Diagnostics In India

With about 70% and more of all the treatment decisions that take place in India being based on diagnostic lab test results, there is no proper regulatory body overlooking all the practices of diagnostic labs. Several reports show that the revenues from diagnostics segment grew at a CAGR of around 20% in 2010-12, this is set to further grow at 25% on an annual basis year on year beyond 2013.

The independent pathological laboratories in the country and the industry are highly competitive and price-driven with kickback and business referral payments to doctors being a very common practice. The service sector has a large presence of players located at the regional or city level and a full fledged lab can perform 1500 different kinds of tests.

With a current population of 1.22bn as of 2011, growing at the rate of 1.5% year-on-year, the Indian market is enormous and ideal for diagnostic service providers and manufacturers. Once modern laboratory practices become established especially in the pre-analytics safety (use of Vacutainers, Nitrile Gloves, Disposable 2ply Surgical Masks, Disposable head caps and other disposable plastic-ware along with waste segregation techniques), this market of India will be highly recognized by all players in the diagnostic healthcare sector.

Diagnostics and pathology are key to profit drivers in the medical set up. A stand-alone diagnostic center model is well accepted due to operational efficiency with a business break-even within 2-3 years. Most of the diagnostic centers offer testing services in the following segments.

1. In-Vitro Diagnostics (IVD)

2. Molecular Diagnostics.

IVD has a tremendous scope in

a. Molecular diagnostics

b. Immunoassays

c. Clinical Chemistry

d. Microbiology

e. Hematology

After China, India is the next leader in IVD technology. With increased patient awareness, patient self-testing (such as the use of blood glucometer) along with baby booming population, the IVD market in India is growing in leaps and bounds. Advanced technology integrated into medical equipment is another factor driving growth.

Due to its low-cost technique, Molecular Diagnostics tests continue to be the fastest growing segment within the IVD space. High sensitivity and quick turnaround time along with easy and simple workflow process are driving this technique’s popularity and growth. In spite of all the growth, Molecular diagnostics suffers due to a highly fragmented market in India and the challenges are many (NABL accreditation and standardization being few of them).

Due to a more health conscious and concerned society in India, the diagnostic market is now changing into one that has a demand pattern for effective and suitable diagnostic tests at a broad level. The Indian diagnostic market is witnessing an era of immense progress in innovative competencies and credibility. The use of cutting-edge technologies in understanding the disease prognosis has further strengthened the sophistication level of participants in this sector and will continue to do so to serve it in better and more efficient ways.

Article on Indian Diagnostics drafted to share our knowledge and experience in diagnostics.

We are C&F, Stockists and Distributors in Bangalore, INDIA of a large range of products essential for medical diagnostic labs across the globe.

Battery, Ignition and On-Board Diagnostics

To keep an automobile up and running, diagnostic procedures must be conducted on a regular basis. While most testing is done to ensure soundness of the engine, it is significant to examine the battery, ignition and on-board systems as well. Failure of any of these critical components leads to a complete vehicle breakdown and loss of valuable time and money.

Battery Diagnostics

Increasing complexity in automotive systems leads to rising demand for electrical power. In turn, this leads to greater demands on the battery of the vehicle. Regardless of the automobile being electric or dependent on an internal combustion engine, ensuring battery reliability is of utmost importance. This requires regular monitoring of battery diagnostics while the automobile is running.

Since a battery discharges even when not in active use, its health deteriorates over time. Battery diagnostics helps in identifying a depleted or faulty battery, thus avoiding a system breakdown.

The latest approach to conducting battery diagnostics is measuring its state of charge in terms of current-delivery capacity and its state of health in terms of the remaining percentage of battery life while the vehicle, with its various electrical loads, is in operation.

Ignition Diagnostics

A timing light is used to set the ignition timing of a vehicle. When it is attached to the ignition circuit while the engine is running, it identifies timing marks, thus enabling setting the timing of the ignition system.

To do this, the test probes of the timing light should be connected with the battery terminals in congruence with their polarities. When its trigger is pulled, the timing light releases a beam every time the sparkplug fires.

Traditional timings lights consist of two test probes, of which one is clamped to the battery ground and the other is inserted between the distributor cap and the sparkplug wire. The spark of the ignition itself powers these low-cost timing lights. Since they use a neon bulb, they are not very bright and are useful only in dimly lit utility areas. Since newer cars are composed of direct ignition systems, timing lights powered by direct current are preferred.

On-Board Diagnostics

Repair technicians may plug automotive scan tools into the on-board diagnostics (OBD) connector to access functions that give information on the condition of the various sub-systems in the vehicle. Mechanics rely on these tools to diagnose the specific error that causes a failure in the system.

Automotive scan tools may be handheld or PC-based. Handheld ones for consumers include simple fault code readers and reset tools. For professionals, these tools access advanced diagnostics and control units, set ECU parameters specific to the manufacturer or vehicle and facilitate diagnosis or tuning by performing real-time monitoring and graphing of engine parameters.

More advanced, PC-based automotive scan tools convert OBD-II signals into serial data compatible for display on standard personal computers. These automotive scan tools offer larger storage capacity, higher screen resolution and better flexibility than handheld ones.

Originally, testing tools were bulky and affordable only for very big garages. The last decade has seen increased portability and cost-effectiveness, putting them in reach of even the smallest automotive repair service.