FLANDERS INVESTMENT & TRADE MARKET SURVEY

THE MEDICAL

DEVICES MARKET

IN INDIA

THE INDIAN MEDICAL DEVICES

MARKET

Juli 2018

Gowri Bhaskar and Neelam Khurana, Assistants

Economic Representation of Flanders

c/o Embassy of Belgium

50 – N, Shantipath, Chanakyapuri

New Delhi – 110 021

newdelhi@fitagency.com

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TABLE OF CONTENTS

1 OVERVIEW OF HEALTHCARE SECTOR IN INDIA ................................................................................................................ 2

1.1 NATIONAL HEALTH POLICY ................................................................................................................................................... 3 2 KEY PLAYERS IN HEALTH CARE SECTOR .............................................................................................................................. 3

3 MEDICAL DEVICE MARKET IN INDIA ......................................................................................................................................... 4

4 MARKET POTENTIAL IN INDIA .................................................................................................................................................... 5

4.1 HEALTHCARE CLUSTERS......................................................................................................................................................... 5 5 e-HEALTHCARE IN INDIA ................................................................................................................................................................ 7

6 REGULATORY AUTHORITY IN INDIA ...................................................................................................................................... 8

6.1 MEDICAL DEVICES RULES 2017 ............................................................................................................................................ 8 6.2 PROCUREMENT PROCEDURE FOR MEDICAL DEVICES ................................................................................................... 8

7 “MAKE IN INDIA” INITIATIVE ........................................................................................................................................................ 10

8 MEDICAL TRADE FAIRS AND SEMINARS ................................................................................................................................ 11

9 CONCLUSION ...................................................................................................................................................................................... 12

10 LIST OF TENDERS ........................................................................................................................................................................... 12

11 RELEVANT CONTACTS WITHIN HEALTHCARE SECTOR ............................................................................................... 13

11.1 INDIAN GOVERNMENT ORGANIZATIONS IN THE HEALTHCARE SECTOR. ................................................................... 13 11.2 ASSOCIATIONS AND FEDERATIONS IN THE HEALTHCARE SECTOR. ............................................................................. 13 11.3 LIST OF MAJOR HOSPITALS .................................................................................................................................................. 14 11.4 IMPORTERS / MANUFACTURERS / SUPPLIERS OF MEDICAL DEVICES. ..................................................................... 14

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1 OVERVIEW OF HEALTHCARE SECTOR IN INDIA The Indian healthcare sector is one of the fastest growing industry and one of India’s largest sector - both in terms of revenue and employment. The total industry size is expected to touch USD 280 billion by 2020.1 Healthcare comprises of hospitals, medical devices, clinical trials, outsourcing, telemedicine, medical tourism, health insurance and medical equipment. “The growing demand for quality healthcare in India and the absence of matching delivery mechanisms poses a great challenge to all stake holders and an even greater opportunity for different service providers”.2 As there exists immense scope for enhancing healthcare services penetration in India, it presents ample opportunity for development of the healthcare industry.3 The demand for healthcare services, in India will get a major boost owing to:

Increasing income levels ageing population

growing health awareness and changing attitude towards preventive healthcare4

“Conducive policies for encouraging FDI, tax benefits, favourable government policies coupled with promising growth prospects have helped the industry attract private equity, venture capitals and foreign players”5. The peculiar thing in India is the wide gap between the rural and urban population in its health care system. “A staggering 70 per cent of the population still lives in rural areas and has no or limited access to hospitals and clinics. Around 80 per cent of specialists live in urban areas”.6 Healthcare sector in India needs serious modernization. Due to lack of availability of proper budget and funds from the Indian government, the Indian government-operated hospitals are very inadequate in providing good medical treatment. The private sector saw an opportunity in this segment and has taken initiatives to provide modern and efficient medical treatment – but at a certain price. The private sector has a strong presence in India’s healthcare. “The public health care system is patchy, with underfunded and overcrowded hospitals and clinics, and inadequate rural coverage. Several public health insurance systems exist, such as state-level employee insurance for industrial workers and the central government’s health care plan for civil servants”. 7 A major thrust area is to extend employee coverage in private sector through economical health plans.

1 https://www.ibef.org/industry/healthcare-india.aspx as seen on 26.04.2018 2 https://www.slideshare.net/prashantmehta371/opportunities-in-indian-healthcare-sector as seen on 26.04.2018 3 https://www.ibef.org/download/Healthcare-January-2017.pdf as seen on26.04.2018 4 https://www.ibef.org/download/Healthcare-October-_2017.pdf as seen on 26.04.2018 5 https://www.ibef.org/download/Healthcare-November-2017.pdf as seen on 26.04.2018 6 http://www.firstpost.com/business/budget-2016-healthcare-cannot-wait-mr-jaitley-healthy-india-can-hasten-wealthy-india-2644650.html as seen on 26.04.2018 7 https://www.mastertutorials.org/assignment-17/ as seen on 26.04.2018

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1.1 NATIONAL HEALTH POLICY

The Indian government has announced a new Health Policy called the “National Health Policy – NHP – 2017”. The policy focuses on the National Health Mission by systematically rectifying the prevalent deficiencies. The policy is ‘inclusive’ to the masses. Thus far, the government employees were covered by the Central and State government health schemes. The employers of organized private sector provided the “medical insurance” to cover the medical expenses of the workers and their family members. Now, the Indian government would tie-up with the insurance companies and the third-party administrators (TPAs) by allocating budget for this purpose. Under this scheme, private hospitals will be extending health services to everyone – and not limited to the riches. Under NHP, the Indian government is also laying a lot of emphasis on the Make in India policy to manufacture substantial number of medical devices in India to usher in import substitution which is almost 70% as of 2017. Since the requirement of medical devices will be huge, it is unlikely that so much private investments will flow in for manufacture in India. Import of medical devices will have to be continued to meet the increasing demand for medical devices. More details about the policy can be obtained from the link below. http://cdsco.nic.in/writereaddata/National-Health-Policy.pdf as seen on 24.05.2018

2 KEY PLAYERS IN HEALTH CARE SECTOR

Company Number of beds Presence in Cities

Apollo Hospitals Enterprise Ltd.

9215 Chennai, Madurai, Hyderabad, Karur, Karim Nagar, Visakhapatnam, Bilaspur, Aragonda, Kakinada, Bengaluru, Delhi, Noida, Kolkata, Ahmedabad, Mauritius, Pune, Raichur, Ludhiana, Indore, Bhubaneswar, Dhaka, Bacheli, Bellary, Goa, Lavasa, Nashik, Nellore, Tiruvannamalai, Tiurchirapalli.

Aravind Eye Hospitals 3649 Theni, Tirunelveli, Coimbatore, Puducherry, Madurai, Amethi, Kolkata, Dindugul, Tirupur, Salem, Tuticorin, Udumalpet.

CARE Hospitals 2100 Hyderabad, Vijayawada, Nagpur, Raipur, Bhubaneswar, Surat, Pune, Visakhapatnam, Jabalpur, Raigarh.

Fortis Healthcare Ltd. 10000 Mumbai, Bengaluru, Kolkata, Mohali, Noida, Delhi, Amritsar, Raipur, Jaipur, Chennai, Kota, Faridabad. It is also present in Singapore, Dubai, Mauritius and Sri Lanka.

Max Hospitals 2016 Delhi, NCR (National Capital Region), Punjab, Uttarakhand.

Manipal Group of Hospitals 4900 Udupi, Bengaluru, Manipal, Attavar, Mangalore, Goa, Tumkur, Vijayawada, Kasargod, Visakhapatnam.

Narayana Health 7452 Ahmedabad, Bengaluru, Berhampore, Davangere, Dharwad, Durgapur, Guwahati, Hyderabad, Jaipur, Jamshedpur, Kolar, Kolkata, Kuppam, Mahuva, Mysore, Raipur, Shimoga, Bellary, Palanpur.

Source: https://www.ibef.org/download/Healthcare-September-2016.pdf as seen on 26.04.2018

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3 MEDICAL DEVICE MARKET IN INDIA

“The medical device market in India is certainly smaller than the other overseas markets”.8 Considering the large size of the country and its huge population, large potential in this segment is apparent but the will power in the Indian government to give greater importance to the healthcare sector is lacking. The demand certainly is huge in the private sector. “The Indian market is currently growing at a healthy CAGR of around 15%, significantly higher than global industry growth of 4-6%, most recent studies indicate that medical devices expected to be a USD 25-30 billion industry in India by 2025”.9 According to estimates by Association of Indian Medical Device Industry (AIMED) 70% of the devices are imported. The following table shows the basic classification and their share of imports in the medical device sector.

Source: Recommendation of task force on medical device sector in India-2015 as seen on 22.12.2017 “The Indian market is dominated by international players such as 3M, Abbott Vascular, GE Health Care, Phillips Health Care, Medtronic, Johnson & Johnson, Siemens, Baxte, Stryker, Zimmer Holdings and many more. The Indian Medical Devices sector is now welcoming the international companies to set up manufacturing base by either direct investment or by acquiring existing players. Recently, direct setups were by 3M in Pune, Becton Dickinson's in Haryana, Hollister in India and Philips’s acquisition of Medtronics & Alpha X-Ray Technologies”.10 Government of India is encouraging

8 http://www.skpgroup.com/data/resource/skp_the_medical_device_industry_in_india_.pdf as seen on 26.04.2018 9 https://gita.org.in/Attachments/Reports/Medical%20Devices%20Making%20in%20India%20-%20A%20Leap%20for%20Indian%20Healthcare.pdf as seen on 26.04.2018 10 http://ficci.in/sector/76/Project_docs/Medical_Devices_and_Equipment_Sector_profile.pdf as seen on 26.04.2018

Equipment, surgical instrumentsDiagnostic devices, surgical

instruments and equipments

USD 2,500 million

Share of imports: 87.4%

DisposablesSyringes, needles, catheters,

dressingsUSD 1,450 million

Share of Imports: 32.7 %

Reagents

USD 370 millionShare of Imports: 77.5%

Implants

USD 330 millionShare of Imports: 79.5%

Imported Items Share in Medical

Devices

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domestic manufacturing of medical equipment by proposing Medical Technology Parks, in addition to the existing parks. “Most Indian players consist of small and medium companies primarily focusing on their R&D efforts and manufacturing capabilities for affordable medical devices such as disposables, medical supplies and small equipment - which come under low-price, high-volume market segments.”11 The requirement for high-end medical equipment and consumables is met largely by imports. Over the past two years India has seen a major change in import figures for medical devices. There has been an increasing trend of cheap medical devices imports from China. This is giving competition to US and Germany particularly for stents and cardiac catheters. Some Indian companies which are manufacturing these devices are also facing stiff competition due to cheap imports from China. For more detail about imports from China please refer to the article below. http://timesofindia.indiatimes.com/business/india-business/domestic-med-devices-hit-by-cheap-imports/articleshow/58920364.cms as seen on26.04.2018 Import statistics

Import

statistics_Medical Devices from Belgium.docx

4 MARKET POTENTIAL IN INDIA

4.1 HEALTHCARE CLUSTERS

Source : https://www.ibef.org/industry/healthcare-india.aspx as seen on 22.12.2017 The Indian government has identified the medical device sector as a sun shine sector for the Make in India national initiative (http://www.makeinindia.com/about). The Indian medical device sector is now open with tremendous opportunities for manufacturers of all sizes.

11 http://www.business-standard.com/content/b2b-pharma/india-can-be-among-world-s-top-5-medical-devices-markets-himanshu-baid-117021500535_1.html as seen on 26.04.2018

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Belgian companies in medical devices sector looking to explore the Indian market may initially acquire/need a distributor to market their products. Whereas other companies may set up/acquire a manufacturing plant, to take advantage of low-cost manufacturing for exports to the neighbouring countries. Vermeiren India Rehab Private Ltd., a wholly-owned subsidiary of Belgium-based Vermeiren Group, has set up a manufacturing unit, with a localisation levels of around 50-60 % at present, in the State of Andhra Pradesh, Sri City. The company has invested Rs. 400 Million for setting up the plant and its current focus is to marketing the products at reasonable cost. The group is looking at selling around 40,000 wheelchair units in India by 2020 and is planning to cater to Middle East, Far East and European market in a phased manner over next five years. The company also has plans to open a research and development (R&D) centre in the facility, which would work with the global R&D team for both global products and also India specific projects. The company selected Sri City for manufacturing considering its accessibility to various ports, airports and national highways, apart from the proximity of the automobile hub in Chennai, which can offer components. 12 While the large sized multinationals can afford Greenfield Investments or through brownfield the new entrants or the smaller players may initially prefer entering alliances with domestic companies and then scaling up eventually with direct investments. Ultimately the decision of Greenfield entry, Brown field entry, Strategic alliance will depend on the Belgian firm’s global strategy, market for Belgian company’s product portfolio in India, cost –benefit Analysis…etc. India is currently dependent on imports (70-80%) for medical devices. Major portion of its import is coming from the USA, followed by China. Other countries such as Germany, France, Japan, UK and the others also have a share in it It has been noticed that following areas in the medical field have scope for improvement and the potential for the acquisition of better techniques and equipment for safe medical treatment. Following are the areas in which potential exists:

• X-Ray equipment • MRI imaging • Medical scanning equipment, Diagnostic Kits, Hand- held diagnostic equipments

• Reagents • Ultrasound

• Dentistry equipment • Operation theatre equipment • Equipment for physiotherapy & Pathology

• Products for orthopaedic treatment • Equipment for eye surgery

• Equipment for ENT treatment and surgery • Equipment for Neurology treatment and surgery

12 http://www.business-standard.com/article/companies/wheelchair-maker-vermeiren-to-expand-sales-in-india-116091301070_1.html as seen on 20.12.2017

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• Products for the treatment of burns and post-injury skin treatment

• Hospital furniture (bedding, operation table, stretchers, storage cupboards for patients,)

• Anaesthetic equipment and products

• Ambulance with emergency medical attention facilities • Equipment for dialysis, etc. • Machinery for the manufacture of medicines and drugs • Hand- held diagnostic equipments ( like blood sugar testing/ blood pressure testing..)

There are quite a few manufacturers of medical devices in India too – as India is now trying to usher in “import substitution” as far as possible and make the cost of healthcare service affordable to everyone through the supply of medical devices at reasonable costs. The efforts through “Make in India” and “Start-up India” are in this direction. Though the Indian manufacturers of medical devices are open to the idea of import and distribution. MEDICAL TOURISM Medical tourism has been gaining a lot of momentum in India from the past few years. The main advantage of Medical Tourism in India is high quality healthcare standards, with low treatment cost. Cost of surgery is one-tenth as compared to USA or Europe. Secondly one gets opportunity to travel, get better and quicker treatment results than in their home country. Some hospitals in India offer world-class facilities and Indian medics are renowned for cosmetic surgery, Heart bypass surgery, dental care and coronary bypass. In the recent times, the conventional Medicare such as Ayurveda is gaining acceptance. The most common surgical procedure amongst international tourists in India is Kidney / Liver transplantation. Many of the leading hospitals chains in India offers quality services and make use of advanced technology, excellent medical services comparable to the developed world; coupled with personalized care.

5 E-HEALTHCARE IN INDIA India is on high adoption curve of online:

• medical consultation, • medical records, • medicine supply,

• pan-India exchange for patient information, etc. The Ministry of Health and Family Welfare ( MOHFW) to support government in its digital drive has taken initiative to and has a vision to deliver better health services in terms of access, quality , affordability , efficient monitoring etc. Details about the same are available in the following link. https://www.nhp.gov.in/e-health-india_mty There is enormous potential for improving the awareness about healthcare through digital media and information technology.

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6 REGULATORY AUTHORITY IN INDIA

For long number of years, the regulatory task was undertaken by the “Drugs Controller General of India”. As a result, all the medical related products (medical devices, pharmaceuticals, consumables, etc.) came under the purview of “Drugs & Cosmetics Act – 1940 & Rules – 1945”. In the year 2012, the “Central Drugs Standard Control Organization (CDSCO), was formed to control and regulate the medical sector. Though the rules are being modified, the process is rather slow. All issues related to registration, certification, labelling, etc. are being handled by the CDSCO. 6.1 MEDICAL DEVICES RULES 2017

At long last, the Indian government announced the “Medical Devices Rules 2017”. The rules announced through this notification came into effect from 01 January 2018. However, it should be noted that the “Medical Devices Rules 2017” have been announced with the intention of going in for “import substitution” in gradual phases. Experts in the field of medical healthcare opine that the Indian government will find it impossible to implement “import substitution” as India is a very large country with a huge population and the requirement of medical devices is huge. Through production of devices in India, the requirements will never be met. Imports will remain an integral part of meeting the requirements. It is also felt that high quantum of overseas investments and transfer of technology will not be coming into India for manufacturing medical devices. Many companies will wish to hold on to their cutting edge in high value technology and will not be interested in parting with it to India. Other useful websites related to this subject are also given below:

• http://pib.nic.in/newsite/PrintRelease.aspx?relid=157955 • http://www.cdsco.nic.in/forms/list.aspx?lid=1580&Id=1

Draft Regulation for Medical Devices implemented from January 2018.

6.2 PROCUREMENT PROCEDURE FOR MEDICAL DEVICES

All the public-sector hospitals follow the system of calling for offers from suppliers through tender procedure. After due comparison, the offer with most competitive price and matching quality gains the order. The HSCC and AIIMS issue most number of tender notifications. Other public-sector hospitals generally approach the Indian Ministry of Health and Family Welfare to arrange for the supplies. Hence public tender notifications from the other public sector hospitals are not seen in the website or in newspapers. For private medical projects, direct negotiations can be undertaken for the supply of medical equipment; whereas in the case of government medical projects, offers will have to be submitted against international tender notifications issued by the Indian government entities.

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Private hospitals evaluate the products based on the technology, cost and price. Decision-making is faster in the private hospitals. Private hospitals make direct purchases usually keeping in view of the following points.

• Name and standing of the company, Companies like Siemens, Philips are well known brands in India in Medical sector

• Local presence for easy contact

• Quality of the product and cost factor as India is a price sensitive market • Availability of spare parts for machines and quick after-sales service in India • “Upgrade” of the machines in lieu of purchase of new machines in short periods

Prior major market approval is required to enter India India recognizes regulatory authorization of the US, Canada, Europe, Australia or Japan. A foreign manufacturer must provide such prior approvals for registering their medical devices in India. Statutorily, each manufacturing facility must be registered. CDSCO - Central Drugs Standard Control Organization, an agency of the Ministry of Health and Family Welfare is the reviewing authority. Timeline for India’s medical device registration process Medical device registrations in India are valid for 3 years. In a straight case, the medical device registration process takes approximately 6-9 months, if a Technical Presentation or MDAC (Medical Device Advisory Committee) review is not demanded. A Technical Presentation or MDAC review will extend the timeframe by approximately 3-6 months. India Authorized Agent In-Country Representation CDSCO mandates an in-country representative as India Authorized Agent, if the foreign entity does not have direct presence in India and the medical device or IVD appears on the list of Notified Medical Devices. The Indian Agent must be an Indian citizen. India Agent responsibilities and requirements The India Authorized Agent assists in the device registration process and serves as a liaison between foreign entity and the CDSCO. The Agent also participates in audit activities and will facilitate communications for any onsite inspections. The India Agent must maintain a drug store license (Forms 20B and 21B/C). The India Agent must have relevant prior experience in the Medical Devices industry. We have a dedicated person as ‘Customs Attache’ who can be approached for specific custom related queries. Mrs. Babette Desfossez Customs Attaché - Douane attaché Embassy of the Kingdom of Belgium 50-N Shantipath, Chanakyapuri New Delhi - 110021 Tel: +91 11 4242 8030 (D) Mobile: +91 95607 94442 -(IN) +32 4707 63217 (BE)

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List of devices which require registration in India? Only certain products require registration in India, and most of these products are outlined in the official List of Notified Medical Devices – See attached document for details:

STEPS FOR REGISTRATION PROCESS

Steps for

registration.docx

7 “MAKE IN INDIA” INITIATIVE

In September 2014, the Indian government started the “Make in India” national initiative with the objective of making India a global manufacturing hub for high technology goods. The aim of this campaign is to bring in foreign technology and capital into India. Out of the 25 focused sectors, “Medical Device” is one of the sectors in this initiative. The Department of Pharmaceuticals (DoP) formed a Task Force to identify and promote the domestic production of high-tech medical devices and facilitate the industry. The “Task Force” has also recommended the renaming of Department of Pharmaceuticals (DoP) as “Department of Pharmaceuticals and Medical Devices” with a separate post of Director for Medical Devices. From 2018, medical device sector has been distinguished out from the pharmaceutical laws. Automatic approval is granted on 100% FDI (Foreign Direct Investment) under both brownfield and greenfield ventures. The “Task Force” has also recommended preference to domestically manufactured medical devices for government procurement. Additional preferences will also be given for medical devices manufactured under the MSME (Micro, Small and Medium Enterprises). Following eight key areas have been highlighted by the “Task Force” for special attention:

1. Policy Support 2. Infrastructure for the manufacture of medical devices 3. Creation of Validation Centre 4. Skill Development 5. Research & Development 6. Pricing Policy 7. Duty Structure – under this framework, the “Task Force” has recommended introduction

of a prohibition or stringent restrictions to stop the import of “second-hand diagnostic equipment”.

8. Strong regulatory framework. The aim of “Make in India” initiative is to gradually scale down the reliance on imported medical devices through “import substitution”.

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The Indian Prime Minister, Mr. Narendra Modi, while addressing the oncologists in mid-2017 at the Tata Memorial Hospital in Mumbai to mark 75 years of cancer treatment, invited “Start-up Companies” to focus on research for innovative medical devices and use technology to make healthcare more affordable. He emphasized that “India should manufacture its own medical devices to bring down the cost of medical treatments”. Details are available in the website link of the newspaper, Indian Express – Web: (Link). “AMTZ ( Andhra Pradesh MedTech Zone) was incorporated in April 2016. AMTZ is an enterprise under the Government of Andhra Pradesh, a 270 Acre zone, dedicated for Medical Device Manufacturing. The objective behind this ‘One-Stop- Solution’ is not only to reduce the cost of manufacturing up to 40% or to just simplify the end-to- end operations but also to reduce the import dependency. AMTZ envisions to put India on the global map of high end medical equipment production and make health care products affordable and accessible not only for India but for world at large. The creation of such a zone is based on the fact that medical devices manufacturing requires certain high investment facilities which are too capital intensive for individual manufactures to invest upon. The zone with in-house high investment scientific facilities would help manufacturers reduce the cost of manufacturing by more than 40%-50%. Currently, due to lack of such centrally located sharable facilities, either manufacturers do not undertake production of technologies requiring them or send their products abroad for process up-gradation and value addition. While the zone would have all such facilities in-house to reduce manufacturing process costs, it would be in an area which is well connected with Railways, Roadways, Waterways and Airways with near presence of Industrial Corridors, and Port to reduce logistical costs.”13 Information about make in India initiative particularly with reference to medical device is well covered in the following report by Deloitte https://gita.org.in/Attachments/Reports/Medical%20Devices%20Making%20in%20India%20-%20A%20Leap%20for%20Indian%20Healthcare.pdf

8 MEDICAL TRADE FAIRS AND SEMINARS

Following are the important Trade Fairs specifically dedicated to the healthcare sector and medical equipments, Indian and overseas companies active in medical equipment; hospital needs such as beds, furniture, and other articles; operation theatre – laboratory and diagnostic centre equipment, etc. are represented in these Fairs. It might be good ground to meet distributors and importers.

• MEDICAL FAIR INDIA –Delhi (21 to 23 Feb 2019) India’s top medical fair and conference on Medical equipment; an annual event which alternates between New Delhi and Mumbai. www.medicalfair-india.com In 2015, FIT New Delhi participated in the Medical Fair with a catalogue stand in which six Flemish companies participated.

13 https://amtz.in/ as seen on 26.04.2018

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The fair had lot of Chinese presence and in the visitors profile could find a lot of consultants.

• MEDICALL HOSPITAL NEEDS EXPO – Chennai (27-29 July 2018), New Delhi (21-23 September) Medical Equipment Exhibition http://www.medicall.in/

Few more fairs related to healthcare and Medical devices in Ayurveda, wellness etc.- which are of regional nature are not listed here.

9 CONCLUSION

The medical device sector in India is expected to grow substantially, propelled by improved access to health care facilities and a strong regulatory framework which would act as a catalyst for the growth of this sector. The Government has allowed 100 percent FDI in this sector, which will improve the competition and the standards which are presently under developed. The current medical device sector is import dependent which is bound to change with the Government’s new policies giving priority to “Make in India” initiative. Many MNCs have now set up manufacturing plants in India following the Government’s holistic policy in this sector. The competition in medical device sector is also bound to grow substantially with the Government’s decision allowing 100% FDI, modern technologies being made available to domestic players, and the cheap imports from China. There is still bright scope for quality products in this sector.

10 LIST OF TENDERS

Herewith a list of some sample indications of tenders issued by hospitals and Government. All India Institute of Medical Sciences (AIIMS) tender notifications:

• http://www.aiims.edu/en/tenders/aiims-tender.html • http://aiimsjodhpur.edu.in/tendernew.php

Indian Government Hospital tender notifications

• http://www.medicaltenders.com/medical_tenders_india.htm

• http://www.tendersinfo.com/ Ministry of Health and Family Welfare/Delhi Government tender notifications

• https://mohfw.gov.in/e-tender • http://www.delhi.gov.in/wps/wcm/connect/DoIT_Health/health/home/ • http://www.nhp.gov.in/tender_pg

HSCC Ltd. tender notifications HSCC Ltd. (Hospital Services Consultancy Corporation (India) Ltd.) mainly decides on the architecture and construction of hospitals and on types of medical devices and equipment needed. It is also the “executing agency” of the Indian Ministry of Health and Family Welfare for most Indian government hospital construction and development projects.

• http://www.hsccltd.co.in/index.php?option=com_tender&view=tender&Itemid=61&lang=en

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11 RELEVANT CONTACTS WITHIN HEALTHCARE SECTOR

Interested entities can obtain the full contact details of any of the below organizations / hospitals / companies by writing to FIT New Delhi at newdelhi@fitagency.com 11.1 INDIAN GOVERNMENT ORGANIZATIONS IN THE HEALTHCARE SECTOR.

Ministry of Health & Family Welfare http://mohfw.nic.in The CGHS has numerous clinics and dispensaries all over India with well qualified doctors. It also has a network of major government hospitals under its care. Apart from providing treatment to the Indian government employees and its family members, it also provides “free treatment” to the general public (especially the poor and the down-trodden) in its hospitals under the framework of “OPD – Out-Patient Department”. Indian Council of Medical Research (ICMR), www.icmr.nic.in Hospital Services Consultancy Corporation (India) Ltd. (HSCC India Ltd.) www.hsccltd.co.in Central Drugs Standard Control Organization (CDSCO), (Medical Devices Division), Directorate General of Health Service (DGHS), Ministry of Health and Family Welfare, Government of India, http://www.cdsco.nic.in Institute for Studies in Industrial Development (ISID), (Public Health Foundation of India – PHFI), (ISID-PHFI Collaborative Research Centre), http://isid.org.in Employees State Insurance Corporation (ESIC), http://www.esic.nic.in/index.php ESIC has several hospitals spread all over India. It caters to the health and treatment needs of industrial and factory workers. Its hospitals have all the operational, diagnostic and treatment facilities. EMERGO GROUP-Medical Device Consulting Services- India Chapter. Emergo is a consultancy group with more than 2,500 medical device and IVD clients worldwide. They maintain offices in 25+ countries, offering a wide range of compliance services assisting companies with regulatory strategy, device registration, quality management system compliance and in-country regulatory representation. https://www.emergogroup.com/contact#isoExplorer 11.2 ASSOCIATIONS AND FEDERATIONS IN THE HEALTHCARE SECTOR.

Association of Indian Medical Device Industry (AIMED) www.aimedindia.com Indian Radiology & Imaging Association (IRIA) / Indian College of Radiology & Imaging (ICRI) www.iriaindia.com ; www.refindia.net/rindia/associations.htm

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Confederation of Indian Industry (CII) (Medical Equipment Division), http://www.cii.in Federation of Indian Chambers of Commerce & Industry (FICCI) www.ficci.in 11.3 LIST OF MAJOR HOSPITALS

Fortis Healthcare Limited Escorts Heart Institute & Research Centre www.fortishealthcare.com ; www.fortisescorts.in Batra Hospital & Medical Research Centre http://www.batrahospitaldelhi.org Privat Multispecialty Hospital (Privat Healthcare Group) http://www.privathospital.org/ ; http://www.privathealthcaregroup.com/ Note: - It has facilities in China, Nepal, Sri Lanka, Thailand and Austria. Sir Ganga Ram Hospital http://www.sgrh.com/ All India Institute of Medical Sciences (AIIMS) http://www.aiims.edu/en.html Max Healthcare www.maxhealthcare.com Medanta – The Medicity www.medanta.org Indraprastha Apollo Hospitals www.apollohospdelhi.com Institute of Liver & Biliary Sciences (ILBS) (An Autonomous Institute of Government of Delhi – Deemed University), http://www.ilbs.in/ Kokilaben Dhirubhai Ambani Hospital, Mumbai http://www.kokilabenhospital.com/ Lilavati Hospital & Research Centre, Mumbai http://lilavatihospital.com/ 11.4 IMPORTERS / MANUFACTURERS / SUPPLIERS OF MEDICAL DEVICES.

Allied Medical Limited www.alliedmed.co.in B.S. Imaging Solutions http://www.bsimagingsolution.com/

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Bharat Enterprises http://www.biopluslifecare.com/ BL LIFE SCIENCES PVT LTD., www.bllifesciences.com Max India Limited, www.maxindia.com Delhi Hospital Supply Pvt. Ltd. http://www.dhsplindia.com/ Explore Medical Accessories http://www.exploremedical.co.in/ General Medical Inc., (Indian Division of Narang Medical Ltd.) www.generalmedicalinc.com Great health Trexim Pvt. Ltd. http://www.greathealthtrexim.com/ Innovious Healthcare Pvt Ltd. http://innovious.in/ Kannu Impex ( India ) Pvt. Ltd. http://kannu-impex.com/ Life Plus healthcare (P) Ltd. http://lifeplusmedical.com/ Medtech Devices http://www.medtechdevices.net/ Narang Medical Limited, http://www.orthopaedic-implants.com/ ; http://www.narang.com Narula Udyog (India) Pvt. Ltd., www.medikraft.com Meditech Electronics, www.meditechelectronics.com ; www.ledotlight.com Ortho Beckem Inc., www.beckcem.com Medtech Devices, www.medtechdevices.net GWS Surgicals LLP, www.gwssurgicals.com

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GPC Medical Ltd. http://www.gpcmedicalltd.com/ ; http://www.gpcmedical.com JSB Healthcare, http://www.jsbhealthcare.co.in Jubilant Life Sciences Ltd. (Jubilant Bhartia Group) www.jubl.com Panacea Biotec Ltd. www.panaceabiotec.com Hindustan Syringes Hindustan Syringes & Medical Devices Ltd. (HMD) www.hmdhealthcare.com ; http://www.hmdhealthcare.com/asian/home1.htm Medi Safe International India http://www.medisafe.co.in/ Accurex Biomedical Pvt. Ltd. http://www.accurex.org/ Mectron Dental India Pvt. Ltd. http://mectronindia.com/index.php/our-team/ Shree Pacetronix Ltd. http://www.pacetronix.com/

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Datum publicatie: juli 2018