MEDICAL TEXTILES: A USER PERSPECTIVE & REQUIREMENT’S

DR. T.S. SIDHU MEDICAL SUPERINTENDENT DR. R.M.L. HOSPITAL NEW DELHI

Textile : is a woven fabric or cloth, yarn used for weaving cloth …”Oxford”

Medical Textiles are the type of technical textiles that :

• • • Offer a variety of technical & functional properties Have application in the field of medical and clinical care Are manufactured primarily for their technical performance & functional properties rather than their characteristics aesthetic or decorative

Technical Textiles : 1) Geo Tech 2) Meditech Hygiene Health Care Personal Care Surgical Applications

Objective

• Is to improve quality of health care delivery through disposable products and enhance the standard in health care delivery by minimizing the risk of infections.

Criterion for Medical Textiles

1. Conformance to technical specs.

2. Sterile 3. Anti Allergenic 4. Anti Bacterial 5. Environment friendly 6. Economical

Various types of textiles in medical care

I. Natural II. Woven III. Sterile IV. Disposable V. Patient Man Made Non-Woven Unsterile Re-useable Non-Patient

Advantages of Medical Textile

• • • • • • • • Prevention of HAI Cross infection is reduced Protection of care providers Cost effective WHO recommends disposable PPEs Comfort level is higher e.g. gowns Breath-ability of non-woven is better Reduced AVLS.

CONTD…

• Engineered to have high barrier to blood and other body fluids.

• • • Are compatible with various types of sterilization techniques In OT’s they protect the user from static electricity Are flexible, soft and comfortable.

Categories of Medical Textiles

1. Personal Health care/Hygiene Products 2. Non implantable material/medical dressings 3. Implantable mats 4. Extra corporal devices

Modern materials and processes Compression and bandaging Healthcare and hygiene Wound care Implantable devices

Recent Advances

* Development of Polylactic acid polyglycolic acid fibers as structures for cell growth.

* Temporary bio-resource-able textile supports for growing human organic tissue * Development of smart fibers (Polymers/ Proteins) – for treatment of wounds & Ulcers

Application of Medical Textiles

1. Surgical Dressings 2. Health Care Textiles 3. Sutures and ligatures 4. Implants & Devices 5. Extra Corporal Devises

CONSTRAINTS

• • • • • Indian Standards are not available Provisions of Indian Pharmacopoeia are not available Most of the implants are imported Costs are high Disposal ISSUE

2 3

S. No.

1.

4 5 6.

7.

8.

9.

10.

11.

Type of Textile

Various Textiles procured in Dr. RML Hospital

Consumption in 2009-2010

Surgeon Kurta & Pyajama (For Doctors) Kurta & Pyajama For (Nurses/Technician) Legging 1200 Nos.

1400 Nos.

100 Nos.

Bed Sheet Draw Sheet Abdominal Sheet OT Gown with Flap Blanket Towel Duster Doctor’s Coat & Nurses Technician Coat

Total Expenditure for aforesaid items

5000Nos 1600 Nos.

1100 Nos.

3500 Nos.

600 Nos.

135 Nos.

2600 Nos.

200 Nos.

Rs. 25,91,070/-

2.

3.

• • • • • •

S. No.

1.

Disposable Textiles procured in Dr. RML Hospital

Name of Item Consumption In 2009-2010 Expenditure

Disposable Face Mask 570000 Nos.

Rs.11,05,357/ Disposable Caps 225000 Nos.

Disposable Bed Sheet 12350 Nos.

Disposable Gown 67150 Nos.

Total Expenditure

Rs.2,17,198/ Rs.3,36,490/ Rs.5,65,080/-

Rs.22,24,124/-