MEDITECH Innovations for Better Health & Hygiene SHISHIR JAIPURIA

MEDITECHInnovations for Better Health & Hygiene

SHISHIR JAIPURIAChairman, FICCI Taskforce on Technical Textiles

Friday, April 21, 2023

• What is Meditech?• Market Potential • Healthcare & Hygiene• Problems with Existing Medical Textiles in India • Technological Developments • Way Forward


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


Non-Implantables Healthcare Prod. Implantables Extra Corporeal

Absorbents with and without x-ray detactable Abdominal pad with x-Ray Abdominal pad without x-Ray Absorbent gauze/absorbent

layers/Dressing packs WaddingGauze Bandages W/W bandage (open bandages or gauze

bandages) Triangular Bandages POP bandages Synthetic castExtensible 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

• Biodegradable and non-biodegradable 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


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


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


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


Desired Properties of Meditech

Bio – degradable Purified and HygienicFast & Highly absorbent Wicking performanceBarrier to percolation Good InsulationGood thermal stability Non toxicNon allergic Ability to be sterilizedMechanical properties Soft feel Strength ElasticityDurability Bio-compatibilityExcellent drape ability BreathabilityStatic Dissipation Engineered Specialties Anti-microbial


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


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


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


Level Test Result

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

Pass

Least Protective

Most Protective


Way Forward

• Amendments in Schedule F-II of Indian Drugs & Cosmetic Act to include Medical Textiles made from man-made fibres


Way ForwardNeed 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


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.


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)


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


Way Forward

• Incentives to Encourage Conversion of Technical Textiles Under TUFS

•Provide 20-25% Capital Subsidy in lieu of 5% Interest Rate


Your Suggestions are Welcome

Thank You


MEDITECH Innovations for Better Health & Hygiene SHISHIR JAIPURIA

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