Report No. 3(a) MEDICAL TEXTILES Market Analysis on Medical Textiles Goods The report presents the range of products being frequently used in medical institutions pertaining to different categories of medical textiles, with its description, specifications, unit cost and fiscal consumption of these products both in terms of institutional bed capacity and individual product category. The data base compiled in the report has been gathered, during the market research surveys at the local hospitals in Karachi. Compiled by Danish Ahmed e-mail: d.ahmed@tip.edu.pk Textile Research and Innovation Centre Textile Institute of Pakistan www.tip.edu.pk A Project of All Pakistan Textile Mill Association (APTMA) Medical Textiles Market Analysis CONTENTS Introduction ---------------------------------------------------------------------------------------------------------- 2 Research objective -------------------------------------------------------------------------------------------------- 2 Data collection ------------------------------------------------------------------------------------------------------- 2 Hospital-1 ------------------------------------------------------------------------------------------------------------- 3 Departments & Facilities ---------------------------------------------------------------------------------------------------- 3 Medical------------------------------------------------------------------------------------------------------------------------ 3 Diagnostics ------------------------------------------------------------------------------------------------------------------- 3 Surgical ------------------------------------------------------------------------------------------------------------------------ 3 Annual consumption of medical textiles products at hospital-1 ---------------------------------------- 4 Result & Discussion ----------------------------------------------------------------------------------------------- 14 LIST OF FIGURES Figure 1: Country-wise Graphical Analysis of Non-Implantable Materials at Hospital-1. Value in Pk. Rs. (PKR) --------------------------------------------------------------------------------------------------------------------------------- 9 Figure 2: Country-wise Graphical Analysis of Healthcare and Hygiene goods at Hospital-1. Value in Pk. Rs. (PKR) --------------------------------------------------------------------------------------------------------------------------- 12 Figure 3: Country-wise Graphical Analysis of Non-Implantable Materials at Hospital-1. Value in Pk. Rs. (PKR) . ------------------------------------------------------------------------------------------------------------------------------ 14 LIST OF TABLES Table 1: The annual consumption of some of the Non-Implantable Goods consumed at Hospital-1. ------- 8 Table 2: The annual consumption of some of the Healthcare and Hygiene products consumed at Hospital1.------------------------------------------------------------------------------------------------------------------------------------- 11 Table 3: The annual consumption of few Implantable products consumed at Hospital-1 --------------------- 13 1|Page Medical Textiles Market Analysis MEDICAL TEXTILES MARKET ANALYSIS ON MEDICAL TEXTILES PRODUCTS INTRODUCTION There is a huge and diverse variety of products based on textile structures and constructions are used commonly at local hospitals, clinics, medical institutions and also in the consumer market for medical and healthcare purposes. Just to evaluate an idea of the application and consumption of this huge range of products, some market research surveys undertaken in some of the renowned multi-disciplinary hospitals at Karachi. The survey has been undertaken by the Textile Research & Innovation Centre (TRIC), whose main objective is to develop a knowledge base community to meet the emerging challenges in textiles and their potential impacts on the local /international market. RESEARCH OBJECTIVE The overall purpose of this research is to identify the list of goods being most frequently used at hospitals, thus enabling TRIC; In developing a pool of information regarding the goods specifications and the descriptions significantly related to it. To evaluate clear and concise research areas which can be developed into potential Applied Research initiatives. For more details see Appendix- A, Concept Proposal DATA COLLECTION Experts and Professionals affiliated with the hospitals and companies were surveyed and mixed methods method is employed for data collection and analysis through interviews, observations and questioners. The selection of the hospitals is done randomly in district wise, in category wise (Private / Government), and in discipline wise (multi-disciplinary / specialty discipline). The name of the institution/ organization is kept confidential, unless their prior approval or permission. The data base reported in aggregate form (mentioning them in numbers) to ensure that no individual can be identified. Since the data base shown in the table 1, 2 and 3 respectively probably demonstrates the consumption of only the fractional part of this vast array. 2|Page Medical Textiles Market Analysis HOSPITAL-1 An imaginary name is given to hospital as ‘Hospital-1’, which has been surveyed first in regards to conduct a research to identify the list of Medical Textile goods being used there. However, the following general information can be shared: DEPARTMENTS & FACILITIES MEDICAL Cardiology Dermatology Endocrinology Neurology Oncology Ophthalmology Orthopedics Pediatrics Rheumatology Anesthesiology and others. DIAGNOSTICS Department of Biochemistry Department of Hematology Department of Histopathology Department of Radiology Department of Microbiology SURGICAL Vascular Surgery Urology Neurosurgery Colorectal surgery Cardiothoracic surgery Pediatric surgery And General surgery BED CAPACITY 3|Page Medical Textiles Market Analysis 600+ multi-disciplinary beds space ANNUAL CONSUMPTION OF MEDICAL TEXTILES PRODUCTS AT HOSPITAL-1 The statistical data that have been discussed in the table 1, 2 and 3 is based on the annual procurement of medical textile goods via hospital’s Purchase Department. However, number of products also being procured and employed in the hospital via out-sourcing channels. The data tabulated in Table 1. represents the list of Non-Implantable goods (for elementary information on Non-implantable materials, see report 1.), which has procured at Hospital-1 during the fiscal year 2007-2008. However, there is a possibility that few products might not have been tabulated in the table 1, which beongs to this league of medical textiles. PRODUCT (Commercial Trade Name) COSMOPORE E FOLIO DRAPE ANTIEMBOLISM STOCKINGS DESCRIPTION SPECIFICATION COMPANY ORIGIN UNIT COST UNITS CONSUMED / ANNUM TOTAL Absorbent Adhesive Dressing, (NonImplantable) ADHESIVE TOWEL (NonImplantable) Long tight fitted socks, applied graduated compression to promote increased blood flow in veins. Reduces the incidence of thrombosis (NonImplantable) 10x25 cm HARTMANN GERMANY 350 650 227500 75x75 cm HARTMANN GERMANY 162 4500 729000 THIGH LENGTH XL BREVET TX GERMANY 1350 1430 1930500 THIGH LENGTH Large THIGH LENGTH Medium GERMANY 1270 1200 1524000 GERMANY 1240 1090 1351600 KNEE LENGTH XL GERMANY 1146 1200 1375200 4|Page Medical Textiles Total SURGICAL TAPE NON-WOVEN PORE (NonImplantable) Market Analysis KNEE LENGTH Large GERMANY 1075 1125 1209375 KNEE LENGTH Medium GERMANY 1200 1080 1296000 1/2" X 5 YD CONFORM MALYSIA 9 8500 9643175 76500 1" X 5 YD 1.5" X 5 YD CONFORM CONFORM MALYSIA MALYSIA 15 42 7800 12000 117000 504000 Total GELITA SPONGE GUAZE ROLL GUAZE THAN CREPE BANDAGE CREPE BANDAGE ADHESIVE PLASTER CUSHIONING Total 697500 Absorbale Gelatin sponge (NonImplantable) Loosely woven absorbent fabric, (NonImplantable) Open weave fabric, (NonImplantable) Crimp yarn woven bandage, clingability and strech to conform Crimped yarn woven bandage, bulky weave provides padding and protection Orthopedic padding bandage (NonImplantable) ABSORBALBE GELATIN SPONGE, USP GELITAMEDI CAL NETHERLA ND 432 352 152064 20x12" Local sourcing PAKISTAN 40 11450 458000 PAKISTAN PAKISTAN 21 180 98200 1500 2062200 270000 PAKISTAN 40 200000 8000000 PAKISTAN PAKISTAN 59 42 29900 225000 1764100 9450000 PAKISTAN 52 2400 124800 20x5" 20X18" 100x4.5 cm 150x4.5 cm Mix sizes WHITE LILLY, NATIONAL ABSORBENT MATERIAL Malmal Crepe bandage, Pak Industries Dr. CITY 22281164 5|Page Medical Textiles PROLMESH SCHOLL TUBIGRIP TUBIGRIP TUBITON PLAIN CELLULOSE STOCKINETTE BANDAGE (Wound Dressing Fabric) BANDAGE (Wound Dressing Fabric) Polypropylene Knitted Mesh (NonImplantable) Elasticated Tubular support Bandage, orthopedic bandage. (NonImplanatable) Elasticated Tubular support Bandage, for sprains, strains, and soft tissue Damage. Tubular seamless knitted cotton jersy bandage (NonImplantable) Single layer and multi-layer composite dressing fabrics designed to provide the ideal environment for wound healing Single layer and multi-layer composite dressing fabrics designed to provide the ideal environment for wound healing Market Analysis 6x11 cm CAGDAS MEDIKAL ve Tic Ltd. Sti Turkey 1200 356 427200 1 meter SSL INERNATIO NAL (FORMER SETON) UK 640 876 560640 1 meter, Asoorted sizes SSL INERNATIO NAL (FORMER SETON) and others UK 920 6500 5980000 Natural Color, mix sizes MEDLOCK MEDICAL UK 990 2500 2475000 6 cm LANTOR. Advance Material Group UK 110 4598 505780 4 cm LANTOR. Advance Material Group UK 74 3859 285566 6|Page Medical Textiles ADHESIVE PLASTER CUSHIONING COLLAR N CUFF POLYSING Total T.E.D (Thermbo Embolism Devices) Orthopedic padding bandage (NonImplantable) manufactured by soft foam covered by a sleeve of stockinette made from either by . 100% visvcose or cotton. Use for Slinging band or brace to balanced arm sling, wrist support sling, clavicle brace or shoulder immobilizer (NonImplantable) for arm support and shoulder immobilization Long tight fitted socks, applied graduated compression to promote increased blood flow in veins. Reduces the incidence of thrombosis (NonImplantable) Mix sizes UK 90 2200 198000 Collar'n'Cuff is supplied in economical 6m rolls, from which the precise amount needed can be cut. UK 700 654 457800 For left and right arms Size Adult and Child UK 560 1900 1064000 THIGH LENGTH Asorted sizes KNEE LENGTH Assorted Sizes BSN MEDICAL, SMITH+NEP HEW Market Analysis TYCO Healthcare Group USA 2235 11953986 1500 3352500 USA 2000 1375 2750000 7|Page Medical Textiles CERVICAL COLLAR SURGICEL Foam covered by 100 % COTTON Knitted Tubigrip bandage. treat neck strains and sprains by restricting movement of the cervical vertebrae and supporting the head. Knitted oxidized regenerated cellulose Market Analysis Soft, Semi Rigid, Medium, Large COLLAFOA M USA 765 2190 1675350 Wound management Absorbable Haemostat (W1912) ETHICON, JOHNSON & JOHNSON USA 1102 1387 1528474 Total 9306324 G.TOTAL 54034213 Table 1: The annual consumption of some of the Non-Implantable Goods consumed at Hospital-1. Figure 1 represents the country-wise synopsis of the procurement of Non-Implantable goods. Pakistan possessed the highest share with a value of PKR. 22.28 million while the UK and Germany followed next with the values of PKR 11.95 and 9.64 million respectively. The number of goods belongs to Pakistan are high in volume terms but on the other hand they are low value added, if we holistically compare these products with the ones which are being imported from other hemisphere of the world. 8|Page Medical Textiles Market Analysis REST of WORLD, 0.85 mil., 1% USA, 9.31 mil., 17% GERMANY, 9.64 mil., 18% UK, 11.95 mil., 22% PAKISTAN, 22.28 mil., 41% TURKEY, 0.43 mil., 1% Figure 1: Country-wise Graphical Analysis of Non-Implantable Materials at Hospital-1. Value in Pk. Rs. (PKR) The data tabulated in Table 2. represents the list of Protective and Healthcare products (for elementary information on Protective and Healthcare products, see report 1.), which has procured at Hospital-1 during the fiscal year 2007-2008. Few products such as Aprons and OT towels are tabulated on the average consumption of these products on per month basis (as 2100 aprons per month or 5200 OT towels per month – Interviewed Incharge Purchase, General Department, Hospital-1). Note: The goods like sterilized bed sheets, blankets or pillow cases have not been listed in Table 2, although they fall down in the category of medical textile too. 9|Page Medical Textiles PRODUCT (Commercial Trade Name) DIGNITY SHEET PATEINT DIAPERS FACE MASK CAPS Total OT TOWELS Market Analysis UNITS CONSUM ED / ANNUM TOTAL DESCRIPTION SPECIFICATION COMPANY ORIGIN UNIT COST Nonwoven, Incontinence bed sheet/pad (Health care & Hygiene) Nonwoven, Incontinence bed pad (Health care & Hygiene) Nonwoven, Disposable 60x90 cm, Gross wt. 150 gms MEDIFLOW and others CHINA 26 199360 5183360 Small, Medium, Large MEDIFLOW CHINA 30 128000 3840000 Standard size Miscellaneo us CHINA 3.45 176000 607200 Nonwoven, Disposable Standard size Miscellaneo us CHINA 3.45 98925 341291 Miscellan eous Miscellan eous 85 61900 9971851 5261500 235 13462 3163570 LOCAL SOURCING/I MPORT Miscellan eous 147.5 6344 935740 LOCAL SOURCING/I MPORT Miscellan eous 92 6344 583648 IMPORT Miscellan eous Miscellan eous( GERMAN Y/TURKE Y/CHINA) 70 24220 1695400 260 12258 3187080 Disposable Assorted sizes IMPORT PATEINT DRESSING Disposable Assorted sizes IMPORT OT SHIRTS BLUE FAST Reusable / Disposable Assorted sizes OT PYJAMAS BLUE FAST Reusable / Disposable Assorted sizes APRONS DISPOSABLE SURGICAL GOWNS TONE LIGHT Nonwoven, Disposable Assorted sizes IMPORT Total 14826938 NURSING STAFF UNIFORMS PC Woven Fabric, Assorted sizes Reusable LOCAL SOURCING PAKISTA N 210 21840 4586400 PATEINT DRESSING Reusable, sterlized cotton dresseings LOCAL SOURCING PAKISTA N 228 6960 1586880 Assorted sizes 10 | P a g e Medical Textiles HAND TOWELS AR & MED SURGICAL KIT and others PARTICULATE RESPIRATOR sterlized cotton KVC Drape, Back Table Cover, Mayo Stent Cover, U split Drape, Universal Bag, Stockinet, Reinforced Surgical Gowns, Towels (Protective & Healthcare) Face Mak, for sanding, grinding, sweeping and insulating Assorted sizes LOCAL SOURCING PAKISTA N 45 Market Analysis 54020 2430900 Assorted & Accordingly sizes GRUP-A MEDIKAL & OTHERS TURKEY 2200 1100 8604180 2420000 Standard size with adjustable nose clip 3M HEALTH CARE LIMITED & others UK, Germany 87 9125 793875 G.TOTAL 36616844 Table 2: The annual consumption of some of the Healthcare and Hygiene products consumed at Hospital-1. Graphical interpretation of Table 2 is shown in Figure2. Miscellaneous has got the highest share of 40% with a value of PKR 14.83 million while China has got the second highest share in Healthcare and hygiene products with a value of PKR. 9.9 million. Dignity sheet seems to be a major product which has been importing on a large scale. These are the nonwoven flat sheets used for incontinent purpose of patients. The countries includes in the Miscellaneous segment are China and UK mostly. That’s why Miscellaneous is used rather than rest of the world due to the overlapping of China and UK in this segment. 11 | P a g e Medical Textiles Market Analysis CHINA, 9.97 mil., 27% MISCELLANEOU S, 14.83 mil., 40% PAKISTAN, 8.60 mil., 24% UK, 0.79 mil., 2% TURKEY, 2.42 mil., 7% Figure 2: Country-wise Graphical Analysis of Healthcare and Hygiene goods at Hospital-1. Value in Pk. Rs. (PKR) The data tabulated in Table 3. represents the list of Implantable products (for elementary information on Implantable materials, see report 1.),which has procured at Hospital-1 during the fiscal year 20072008, except sutures. There are hundred types of sutures are available commercially in different specifications. Therefore, it was not feasible to list all the sutures along with its description and unit consumptions. Therefore, the Purchase Manager helped out TRIC in giving an average procurement per month (with respect to the billing amount) during the Interviewing and Questioning session. He told that average billing amount of sutures lies in between PKR 600,000 thousands to 800,000 thousands per month. PRODUCT (Commercial Trade Name) VASCULAR GRAFT DESCRIPTION SPECIFICATION COMPANY ORIGIN Flowline Bipore PTFE (Implantable) L:50 cm, D: cm JOTEC GERMAN Y UNIT COST UNITS CONSUMED TOTAL / ANNUM 26000 8 208000 12 | P a g e Medical Textiles Market Analysis VASCULAR GRAFT DEBAKEY Polyester Knitted Graft / Polyester Woven Graft Bifurcate / Straight BARD USA 28000 15 420000 PROLENE Polypropylene sutures (Implanatable) ETHICON, JOHNSON & JOHNSON USA 132 995 131340 VICRYL Polyglactin sutures (Implanatable) W8020T, blue monofilament non-absorbable suture, 4-0, 45 cm W9443, braided, 4-0, 75 cm ETHICON, JOHNSON & JOHNSON USA 122 319 38918 VICRYL IMPLANTABLE, sutures W9561, braided 7-0, 30 cm ETHICON, JOHNSON & JOHNSON USA 260 250 65000 SUTURES (Mersilk, Surgical Gut, Prolene, Vicryl, Ethibond Excel Silk, Beef Serosa or Sheep Submucosa, Polypropylene, Polyglactin, Polyster Monofilament/ Braided Sutures ETHICON, JOHNSON & JOHNSON USA Range varies b/w 12010000 TBK 8400000 PROLENE MESH (HERNIA REPAIR) Polypropylene Knitted Mesh LENGTH (15 cm, 20 cm, 30 cm, 45 cm, 75 cm etc)- COLOR (undyed, Chromic, blue green etc)NEEDLE (Blunt Point, Micro point, straight taper cut etc) 6x11 cm ETHICON, JOHNSON & JOHNSON USA TBK TBK 0 VICRYL MESH WOVEN (HERNIA REPAIR) Flat Woven Mesh VWMM 15x15 cm ETHICON, JOHNSON & JOHNSON USA TBK TBK 0 9055258 G.TOTAL 9263258 Table 3: The annual consumption of few Implantable products consumed at Hospital-1 13 | P a g e Medical Textiles Market Analysis GERMANY, 0.21 mil., 2% USA, 9.06 mil., 98% Figure 3: Country-wise Graphical Analysis of Non-Implantable Materials at Hospital-1. Value in Pk. Rs. (PKR) . RESULT & DISCUSSION The key points interpreted below is based on the Market Survey at Hospital-1; which is equipped to diagnose with the departments of Hematology, Histopathology, Radiology, Microbiology and treat Medical patients (including Cardiology, Endocrinology, Neurology, Oncology, Ophthalmology, Orthopedics, Pediatrics etc.) as discussed above. The Annual procurement of the products related to Medical Textiles is amounted over PKR 100 million (the figure is the sum of the only those products which has been listed above, in table 1, 2 and 3 respectively). The gross share of the products imported from foreign countries is 69% with a value PKR 69.03 million, while the rest 31% only with the value of PKR 30.89 million, has been procured from indigenous manufacturing. 14 | P a g e Medical Textiles Market Analysis PAKISTAN, 30.89 mil., 31% WORLD, 69.03 mil., 69% Figure 4: Graphical Analysis of all Medical Textile procurement at Hospital-1. Value in Pak Rs. Bandages, Sutures, Compression Stockings, Dignity sheets/Diapers and Surgical gowns are some of the products which are widely being imported, from UK, USA, TURKEY and CHINA The results of this research may provide an insight into the road-mapping process that can be employed for the indigenous development of medical textiles. A pilot roadmap for the medical textile industry can be developed after stream-line the products to identify the process/product performance, further specification of a product or products, technology barriers/challenges for achieving these targets and the priorities related to research and development for achieving the targets. 15 | P a g e Medical Textiles Market Analysis APPENDIX 16 | P a g e Medical Textiles Market Analysis APPENDIX-A CONEPT PROPOSAL 17 | P a g e