Gp Capt RK Pathni DGAFMS DG Gp COMBAT MEDICAL

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Gp Capt RK Pathni DGAFMS DG Gp COMBAT MEDICAL Powered By Docstoc
					Gp Capt RK Pathni
O/o DGAFMS, DG-2Gp
COMBAT & MEDICAL TEXTILES

USERS’ PERSPECTIVE
                   Gp Capt RK Pathni
                    O/o DGAFMS, DG-2Gp
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 beyond
  the usual wound care, incontinence pads,
  plasters etc.,

• In India, traditionally the segment is dominated
  by Woven Textiles. Lately, Nonwoven products
  have provided innovative product options

• Newer products
• Largely import dependant
    Applications

•   Personal Hygiene
•   Dressings & bandages
•   Linen, Protective clothing
•   Implantables
•   Extracorporeal devices
    Applications

•   Personal Hygiene
•   Dressings & bandages
•   Linen, Protective clothing
•   Implantables
•   Extracorporeal devices
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
                                                                                                              Extra
           Non-Implantables                              Hygiene                       Implantables
                                                                                                              Corporeal
Absorbents with and without x-ray detactable      Surgical gowns                  • Sutures                   Artificial kidney
    Abdominal pad                                Surgical caps                   • Soft tissue implants
    Absorbent gauze/absorbent                    Surgical mask                   • Artificial tendon         Artificial liver
    Wadding                                      Surgical covers, drapes         • Artificial ligament       Artificial heart
Gauze Bandages                                    Cloths/Wipes                    • Artificial skin
    W/W bandage (open bandages or gauze          Hospital bed sheets, pillows,   • Eye lenses                Mechanical lung
      bandages)                                    pillow covers, blankets,        • Artificial lumen
    Triangular Bandages                           mattresses                      • Orthopaedic implants
Rigid bandages                                    Patient clothing, Protective    • Artificial joint bones
    POP bandages                                  clothing                        • Cardio-vascular
    Synthetic cast                               Burns clothing                    implants
    Scaffold                                     Operation theatre clothing      • Vascular grafts, heart
Extensible Bandages                               Diapers, cover stock              valves
    Crepe bandages                               Sanitary napkins
    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
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 Pathni
          O/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….
Aim
 •   Patient comfort
 •   Hygeinic & non toxic
 •   Ease of usage
 •   Safety
 •   Affordable
 •   Quality
 •   Ease of disposal
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
                             Absorbable / Non-abs
 Good knot security
                             Natural / Synthetic
 Minimal tissue reaction
                             Mono / Multi-filament
 Unfriendly to bacteria
 Strong yet small
 Won’t tear through
  tissues                         Double – barbs
 Affordable                      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
Tissue
engineering:
Reserve parts for
the human body




Source:
Illustrerad Vetenskap, No 5, 1999
                                    Skin
Innovations
 Metallized textiles
 Nanotechnology

 Anti-microbial fabrics
                                       Spray on Surgical Drapes
 Fire retardant fabrics               Nano-silver treated hospital

 Bones -Textiles are                   linen for burn patients
  replacing metal implants             Controlled drug release


 Nerve guidance channels
 Smart / intelligent
     Switches, Sensors, Secretions
 Tissue Engineering
    Scaffolds
    Embroidery technology
Quality Standards

   D&CA – schedule F2
   fibre, yarn, fabrics as well as the final product.
   Raw material suppliers
   Innovation
Criteria

Conformance to tech specs   Sterile
 Strength                   Anti Allergenic
 Flexibility
                            Non toxic
 Porosity
 Orientation of filaments   Sterilizable
 Extensibility              Biocompatible
 Memory                     Resilient to infection
                            Ease of storage
                            Strict quality control
                            Environment friendly
                            Economical
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
COMBAT MEDICAL

USERS’ PERSPECTIVE
            MILITARY
           OPERATIONS


“The object of war is not to die for your
country but to make the other bastard
die for his”.

           George Patton
 SCOPE

                                Life saving army uniforms:
• Uniforms                      Engineers and scientists will work to
                                develop ideas such as a uniform that is
                                nearly invisible and soft clothing that can
• Back packs                    become a rigid cast when a soldier
                                breaks his or her leg.
                                                                 - DuPont
• First field dressings (FFD)
• Shell dressings
• Tourniquet
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.
THANK YOU


       rpathni@aol.in
         9560-432-345

				
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