RAW MATERIALS FOR MEDICAL TEXTILES 18.11.2010

Presentation Covers.. Global Fibre Scenario Fibres for Technical Textiles Classification of Medical Textiles Fibres for Medical Textiles Challenges in Meditech Growth in India Recommendations

Global Fibre Production Scenario Mn T – In Million Tons All Fibre 78 Million T Natural 32 Mn T 41% Manmade 46 Mn T 59% Wool 1 Mn T 2% Silk 0.15 Mn T 0.2% Cotton 24 Mn T 31% Jute/Ramie/Hemp 5.9 Mn T 8% Synthetics 43 Mn T 55% Cellulosic # 3.23 Mn T 4% Polyester 31 Mn T 39% Nylon 3.5 Mn T 5% Acrylic 1.91 Mn T 2% Olefin 6 Mn T 8% Others 1 Mn T 1% Tow (Acetate/ Viscose) 0.69 Mn T 0.9% Staple (Viscose) 2.13 Mn T 2.7% # Filament (Acetate, Viscose, Cupro) 0.41 Mn T 0.5% Note : CAGR (2001 – 08) : 3.26% as per Fibre Organon Based on Average Production as on 2008

Fibres and their stake in Meditech S. No. Fibre Percentage stake of fibre in Meditech 1 Cotton 12 2 PSF 4.1 3 PP 15.6 4 VSF 43 5 Wool 43.8 6 PA 0.8 * Source: World Fibre Report – YnFx, D&B Research

MMF - India 2nd Largest Producer, but …. Fiber Global Production (mn Kg) India’s India’s Rank Leading Countries PFY 23,874 1,973 2 China PSF 16,840 1,078 VFY 650 82 ASF 3,000 153 3 China, Japan VSF 3,080 252 China, Indonesia India’s total production of MMFs was 3.5 billion kg while global was 41 billion kg in 2007. There is huge gap between China and India’s production Ex- PSF – China- 76.6 / India 8.5 % - PFY – China 80.4 / India – 10.3% - VSF – China – 63 / India 10.2 % - Cotton – China – 7 / India 5.1 mil Tons (FY10) [in consumption china – 10.6 / India 4.2 mil Tons] * Source: World Fibre Report – YnFx, D&B Research

Fibres For Technical Textiles Technical Textiles Fibres Regular/ Generic Fibres (70%) (Cotton, Jute, Slik, Polyester, Viscose, Polypropylene, Nylon fibres etc Efficacy is achieved by Spinners Fabricators & Nonwovens Speciallity variants of Regular/ Generic fibres (25%) FR, Hollow, High Tenacity, Moisture management Efficacy is achieved by the properties at fibre stage High Tech/ High performance fibres (5%) (Aramids, Carbon, Glass, Ceramic fibres etc Efficacy is achieved by the properties at polymer stage itself Fully available Mostly available Not available

Classification of Medical Textiles Non-Implantables Healthcare Products Implantables Extra Corporeal Absorbents with and without ex-ray detactable Abdominal pad with /without x-Ray Cotton & viscose gauze Dressing packs Wadding Gauze Bandages W/W bandage (open bandages or gauze bandages) Triangular & POP Bandages Synthetic cast Extensible Bandages Cotton crepe bandages Elastic bandages (with rubber or lycra) Compression bandages Elastic adhesive & Cohesive 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 drapes Wipes Hospital bed sheets, pillows, pillow covers, blankets, mattresses Patient clothing (summer & winter) Burns clothing Operation theatre clothing Sutures Biodegradable/ Non-biodegradable Bifurcated arterial prosthetic graft Artificial Joints Dialysers Artificial Tendon (Mesh) Artificial Vascular Grafts Artificial heart valve etc Art. skin Art. Kidney Art. Liver / Lungs

Fibre /Fabric/Application- Nonimplanatable “Used for external applications and may or may contact with skin” Products Fibre Type Fabric Structure Absorbent pad Cotton, viscose, lyocell Nonwoven Wound-contact layer Alginate , chitosan, silk, viscose, lyocell, cotton Woven, Nonwoven , knitted Base material Viscose, lyocell, plastics film Woven, nonwoven Simple non-elastic and elastic bandages Cotton, viscose, lyocell, polyamide, elastomeric-fibre yarns High-support bandages Cotton, viscose, lyocell, elastomeric-fibre yarns Compression bandages Woven, knitted Orthopaedic bandages Cotton, viscose, lyocell, polyester fibre, polypropylene fibre, polyurethane foam Plasters Cotton, viscose, plastics film, polyester fibre, glass fibre, polypropylene fibre Gauze dressing Cotton, viscose, lyocell, alginate fibre, chitosan Lint Cotton Woven Wadding Viscose, cotton linters, wood pulp Scaffold Polyactide fibre, polyglycolide fibre, carbon Spunlaid, needle-punched nonwoven

Fibre /Fabric/Application- Healthcare/Hygiene “Used either in the operation theatre or in the hospital wards for hygiene, care and safety of the staff and patients” Product Fibre Type Fabric Structure Surgical gowns Cotton, polyester, polypropylene Woven , nonwoven Surgical caps Viscose, PP, polyester Nonwoven Surgical masks Viscose, polyester, glass fibre Surgical drapes, cloths Woven, Nonwoven Surgical hosiery Cotton, polyester, polyamide fibre, elastomeric-fibre yarns Knitted Blankets Cotton, polyester Woven, Knitted Sheets, pillowcases Cotton, Poly cotton, Poly viscose Woven Uniforms Cotton, poly Cotton, Poly viscose Proactive clothing, incontinence, diaper/sheet, coverstock Polyester, polypropylene Absorbent layer Super-absorbent polymers, wood pulp Outer layer PE films Cloths/wipes Viscose, lyocell with polyester blend

Fibre /Fabric/Application- Implantable “Used in effecting repair to the body whether it is wound closure (sutures) or replacements Surgery like vascular grafts, artificial ligaments” Products Fibre Type Fabric Structure Biodegradable sutures Collagen, catgut, polyglycolide fibre, polylactide fibre Monofilament, braided Non-biodegradable sutures Polyester fibre, polyamide fibre, PTFE fibre, polypropylene fibre Monofilament braided Artificial tendon PTFE fibre, polyester fibre, silk, collagen, polyethylene fibre, polyamide fibre Woven braided Artificial ligament Polyester fibre, carbon fibre, collagen Braided Artificial cartilage Low-density polyethylene Artificial skin Chitin, Silicon, collagen Nonwoven Eye contact lenses and artificial cornea Poly (methyl methacrylate) fibre, silicon fibre, collagen Artificial joints/bones Silicone, Carbon Vascular grafts PTFE fibre, polyester fibre Woven, knitted Heart valves Polyester fibre

Fibre /Fabric/Application- Extracorporeal “Used as mechanical organs that for blood purification and include artificial kidney, the artificial liver and the mechanical lung” Product Fibre Type Function Artificial kidney Hollow polyester fibre, hollow viscose Remove waste products from patients blood. Artificial liver Hollow viscose Separate and dispose of patients plasma and supply fresh plasma Mechanical lung Hollow polypropylene fibre, hollow silicone membrane Remove carbon dioxide from patients blood and supply fresh oxygen

Uniqueness of Fibres used in Medical Textiles Pure and Hygienic Bio – degradable Fast & High absorbency Excellent Wicking performance Barrier to percolation Good Insulation High Strength Low Lint Good thermal stability Soft feel Excellent drape ability Breathability Static Dissipation Engineered Specialties Anti-bacterial properties Medicinal clothings

Challenges in Meditech Growth India’s dominating fibre position supports the growth of medical textiles in India and exports of domestically produced medical textiles As a consuming Hub As a manufacturing Hub Technology for production of most of the speciality fibres is available, but due to lack of demand, the production is negligible. Eg. – Anti Bacterial PSF/VSF Hitech fibre technologies are available glogally, but needs domestic demand to make the investments workable The main volume growth driver in Meditech is the Non-implantable segment which includes surgicals & healthcare/hygiene products. China leads in production capacities, while India has just arrived with considerably smaller capacities in organized sectors Lack of standards and awareness among users is hindering the growth rate of Indian meditech industry

Challenges in Meditech Growth Contd.. Short Term Commercial Challenges Indian fibre producers still make available fibre and offer better prices

Recommendations Marketing Efforts Benefits of good products need to be percolated more effectively with user industry Collaboration between fibre manufacturer and medi-product producer is essential Encourage conversion facilities for nonwoven medi-products Collective efforts of govt., research institutes and industry to cover the gap in awareness of user industry and standardization Participation of manufacturers in international forums to promote Indian medi-products and establish India as a manufacturing hub

Product Standardization Effort Recommendations Product Standardization Effort Standards for meditech products needs to be developed in harmony with EU/US particularly for healthcare Center of excellence SITRA and its support services need to be extended to various regions Nonwoven products have no mention in the product standards. For non-implantables, BIS standards as well as IP only mentions of woven products, whereas nonwovens are taking major share worldwide All govt. tenders should have woven as well as nonwovens as product options for non-implantables

Recommendations Government Levies Labelling to be made mandatory and promotion of label is desired DEPB / DD needs to cover the duty paid, which is absent for most of the new meditech products To curb the sub-standard products and promote the local meditech industry, even mis-declaration as off-lot papers many times. Checks and controls are required To promote the usage of new technology nonwoven products, the excise duty needs to be made at par with the woven products

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