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7/28/2019 Medical Technologies -I

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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 immediatelyfor 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 andsmarter POCT devices have increased the use of POCT approaches by making it cost-effective 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 coagulationtesting, 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 otherindustry 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 beable 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 mostappropriate equipment. Planning is the initial step in the overall management of medicalequipment 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 andAccounting, Biomedical Engineering, Construction and Services team, InformationTechnology (as required) and Clinical specialty (as required).

Key factors to be considered during the planning process to acquire appropriate

technology:

OwnershipBudgetCatchment area

Level of careSpecialty


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Type of hospitalVolume of patientsAnticipated 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 technologyplanning can bring down medical equipment life time costs by about 20%.

Medical Technology: The Imperatives

One of the major components of capital expenditure in hospitalsHigh cost of operations and maintenanceIncreased importance in determining clinical outcomesFast rate of obsolescenceMaintaining cost over the life cyclePlan for obsolescence and replacement

Increasing failure rate with time


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Medical Equipments Profile

Functionality Name of Equipment Name of Company

Diagnostic Imaging X-ray Siemens Medical Corporation

Philips

Fluoroscopy Medical surgical navigation technologies

Siemens Medical Solutions

GE Health Care

Stryker corporation

Computerised Radiology System Siemens Medical Solutions

Digital Radiography Eklin Medical System

Canon USA,Inc

MRI Machine Siemens Medical Solution

GE Health Care

Philips

Toshiba Medical systems

Ventilator MR compatible Philips Medical systems

Ultrasound Scanner 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


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Norland Medical systems,Inc

Mammography GE Health Care


Livingstons products,Inc

Fisher Imaging Corporation

Imaging Diagnostics Systems


GIOTTO USA,LLC

PET CT Scanner Siemens Medical Solution


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


Toshiba Medical System

Spectrum Dynamics

Digirad Corporation


Lab.Diagnosis

Biochemistry Automatic clinical analyser Modular Hitachi Medical Systems

Beckman Coulter,Inc

Roche Diagnostics

Dade Behring

Abbott

Beckman Coulter,Inc


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Semi automatic analyser Beckman Coulter,Inc

Roche Diagnostics

Electrophoresis Beckman Coulter,Inc

Electroyte analyser

Coagulation (Reader) Beckman Coulter,Inc

Sienco,Inc

Vital Scientific,N.V

Incubators Banstead International

Precision Medical

Flame Photometer

Photo Calorimeter

pH Meter Beckman Coulter,Inc

Clinical Pathology Urinanlyser 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

Histopathology

Rotary micotome with tissue processor Thermo fischer Scientific

Triangle Bio Medical Sciences,Inc

Hacker Industries,Inc

Thermo Electron Corporation

Leica Instuments

Sakura Finetek

Cytocentrifuge Thermo fischer Scientific

Iris sample Proscesing ( Formerly Stat spin,Inc)


Wescor,Inc

Sakura Finetek

Thermo Schandon Limited

Centrifuges Thermo fischer Scientific


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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


Beckman Coulter,Inc

Sakura Finetek

Innovative Instruments,LLC


Physiotherapy Shortwave Diathermy

Ultrasonic Therapy

Interferrential Unit

Portable muscle stimulator

Paraffin wax bath

Automatic cervical cum lumbar traction unit

Portable shoulder wheel

Traction table Instruments Specialist,Inc

General Surgery Cytoscopes Olympus America Medical

Gyrus Acmi

Pentax Medical Company


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Stryker Corporation

Vision Sciences

Flexible Ureteroscopes Olympus America Medical

Gyrus Acmi

Karl Storz

Diathermy Medtronic Xomed ,inc

Aspirators Integra Lifesciences Corporation

Integra Radionics

Schuco International London Limited

Byron Medical

Shippert Medical Technologies Corp.

Nephroscopes Olympus America Medical

Gyrus Acmi


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 Faxitron X-ray Corp.

Capsule Endoscope Given Imaging

Endoscopic Ultrasound Hitachi Medical systems America

Olympus America Medical



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Vascular Technology


Obse&Gynaecology Examination Light Gyrus Acmi

BP instrument Sun Tech Medical

Microscope Nikon

Olympus America Scientific

Hysteroscope Innovative endocopy Instruments,LLC

ICSI Olympus

Diode laser Innova Quartz Incorporated

CO2 Incubator NuAir

New Brunswick Scientific Co.

Gyne Light Gyrus Acmi

USG Machine with Gyne Probes GE Health Care

Philips Medical System

Siemens Medical

Toshiba

Gyne Instrument Set

Laparoscopy Set Innovative endocopy Instruments,LLC

NICU Central station GE Health Care

Pediatric Ventilators Smiths Medical ASD

Colin Medical Instruments

Suction machine Aesthetic Technologies

Incubator 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


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Drager Medical Infant Care

Phoenix Medical Systems,Inc


Neuro Electromyography(EMG) machines 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


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Welch Allyn,Inc

Spirometer (Pulmn func test) Schiller AG

Midmark corporation


Pulmonology Nubuliser (Catered for) DHD Health care

Oncology Linear Accelarator Elekta Ltd.

Siemens Medical Solution USA

Accuray,Inc

Direx Systems Corp.

Computerised Medical Systems

Varian Medical Systems

Suction Machine Aesthetic Technologies

Brachytherapy C.R.Bard,Inc

Implant Sciences Corporation

North American Scientific

Radio Med Corporation

Transport Ventilator Invivo Corporation

CT Stimulator Siemens Medical Solution USA

Cardiology Ambulatory Blood pressure Monitors 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


Cardioline


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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


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


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Nephrology Dialysis Machine 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 Olympus America Medical

Opthalmology Autorefractometer 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


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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 Welch Allyn Medical products

Audiometry pre fab Otovation,LLC


ENT Nasopharyngoscope Vision sciences ,Inc

Rigid bronchoscope set Olympus America Medical


Paed bronchoscope

oto acuostic emission sreening for children

BERA for infant / mentally retarded

OPD Instrument set

Orthopedic Hip positioner systems Innomed,Inc

Arthroscopy Shaver System Atlantech Medical Devices Ltd.

Karl Storz endoscopy

Knee Self Retaining Retractors Innomed,Inc

Orthopedic Lasers Lumenis,Inc

Biolitec,Inc

Portable Fluroscopes Siemens Medical Solutions

Canon Medical Systems

CT Scan Siemens Medical Solutions


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GE Health care

MRI Siemens Medical Solutions


GE Health care

Toshiba Medical Systems

Cervical Retractors Boss Instruments Ltd.

Life Instrument Corporation

Temperature Management System Innercool therapies

Alsius Corporation

Integrated Anaesthesia Machines Datex-Ohmeda,Inc

MRI Compatible Anaesthesia Machines Drager Medical

Vital Sign Montors Datex-Ohmeda,Inc


Defibrillator

Requirement in Obse&Gynae,NICU,Cardio,Oncology ,NiCU

Defibrillator with monitor and pacing 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 ,Cadiology

Patient monitors (ECG, Temp, Resp, NIBP, Oxi) above 10" 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


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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

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