Medical Technologies: Industry trends

Point-of-care testing (POCT) is defined as medical testing at or near the site of patient care. The driving notion behind POCT is to conduct the test conveniently and immediately for the patient. POCT is accomplished through the use of transportable, portable, and handheld instruments (for instance, blood glucose meter, nerve conduction study device) and test kits (such as CRP, HBA1C, Homocystein, HIV salivary assay). Cheaper, smaller, faster and smarter POCT devices have increased the use of POCT approaches by making it costeffective for many diseases. POCT increases the likelihood that the patient, physician and care team will receive the results quicker, which allows for immediate clinical management decisions to be made. POCT includes: blood glucose testing, blood gas and electrolytes analysis, rapid coagulation testing, rapid cardiac markers diagnostics, drugs of abuse screening, and so on. In India, the in-vitro diagnostic market in healthcare delivery is estimated at $1.5 billion, out which POCT is about $30 million. It is growing at 8-10 per cent annually.

Appropriate Technology: Optimizing healthcare delivery

Medical Equipment is one of the largest components of investment in healthcare. No other industry uses such a wide range of technology for its operational efficiency. Therefore, it is becoming increasingly important to manage medical equipment to contain costs, and yet be able to improve efficiency, quality and performance from the equipment being used. The first step in this management process is to make sure the Hospital buys the most appropriate equipment. Planning is the initial step in the overall management of medical equipment in a health care institution. The entire equipment planning process needs to be managed and overlooked by an advisory group in consultation with Management, Administration, Physicians, Finance and Accounting, Biomedical Engineering, Construction and Services team, Information Technology (as required) and Clinical specialty (as required). Key factors to be considered during the planning process to acquire appropriate technology: Ownership Budget Catchment area Level of care Specialty

Type of hospital Volume of patients Anticipated revenue generation The cost of Medical technology needs to be considered over its complete life cycle as has been depicted in the adjoining graph. It has been estimated that proper medical technology planning can bring down medical equipment life time costs by about 20%. Medical Technology: The Imperatives One of the major components of capital expenditure in hospitals High cost of operations and maintenance Increased importance in determining clinical outcomes Fast rate of obsolescence Maintaining cost over the life cycle Plan for obsolescence and replacement Increasing failure rate with time

Medical Equipments Profile

Functionality Diagnostic Imaging Name of Equipment X-ray Name of Company Siemens Medical Corporation Philips Fluoroscopy Medical surgical navigation technologies Siemens Medical Solutions GE Health Care Stryker corporation Computerised Radiology System Digital Radiography Siemens Medical Solutions Eklin Medical System Canon USA,Inc MRI Machine Siemens Medical Solution GE Health Care Philips Toshiba Medical systems Ventilator MR compatible Ultrasound Scanner Philips Medical systems GE Health Care Philips Medical systems Siemens medical Solutions Toshiba Medical systems Hitachi Medical Systems Acusons CT Scanner GE Health Care Philips Medical Systems Siemens Medical Solution Toshiba Medical System Varian Medical Systems,Inc Bone Densitometry Hologic,Inc Cooper Surgical,Inc GE Medical Systems

Norland Medical systems,Inc Mammography GE Health Care Siemens Medical Solutions Livingstons products,Inc Fisher Imaging Corporation Imaging Diagnostics Systems Philips Medical Systems GIOTTO USA,LLC PET CT Scanner Siemens Medical Solution Philips Medical Systems Positron Corp CTI PET SYSTEMS,INC UGM Medical Systems,Inc Naviscan Pet Systems,Inc Hamamatsu Photonics,K.K Hitachi Medical Systems,USA SPECT CT Scanner GE Health Care Siemens Medical Solutions Toshiba Medical System Spectrum Dynamics Digirad Corporation

Functionality Lab.Diagnosis Biochemistry

Name of Equipment

Name of Company

Automatic clinical analyser Modular

Hitachi Medical Systems Beckman Coulter,Inc Roche Diagnostics Dade Behring Abbott Beckman Coulter,Inc

Semi automatic analyser

Beckman Coulter,Inc Roche Diagnostics

Electrophoresis Electroyte analyser Coagulation (Reader)

Beckman Coulter,Inc

Beckman Coulter,Inc Sienco,Inc Vital Scientific,N.V

Incubators

Banstead International Precision Medical

Flame Photometer Photo Calorimeter pH Meter Clinical Pathology Urinanlyser Beckman Coulter,Inc Siemens Medical Solutions Roche Diagnostics Bayer Healthcare,LLC Hitachi Science Systems iris International Microsopes - binocular Nikon Olympus America Scientific Automated coagulometer BioMerieux,Inc Dade Behring Hot air ovens Rotary micotome with tissue processor Thermo fischer Scientific Triangle Bio Medical Sciences,Inc Hacker Industries,Inc Thermo Electron Corporation Leica Instuments Sakura Finetek Histopathology Cytocentrifuge Thermo fischer Scientific Iris sample Proscesing ( Formerly Stat spin,Inc) Thermo Electron Corporation Wescor,Inc Sakura Finetek Thermo Schandon Limited Centrifuges Thermo fischer Scientific

Iris sample Proscesing (FormerlyStat spin,Inc) Beckman Coulter,Inc Cryostat Jensons microsystem Leica Microsystems Thermo fischer Scientific Microm International Sakura Finetek Hacker Industries,Inc Tissue embedding system Leica Microsystems Corning,Inc Endius,Inc Automatic Slide Stainer Richard Allan Scientific Bayer Healthcare,LLC Rushab Instruments,LLC Zymed Laboratories Thermo Electron Corporation Beckman Coulter,Inc Sakura Finetek Innovative Instruments,LLC

Functionality Physiotherapy

Name of Equipment Shortwave Diathermy Ultrasonic Therapy Interferrential Unit Portable muscle stimulator Paraffin wax bath Automatic cervical cum lumbar traction unit Portable shoulder wheel Traction table

Name of Company

Instruments Specialist,Inc Olympus America Medical Gyrus Acmi Pentax Medical Company

General Surgery

Cytoscopes

Stryker Corporation Vision Sciences Flexible Ureteroscopes Olympus America Medical Gyrus Acmi Karl Storz Diathermy Aspirators Medtronic Xomed ,inc Integra Lifesciences Corporation Integra Radionics Schuco International London Limited Byron Medical Shippert Medical Technologies Corp. Nephroscopes Olympus America Medical Gyrus Acmi Pentax Medical Company Karl Storz Light guides Olympus America Medical Gyrus Acmi ConMed Corp. Olympus America Medical Spectrum Surgical instruments Corp. Urodynamics Machine Gyrus Acmi Laborie Medical Technologies Corp MMS Medical Measurment Systems USA NeoMadix Systems SRS Medical Treatment Room Table Dornier MedTech Advantage Medical Systems Berchtold Corporation Bio Dex Medical Systems Prime Medical Services,Inc X ray View Box 8 film Capsule Endoscope Endoscopic Ultrasound Faxitron X-ray Corp. Given Imaging Hitachi Medical systems America Olympus America Medical Pentax Medical Company

Vascular Technology

Functionality Obse&Gynaecology

Name of Equipment Examination Light BP instrument Microscope

Name of Company Gyrus Acmi Sun Tech Medical Nikon Olympus America Scientific

Hysteroscope ICSI Olympus Diode laser CO2 Incubator

Innovative endocopy Instruments,LLC

Innova Quartz Incorporated NuAir New Brunswick Scientific Co.

Gyne Light USG Machine with Gyne Probes

Gyrus Acmi GE Health Care Philips Medical System Siemens Medical Toshiba

Gyne Instrument Set Laparoscopy Set NICU Central station Pediatric Ventilators Innovative endocopy Instruments,LLC GE Health Care Smiths Medical ASD Colin Medical Instruments Suction machine Incubator Aesthetic Technologies Bamstead International Precision Medical.Inc Phototherapy unit Lerner Medical Devices,Inc Radiancy Warmer Future Med Smiths-level 1,Inc Nova Health Systems Aragona Medical,Inc Ohmeda Medical

Drager Medical Infant Care Phoenix Medical Systems,Inc

Functionality Neuro

Name of Equipment Electromyography(EMG) machines

Name of Company Nihon Kohden Oxford Instruments Medical Cadwell Laboratories Micromed,s.r.l Viasys Health care Xitek

Intracranial pressure monitors

Codman Integra Lifesciences Corporation Princeton Medical Corp.

Image Guided System

GE Health Care Med tronic Integra Radionics

Invasive blood flow monitors

Radio meter America Oxford Optronix Limited Integra Lifesciences Corporation

Fluroscopy Systems

Siemens Medical Solution USA GE Health Care Integra Radionics Medtronic Surgical Navigation technologies

Temperature Management Catheters

Inner cool therapies Alsius Corporation

Magnetoencephalography(MEG)

4-D Neuroimaging CTF Systems

Electroencephalography(EEG)system

Nihon kohden Xitek Viasys Health Care Philips Medical System GE Health Care

Welch Allyn,Inc Spirometer (Pulmn func test) Schiller AG Midmark corporation

Functionality Pulmonology Oncology

Name of Equipment Nubuliser (Catered for) Linear Accelarator

Name of Company DHD Health care Elekta Ltd. Siemens Medical Solution USA Accuray,Inc Direx Systems Corp. Computerised Medical Systems Varian Medical Systems

Suction Machine Brachytherapy

Aesthetic Technologies C.R.Bard,Inc Implant Sciences Corporation North American Scientific Radio Med Corporation

Transport Ventilator CT Stimulator Cardiology Ambulatory Blood pressure Monitors

Invivo Corporation Siemens Medical Solution USA Suntech Medical Spacelabs Medical Omron Health care Acon Laboratories,Inc Microlife USA,Inc Schiller AG Nihon Kohden

Intra Aortic balloon Pumps(IABP)

Arrow International,Inc. Balmont Instrument Corp. Peter Schiff Enterprise

Electrocardiography

GE Health Care Philips Medical Systems Cardioline

Finders Medical,Inc Nihon Kohden Corp. Integrated Medical Devices,Inc. Heart Lung Machine Medtronic,Inc Gish Biomedical Holter Monitor Philips Medical Systems Midmark Diagnostic Group Braemar.Inc Quinton Cardiology Systems Medicomp,inc Schiller AG Integrated Medical Devices Pulse wave analysis AtC or Medical Pty Ltd. Omron Health Care,Inc Cath Lab Patient Monitoring system Drager Medical Medrad Philips Medical Systems Camitronics Medical Systems C.R.Bard,Inc Datascope Corp. Light sources B.Braun Medical,Inc Kelleher Medical BFW,Inc Codman Luxtec Corp. Techman International Corporation PFT Siemens Philps Medical System 2D Echo GE Health Care Philps Siemens

Functionality Nephrology

Name of Equipment Dialysis Machine

Name of Company Baxter Siemens Medical corporation

Couch

Advancd Medical Systems Elekta,Inc

Urology

Catheter Insertion Trays

Kandall company Mentor corporation

Intermittent catheters

Kandall Company Mentor corporation Rochester Medical

Cystoscopes

Olympus America Medical Stryker Corporation

Nephroscopes

Olympus America Medical Gyrus Acmi

Fascial and Renal Dilation

Boston Scientific Corporation Cook Urological

Percutaneous Stone Extractor

Boston Scientific Corporation Cook Urological

Flexible Ureteroscopes Opthalmology Autorefractometer

Olympus America Medical Marco ophthalmic Midek,Inc

Silt Lamp

Carl Zeiss Meditek,Inc. Keeler Instruments,Inc

Phaco Equipment

Instruments Specialists,Inc Ophthalmic Group Worldwide

A Scan

Quantel Medical.Inc Sonomed,Inc

B Scan

Quantel Medical.Inc Sonomed,Inc

Perimetry (Automatic)

Kowa Optimed,Inc Midek,Inc

Phasco - Emusifier Opthalmoscope Keeler Instruments,Inc Propper Manufacturing Welch Allyn Medical products

Kerato Meter

Marco ophthalmic Midek,Inc

Tonometer

Haag Streit International Khosla Medical & Surgical,Inc Canon Medical System

Lensometer

Reichert,Inc Khosla Medical & Surgical,Inc

Argon Laser

ELLEX Alcon Labs Lumenis,Inc

Humphry visual field analyser OPD Instrument Set Ophthalmic Diagnostics Sets Audiometry pre fab Welch Allyn Medical products Otovation,LLC

Functionality ENT

Name of Equipment Nasopharyngoscope Rigid bronchoscope set

Name of Company Vision sciences ,Inc Olympus America Medical Pentax Medical Company

Paed bronchoscope oto acuostic emission sreening for children BERA for infant / mentally retarded OPD Instrument set Orthopedic Hip positioner systems Arthroscopy Shaver System Innomed,Inc Atlantech Medical Devices Ltd. Karl Storz endoscopy Knee Self Retaining Retractors Orthopedic Lasers Innomed,Inc Lumenis,Inc Biolitec,Inc Portable Fluroscopes Siemens Medical Solutions Canon Medical Systems CT Scan Siemens Medical Solutions

Philips Medical Systems GE Health care MRI Siemens Medical Solutions Philips Medical Systems GE Health care Toshiba Medical Systems Cervical Retractors Boss Instruments Ltd. Life Instrument Corporation Temperature Management System Innercool therapies Alsius Corporation Integrated Anaesthesia Machines MRI Compatible Anaesthesia Machines Vital Sign Montors Datex-Ohmeda,Inc Drager Medical Datex-Ohmeda,Inc Philips Medical Systems Defibrillator Requirement in Obse&Gynae,NICU,Cardio,Oncology Defibrillator with monitor and pacing ,NiCU Zoll Medical corporation Schiller AG Defibrillator with cardioscope Cardiac Science Corp. Ventilator Requirement in Oncology Transport ventilator Viasys Healthcare Monitors Requirement in Obse&gynae,NICU,Pulmonology Patient monitors (ECG, Temp, Resp, NIBP, Oxi) above 10" ,Cadiology Philips Medical System GE Health care Portable monitors Philips Medical System Pumps Requirement in General surgery,Oncology,NICU Syringe Pumps Alaris Medical System Baxter Health care Infusion Pumps Alaris Medical systems Baxter Health Care Volumetric Pumps Alaris Medical System Baxter Health care

BP Instruments Requirement in General Surgery,Obse&Gynae BP instrument Sun Tech Medical Electronic Balance Requirement in Biochemistry,Clinical Pathology Precision Weighing balances Schimadzu Medical Systems Operating lights Getinge Steris Corporation Operating Microscopes Carl Zeiss