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

2 nd fastest growing economy & 4 th 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

Non-Implantables Absorbents with and without x-ray detactable



Abdominal pad



Absorbent gauze/absorbent



Gauze Bandages



Wadding W/W bandage (open bandages or gauze bandages)



Rigid bandages



Triangular Bandages POP bandages

 

Synthetic cast



Scaffold Extensible Bandages Crepe bandages



Compression bandages



Tubular bandages



Elastic adhesive bandages Knitted fabric in tubular form



Wound dressing and medicated bandages



Surgical hosiery Chlorhexidine gauze dressing

  

Medicated Adhesive dressing Framycetin gauze dressing Paraffin gauze dressing Hygiene Implantables

          

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

   

Extra Corporeal Artificial kidney Artificial liver Artificial heart Mechanical lung

Various types of textiles in medical care

I.

II.

III.

IV.

Sterile Disposable V.

Natural Woven Patient Man Made Non-Woven Unsterile Re-useable 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 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

Tissue engineering: Reserve parts for the human body

Source: Illustrerad Vetenskap, No 5, 1999 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 Drapes  Nano-silver treated hospital linen for burn patients  Controlled 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 specs Strength Flexibility Porosity Orientation of filaments Extensibility Memory Sterile Anti Allergenic Non toxic Sterilizable Biocompatible 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

• Uniforms • Back packs • First field dressings (FFD) • Shell dressings • Tourniquet

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.

THANK YOU

[email protected] 9560-432-345