Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

1. Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

2. COMBAT & MEDICAL TEXTILES USERS’ PERSPECTIVE Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

3. FUTURE INDIAN SOLDIERS TOI, 21 Feb 2011

4. 2nd fastest growing economy & 4th largest

5. 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

6. 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

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

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

10. Why we need them

11. 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‘

12. Why Standards? MedTex products have crucial life-saving applications

13. Standards • Confidence - positive impact on consumption • Internationally competitive • Decrease dependence on imports • Regulation of use

15. Various types of textiles in medical care • Natural Man Made • Woven Non-Woven • Sterile Unsterile • Disposable Re-useable • Patient Non-Patient

16. MEDICAL Gp Capt RK Pathni O/o DGAFMS, DG-2Gp

17. 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….

18. Aim • Patient comfort • Hygeinic & non toxic • Ease of usage • Safety • Affordable • Quality • Ease of disposal

19. 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

20. Sutures & Ligatures • Absorbable / Non-abs • Natural / Synthetic • Mono / Multi-filament • Easy to handle • Good knot security • Minimal tissue reaction • Unfriendly to bacteria • Strong yet small • Won’t tear through tissues • Affordable • Double – barbs • Anti-bacterials • Staplers • Glue

21. Dressings • Cover • Stop bleeding • Aid healing • Prevent infection • Non-linting • Soft on granulation tissue • Drug delivery • Easy to remove • Affordable

22. Vascular Grafts, Mesh, Soft tissue implants • Bio-compatibility • Anti-coagulant • Flexibility, resilience • Porosity • Texture • Mech strength

24. Tissue engineering:Reserve parts for the human body Source: Illustrerad Vetenskap, No 5, 1999 Skin

25. Innovations • Spray on Surgical Drapes • Nano-silver treated hospital linen for burn patients • Controlled drug release • 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

27. Quality Standards • D&CA – schedule F2 • fibre, yarn, fabrics as well as the final product. • Raw material suppliers • Innovation

28. 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

29. 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

30. COMBAT MEDICAL USERS’ PERSPECTIVE

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

32. 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

33. Tourniquet

34. 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.

35. THANK YOU rpathni@aol.in 9560-432-345