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Wockhardt surgeons use new method to remove
artery for bypass

India’s first bypass surgery using endoscopic radial artery harvesting was performed by cardiothoracic surgeons at Wockhardt Heart Hospital at Mulund, Mumbai. This surgery is a new revolutionary technology for removing an artery form the forearm through a ‘wrist-watch incision’ for greater patient comfort. This is also the first time such an operation was performed outside the US.

The existing method of removing radial artery involves making a 24-cm cut in the forearm that leaves a life long scar. However the new technology now involves making a small 3-cm incision near the wrist to extract the artery with minimal loss of blood.

"This method is very patient friendly," said Dr. Tushar Desai, general manager at Wockhardt Heart Hospital. "It is a lot less painful, causes less discomfort, and the patient can use his hand almost immediately, compared to seven days of discomfort when the artery is removed in the conventional way." There is negligible loss of blood and much smaller scar. This is an important factor these days when many of the bypass patients are under 45. Leading doctors in the city watched the operation live via a satellite uplink.

A majority of heart surgeons worldwide prefer to use the artery form the forearm for bypass grafting. Arterial bypass grafts last 15 to 20 years unlike veins taken from the leg, which last only 10 to 15 years.

[Ref: Pharmabiz, Sept. 24, 2002]

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Cadila in talks with foreign companies to make
auto-disposable syringes

Cadila Pharmaceuticals Ltd (CPL) is in talks with three Far East pharma companies for a tie-up to manufacture auto disable syringes, which are fast replacing the traditional syringes for their greater safety advantage.

Casil Health Products (CHPL), a subsidiary of CPL, is negotiating with one firm each in South Korea, Japan and Indonesia. CHPL is planning to invest around Rs 25 crore in the proposed facility with the foreign partner chipping in its part. In fact, a team of one prospective partner from south Korea is currently visiting CHPL to hold talks.

"Yes, we are looking for a tie-up for setting up a state-of-the-art facility to manufacture auto-disable syringes," B Ramanna, president, CHPL, told ET. However he declined to name the prospective partners on the ground that the company was yet to strike a pact with any of them.

Besides the technical know how, the company also expects the potential partner to make a commitment for buy-back. However, CHPL is also open to set up a join venture with the would-be partners. "We are no interested in just technology transfer," Mr. Ramanna said.

To begin with, the company is planning to keep its capacity at 1 million syringes a month. According to Mr. Ramanna, the company is expecting to finalise the tie-up before December ’02 and make the plant operational by mid – 2003.

The company is also keen to firm up its presence in other areas of diagnostics and hospital products.

In latex gloves, the company has turned its attention to the domestic market and signed a contract to supply gloves to the armed forces. According to Mr. Ramanna, the company also considering raising its production capacity to cope with demand.

[Ref: The Economic Times, Nov. 2, 2002]

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US firm launches ‘Patel catheter’

Patel’s curve, an indigenously-designed catheter to facilitate angiographies and angioplasties through the radial artery route designed by Ahmedabad-based cardiologist Dr. Tejas Patel, was launched across the world by a US-based firm recently.

Till date, the conventional catheter used to do angiography and angioplasty through the leg route was used for doing cardiac procedures through the radial artery as well, which required lot of technical maneuvering. This especially posed problems in Indian and other Asian patients whose anatomical characteristics like average height and diameter of the radial artery are markedly different from their counterparts in the European country.

Patel’s curve has been indigenously designed keeping in mind the anatomical difference of the Asians. Four different curves have been designed namely Patel Left 1 Round (PL1R), Patel Left 2 Round (PL2R), Patel Left 1 Flat (PL1F) and Patel Left 2 Flat (PL2F).

"Radial artery is the best route for cardiac patients for angiography and angioplasty as it significantly reduces the recovery time and thus hospital stay for the patient", says Patel. Patel said that all the four curves designed by him have been put to use in the radial procedures and efforts are on to introduce modifications to make the curve more patient-friendly.

[Ref: The Times of India, Sept. 25, 2002]

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Healthcare to contribute 8.5% to GDP by 2012: CII-Mckinsey study

Th total healthcare market in India is expected to grow significantly and its contribution to the country’s GDP will increase from 5.2% at present to 8.5% over the next ten years. The expenditure on healthcare will more than double the year 2012 and the healthcare spending is expected to increase from Rs 86,000 crore at present to Rs 2,00,000 crore in the next decade, reveals a CII-Mckinsey study on healthcare. According to the study, private healthcare will continue to be the largest component of healthcare spending and is expected to double from 60,000 crore to Rs 156, 000 crore by 2012. Moreover, if health insurance cover becomes operative, the private spending will further go by an additional Rs 39,000 crore.

With the rise in lifestyle diseases such as cancer and cardiovascukar, the spending pattern will change dramatically by 2012 with inpatient spending accounting for 47% of the private health care spending, up from the 39% at present, the CII-Mckinsey study has pointed out.

It also explains the current situation in the healthcare sector in India and has pointed out the poor performance of the sector in terms of coverage, purchasing and delivery in comparison to other developing countries such as Brazil, Thailand and Korea. Citing an example the study has pointed out that India has only 1.5 beds per thousand people in contrast to the average of 4.3 beds per thousand in other countries.

[Ref: Pharmabiz, Nov. 7, 2002]

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In the News...

Wockhardt surgeons use new method to remove
artery for bypass
Cadila in talks with foreign companies to make
auto-disposable syringes
US firm launches ‘Patel catheter’
Healthcare to contribute 8.5% to GDP by 2012: CII-Mckinsey study

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