• Tourniquet
SCOPE
Life saving army uniforms:Engineers and scientists will work to
develop ideas such as a uniform that is
nearly invisible and soft clothing that can
become a rigid cast when a soldier
breaks his or her leg.
- DuPont
Tourniquet
Conclusion
• Textile-based materials for medical use are helping to improve people’s lives—and in some cases transform them.
• We have to leverage innovations in this field to improve health care delivery and make it affordable & safe.
• Standards are essential .
• Interesting changes in the market will follow.
