ICU Set-Up And Maintenance Market

19th August 2022

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 TABLE OF CONTENTS

1 INDUSTRY OVERVIEW: HEALTHCARE INFRASTRUCTURE INDUSTRY ................................ 10

1.1 WORLD ECONOMY .......................................................................................................................................................... 10
1.2 INDIAN ECONOMY ........................................................................................................................................................... 12
1.2.1 OVERVIEW 12
1.2.2 HEALTHCARE SECTOR IN INDIA 13
1.2.3 HEALTHCARE INFRASTRUCTURE IN INDIA 15
1.2.4 PRIVATE SECTOR SPENDING TREND IN INDIA 16
1.2.5 GOVERNMENT SPENDING FOR HEALTHCARE SECTOR 16
1.2.6 GOVERNMENT INITIATIVES 17
1.2.7 INVESTMENT OPPORTUNITIES 18

1.3 MAINTENANCE AND TRADING OF HIGH VALUE MEDICAL EQUIPMENT ..................................................... 18

2 INDUSTRY OVERVIEW: ICU SET-UP AND MAINTENANCE........................................................ 21

2.1 INDIA ICU SET-UP AND MAINTENANCE MARKET OVERVIEW ......................................................................... 21
2.1.1 ICU PLANNING AND DESIGNING IN INDIA – GUIDELINES 22
2.1.2 INDIA ICU STATISTICS 24
2.1.3 ICU SETUP COST: INDIA 27

2.2 GLOBAL ICU SET-UP AND MAINTENANCE MARKET OVERVIEW .................................................................... 28

3 COVID-19 IMPACT ASSESSMENT ...................................................................................................... 30

3.1 IMPACT ASSESSMENT .................................................................................................................................................... 30
3.1.1 INDIA HAS LONG BEEN SHORT OF HOSPITAL BEDS. THE PANDEMIC INTENSIFIED THE
SHORTAGE 31

3.2 UPCOMING STRATEGIES REQUIRED TO COMBAT THE CURRENT SITUATION ........................................... 31

4 ICU SET-UP AND MAINTENANCE SEGMENTATION & IMPACT ANALYSIS .......................... 33

4.1 INDUSTRIAL OUTLOOK ................................................................................................................................................. 33
4.1.1 MARKET DRIVER ANALYSIS 33

4.1.1.1 GROWING PREVALENCE OF CHRONIC DISEASES ............................................................ 33

4.1.1.2 IMPROVEMENT IN HOSPITAL INFRASTRUCTURES ......................................................... 34

4.1.1.3 GROWING DEMAND FOR INTENSIVE CARE ....................................................................... 35
4.1.2 MARKET RESTRAINTS ANALYSIS 35

4.1.2.1 HIGH COST OF TREATMENT AND EXPENSIVE SET UP ................................................... 35

4.1.3 MARKET OPPORTUNITIES ANALYSIS 36

4.1.3.1 TECHNOLOGICAL ADVANCEMENT IN THE TREATMENT FACILITIES ...................... 36

4.1.4 MARKET CHALLENGES ANALYSIS 36

4.1.4.1 LACK OF PROPER TRAINING ................................................................................................... 37

4.2 REGULATORY FRAMEWORK ....................................................................................................................................... 37

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 4.3 PESTEL ANALYSIS ........................................................................................................................................................... 38

5 ICU SET-UP AND MAINTENANCE MARKET BY TYPE INSIGHTS & TRENDS ........................ 39
5.1 ICU SET-UP AND MAINTENANCE COST .................................................................................................................... 39
5.2 MEDICAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW ................................................................ 40
5.2.1 GLOBAL MEDICAL ICU COST ANALYSIS, (USD): 2021 40
5.2.2 INDIA MEDICAL ICU COST ANALYSIS, (USD): 2021 40

5.3 SURGICAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW .............................................................. 41

5.3.1 GLOBAL SURGICAL ICU COST ANALYSIS, (USD): 2021 41
5.3.2 INDIA SURGICAL ICU COST ANALYSIS, (USD): 2021 41

5.4 NEUROLOGIC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW ........................................................ 42

5.4.1 GLOBAL NEUROLOGIC ICU COST ANALYSIS, (USD): 2021 42
5.4.2 INDIA NEUROLOGIC ICU COST ANALYSIS, (USD): 2021 42

5.5 NEONATAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW ............................................................. 43

5.5.1 GLOBAL NEONATAL ICU COST ANALYSIS, (USD): 2021 43
5.5.2 INDIA NEONATAL ICU COST ANALYSIS, (USD): 2021 43

5.6 PEDIATRIC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW .............................................................. 44

5.6.1 GLOBAL PEDIATRIC ICU COST ANALYSIS, (USD): 2021 44
5.6.2 INDIA PEDIATRIC ICU COST ANALYSIS, (USD): 2021 44

5.7 TRAUMA ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW ................................................................. 45

5.7.1 GLOBAL TRAUMA ICU COST ANALYSIS, (USD): 2021 45
5.7.2 INDIA TRAUMA ICU COST ANALYSIS, (USD): 2021 45

5.8 CARDIAC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW ................................................................. 46

5.8.1 GLOBAL CARDIAC ICU COST ANALYSIS, (USD): 2021 46
5.8.2 INDIA CARDIAC ICU COST ANALYSIS, (USD): 2021 46

6 ICU SET-UP AND MAINTENANCE MARKET: BY HOME CARE MEDICAL EQUIPMENT

TRADING INSIGHTS & TRENDS ......................................................................................................... 47
6.1 HOME CARE MEDICAL EQUIPMENT TRADING, 2021 ............................................................................................ 47

6.2 IV STAND-TRADING OVERVIEW ................................................................................................................................. 47

6.2.1 IV STAND – EXPORT FROM INDIA 47
6.2.2 IV STAND – IMPORT TO INDIA 48

6.3 PARA MONITOR-TRADING OVERVIEW ..................................................................................................................... 48

6.3.1 PARA MONITOR – EXPORT FROM INDIA 49
6.3.2 PARA MONITOR – IMPORT TO INDIA 49

6.4 OXYGEN CYLINDER-TRADING OVERVIEW............................................................................................................. 49

6.4.1 OXYGEN CYLINDER – EXPORT FROM INDIA 50
6.4.2 OXYGEN CYLINDER – IMPORT TO INDIA 50

6.5 SUCTION MACHINE & ALPHA MATTRESS -TRADING OVERVIEW ................................................................... 50

6.5.1 SUCTION MACHINE & ALPHA MATTRESS – EXPORT FROM INDIA 51

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 6.5.2 SUCTION MACHINE & ALPHA MATTRESS –IMPORT TO INDIA 51

6.6 NEBULIZER -TRADING OVERVIEW ............................................................................................................................ 51

6.6.1 NEBULIZERS – EXPORT FROM INDIA 52
6.6.2 NEBULIZERS –IMPORT TO INDIA 52

6.7 DVT PUMP -TRADING OVERVIEW .............................................................................................................................. 52

6.7.1 DVT PUMP – EXPORT FROM INDIA 53
6.7.2 DVT PUMP - IMPORT TO INDIA 53

7 ICU SET-UP AND MAINTENANCE MARKET: BY HIGH VALUE MEDICAL EQUIPMENT

TRADING INSIGHTS & TRENDS ......................................................................................................... 54
7.1 HIGH VALUE MEDICAL EQUIPMENT TRADING, 2021 ........................................................................................... 54
7.2 DEFIBRILLATORS -TRADING OVERVIEW ................................................................................................................ 54
7.2.1 DEFIBRILLATORS – EXPORT FROM INDIA 54
7.2.2 DEFIBRILLATORS – IMPORT TO INDIA 54

7.3 ANESTHESIA MACHINES -TRADING OVERVIEW ................................................................................................... 55

7.3.1 ANESTHESIA MACHINES – EXPORT FROM INDIA 55
7.3.2 ANESTHESIA MACHINES – IMPORT TO INDIA 55

7.4 PATIENT MONITORS-TRADING OVERVIEW ............................................................................................................ 56

7.4.1 PATIENT MONITORS – EXPORT FROM INDIA 56
7.4.2 PATIENT MONITORS – IMPORT TO INDIA 56

7.5 STERILIZERS -TRADING OVERVIEW ......................................................................................................................... 57

7.5.1 STERILIZERS – EXPORT FROM INDIA 57
7.5.2 STERILIZERS –IMPORT TO INDIA 57

7.6 EKG/ECG MACHINES -TRADING OVERVIEW .......................................................................................................... 58

7.6.1 EKG/ECG MACHINES – EXPORT FROM INDIA 58
7.6.2 EKG/ECG MACHINES –IMPORT TO INDIA 58

8 ICU SET-UP AND MAINTENANCE MARKET: BY TURNKEY PROJECTS COMPANIES &

TRENDS .................................................................................................................................................... 59
8.1 HEALTHCARE SECTOR IN INDIA: BOONS AND BANES ....................................................................................... 59
8.1.1 NEWBORN CARE IN INDIA 60
8.1.2 STATUS OF FACILITY BASED NEWBORN CARE IN INDIA 61
8.1.3 NATIONAL HEALTH MISSION (NHM) 62

8.2 OVERVIEW OF TURNKEY PROJECTS ......................................................................................................................... 63

8.2.1 COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR ICU IN INDIA 64
8.2.2 TRENDS OF TURNKEY PROJECTS 65

8.3 OVERVIEW OF MODULAR OPERATION THEATER ................................................................................................ 66

8.3.1 COST OF MODULAR OT IN INDIA 67
8.3.2 LAQSHYA SCHEME FOR DEVELOPMENT OF MATERNAL OPERATION THEATER 67
8.3.3 STATUS OF LAQSHYA CERTIFICATION PROGRAMME (2018-2021) 67

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 8.3.4 MODULAR OPERATION THEATER TENDERS – (01 JULY 2022- TILL 31 AUGUST 2022) 68
8.3.5 AVERAGE NUMBER OF OT PER LAKH IN INDIA AND GLOBALLY 69
8.3.6 NUMBER OF GOVERNMENT OT IN INDIA 70
8.3.7 COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR MODULAR OT 70

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 LIST OF TABLES

TABLE 1 OVERVIEW OF THE WORLD ECONOMIC OUTLOOK PROJECTIONS (% CHANGE) FROM 2020-2023
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TABLE 2 EXPENDITURE ON HEALTH AND WELL BEING (USD) 16
TABLE 3 INVESTMENT OPPORTUNITIES IN HOSPITAL/MEDICAL INFRASTRUCTURE 18
TABLE 4 FDI (FOREIGN DIRECT INVESTMENT) IN INDIA’S HEALTH SECTOR (2000-2020) 18
TABLE 5 IMPORT OF MEDICAL DEVICES IN INDIA FROM 2017-2025, (USD THOUSAND) 19
TABLE 6 EXPORT OF MEDICAL DEVICES FROM INDIA FROM 2017-2025, (USD THOUSAND) 20
TABLE 7 INDIA ICU STATISTICS: 2019 24
TABLE 8 ICU SETUP COST: INDIA, 2021 27
TABLE 9 COVID BEDS ACROSS INDIA, 2020 31
TABLE 10 DISTRIBUTION OF GOVERNMENT: HOSPITALS AND BEDS ACROSS REGIONS, 2020 31
TABLE 11 STRATEGIES USED TO EXPAND ICU BED CAPACITY DURING THE COVID-19 PANDEMIC 32
TABLE 12 GLOBAL MEDICAL ICU COST ANALYSIS, (USD): 2021 40
TABLE 13 INDIA MEDICAL ICU COST ANALYSIS, (USD): 2021 40
TABLE 14 GLOBAL SURGICAL ICU COST ANALYSIS, (USD): 2021 41
TABLE 15 INDIA SURGICAL ICU COST ANALYSIS, (USD): 2021 41
TABLE 16 GLOBAL NEUROLOGIC ICU COST ANALYSIS, (USD): 2021 42
TABLE 17 INDIA NEUROLOGIC ICU COST ANALYSIS, (USD): 2021 42
TABLE 18 GLOBAL NEONATAL ICU COST ANALYSIS, (USD): 2021 43
TABLE 19 INDIA NEONATAL ICU COST ANALYSIS, (USD): 2021 43
TABLE 20 GLOBAL PEDIATRIC ICU COST ANALYSIS, (USD): 2021 44
TABLE 21 INDIA PEDIATRIC ICU COST ANALYSIS, (USD): 2021 44
TABLE 22 GLOBAL TRAUMA ICU COST ANALYSIS, (USD): 2021 45
TABLE 23 INDIA TRAUMA ICU COST ANALYSIS, (USD): 2021 45
TABLE 24 GLOBAL CARDIAC ICU COST ANALYSIS, (USD): 2021 46
TABLE 25 INDIA CARDIAC ICU COST ANALYSIS, (USD): 2021 46
TABLE 26 IV STAND - EXPORT FROM INDIA 47
TABLE 27 IV STAND - IMPORT TO INDIA 48
TABLE 28 PARA MONITOR - EXPORT FROM INDIA 49
TABLE 29 PARA MONITOR - IMPORT TO INDIA 49
TABLE 30 OXYGEN CYLINDER - EXPORT FROM INDIA 50
TABLE 31 OXYGEN CYLINDER - IMPORT TO INDIA 50

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 TABLE 32 SUCTION MACHINE & ALPHA MATTRESS - EXPORT FROM INDIA 51
TABLE 33 SUCTION MACHINE & ALPHA MATTRESS - IMPORT TO INDIA 51
TABLE 34 NEBULIZERS - EXPORT FROM INDIA 52
TABLE 35 NEBULIZERS - IMPORT TO INDIA 52
TABLE 36 DVT PUMP - EXPORT FROM INDIA 53
TABLE 37 DVT PUMP - IMPORT TO INDIA 53
TABLE 38 DEFIBRILLATORS - EXPORT FROM INDIA 54
TABLE 39 DEFIBRILLATORS - IMPORT TO INDIA 54
TABLE 40 ANESTHESIA MACHINES - EXPORT FROM INDIA 55
TABLE 41 ANESTHESIA MACHINES - IMPORT TO INDIA 55
TABLE 42 PATIENT MONITORS - EXPORT FROM INDIA 56
TABLE 43 PATIENT MONITORS - IMPORT TO INDIA 56
TABLE 44 STERILIZERS - EXPORT FROM INDIA 57
TABLE 45 STERILIZERS - IMPORT TO INDIA 57
TABLE 46 EKG/ECG MACHINES - EXPORT FROM INDIA 58
TABLE 47 EKG/ECG MACHINES - IMPORT TO INDIA 58
TABLE 48 PRIVATE AND PUBLIC HEATHCARE INFRASTRUCTURE IN INDIA, 2020 59
TABLE 49 COST OF NEONATAL CARE IN INDIA, 2020 61
TABLE 50 LIST OF NICUS IN INDIA, 2020 61
TABLE 51 NEW CONSTRUCTION UNDERTAKEN ACROSS INDIA BY GOVERNMENT, 2020 62
TABLE 52 TURNKEY V/S THE TRADITIONAL MODELS COMPARISON 63
TABLE 53 LIST OF COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR ICU IN INDIA 64
TABLE 54 DIFFERENCES BETWEEN MODULAR OPERATION THEATRES AND CONVENTIONAL
OPERATION THEATRES 66
TABLE 55 MODULAR OPERATION THEATER TENDERS – (01 JULY 2022- TILL 31 AUGUST 2022) 68
TABLE 56 AVERAGE NUMBER OF OT PER LAKH IN INDIA AND GLOBALLY 69
TABLE 57 LIST OF COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR MODULAR OT 70

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 LIST OF FIGURES

FIGURE 1 GDP GROWTH PROJECTIONS IN FY 2022 10

FIGURE 2 INDIA’S GROSS DOMESTIC PRODUCTION FROM 2014-2020 12
FIGURE 3 CURRENT SCENARIO 13
FIGURE 4 MAJOR SEGMENTS IN INDIA’S HEALTHCARE SECTOR 14
FIGURE 5 GROWTH TREND OF INDIA’S HEALTHCARE SECTOR (USD BILLION) FROM 2014-2022 15
FIGURE 6 BED DENSITY (NUMBER OF HOSPITAL BEDS PER 1000 POPULATION) IN INDIA COMPARED TO
OTHER PARTS OF THE WORLD, 2021 15
FIGURE 7 PUBLIC V/S PRIVATE HEALTHCARE (%), 2019 16
FIGURE 8 INDIA’S PUBLIC EXPENDITURE ON HEALTHCARE (%) 21
FIGURE 9 PERCENTAGE SHARE OF NUMBER OF BEDS AND VENTILATORS AVAILABLE IN INDIA, 2020
25
FIGURE 10 NUMBERS OF ICU BEDS IN STATES ACROSS PUBLIC AND PRIVATE SECTORS, 2020 26
FIGURE 11 RATES OF INTENSIVE CARE BEDS IN HOSPITALS IN SELECT COUNTRIES WORLDWIDE, 2020
29
FIGURE 12 PERCENTAGE OF PEOPLE WITH COVID-19 WHO WERE ADMITTED TO THE ICU IN THE U.S., BY
AGE, 2020 30
FIGURE 13 ANNUAL GLOBAL MORTALITY, BY CHRONIC ILLNESS 34
FIGURE 14 PESTEL ANALYSIS 38
FIGURE 15 ICU SET-UP AND MAINTENANCE MARKET: TYPE DYNAMICS (USD): 2021 39
FIGURE 16 SHARE OF PRIVATE AND PUBLIC ICU’S IN INDIA, 2020 60
FIGURE 17 BENEFITS OF TURNKEY PROJECTS 63
FIGURE 18 STATUS OF LAQSHYA CERTIFICATION PROGRAMME (2018-2021) 67
FIGURE 19 PERCENTAGE SHARE OF GOVERNMENT AND PRIVATE OT IN INDIA, 2020 70

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 1 INDUSTRY OVERVIEW: HEALTHCARE INFRASTRUCTURE INDUSTRY

1.1 WORLD ECONOMY

According to the flagship report of International Monetary Fund (IMF) - ‘World Economic Outlook’ released on
20th April 2022, the global economy is projected to grow by (+) 3.6 % in 2022. The downgrade largely reflects the
war’s direct impacts on Russia and Ukraine and global spill overs. Both Russia and Ukraine are projected to
experience large GDP contractions in 2022.

Advanced economies are projected to expand by (+) 3.3 % in 2022 which includes the USA (+ 3.7%), Japan (+ 2.4
%), the United Kingdom (+ 3.7 %), Germany (+2.1 %), France (+2.9 %), Italy (+2.3%), and Spain (+4.8 %). The
group of emerging markets and developing economies (EMDEs) is projected to expand by +3.8 % in 2022.

India is the world's fastest-growing major economy in the world, according to Gross domestic product (GDP)
growth projections in the Financial Year (FY) 2022 by the International Monetary Fund (IMF). The IMF has
projected a fairly robust growth of 8.2% for India in 2022, making it the fastest-growing major economy in the
world, almost twice faster than China’s 4.4%. The global growth has been projected at 3.6% in 2022, down from
6.1% in 2021. The IMF's projection of global growth at 3.6% in 2022 and 2023 is 0.8 and 0.2 % lower than in the
January forecast, respectively. The downgrade largely reflects the war's direct impacts on Russia and Ukraine and
global spillovers.

FIGURE 1 GDP GROWTH PROJECTIONS IN FY 2022

India 8.20%
Spain 4.80%
China 4.40%
Canada 3.90%
UK 3.70%
Countries

USA 3.70%
Japan 3.30%
France 2.90%
Italy 2.30%
Germany 2.10%
Mexico 2.00%
Brazil 0.80%

0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00%
GDP

Source: IMF, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

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 TABLE 1 OVERVIEW OF THE WORLD ECONOMIC OUTLOOK PROJECTIONS (% CHANGE)
FROM 2020-2023

Source: IMF, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

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 1.2 INDIAN ECONOMY
India has emerged as the fastest-growing major economy in the world and is expected to be one of the top three
economic powers in the world over the next 10-15 years, backed by its robust democracy and strong partnerships.

 India’s nominal gross domestic product (GDP) at current prices is estimated to be USD 3.12 trillion in
FY22.
 India is the third-largest unicorn base in the world with over 100 unicorns with a total valuation of USD
332.7 billion.

FIGURE 2 INDIA’S GROSS DOMESTIC PRODUCTION FROM 2014-2020

3.50

3.00 2.87
2.65 2.70 2.66

2.50 2.30
2.04 2.10
USD Trillion

2.00

1.50

1.00

0.50

0.00
2014 2015 2016 2017 2018 2019 2020
Year

Source: IBEF, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

1.2.1 OVERVIEW
Certain demographic and epidemiological changes are expected to increase healthcare demand while also
influencing the types of health services required in the future. One such development is increased income, which
may result in roughly 73 million Indian households entering into the middle class over the next ten years, boosting
their purchasing power, especially in healthcare.

By 2026, it is anticipated that 8% of Indians will earn more than USD 12,000 per year. Another noteworthy trend
is the rise in life expectancy and the ageing of the population. India's life expectancy is expected to exceed 70 years
by 2022, while the country's population is expected to grow to 1.45 billion by 2028, making it the world's most
populous country.

While India has the largest population of youth of any country in the World, the number of senior citizens (those
aged 60 and more) is also increasing. In fact, it is predicted that by 2041, the proportion of senior citizens in India's
population will have doubled, from 8.6% in 2011. India is anticipated to have 300 million senior persons by the
year 2050.

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 FIGURE 3 CURRENT SCENARIO

1.2.2 HEALTHCARE SECTOR IN INDIA

Healthcare has become one of the largest sectors of the Indian economy, in terms of both revenue and employment.
It has been growing at a CAGR of 22% since 2016, employing 4.7 million people directly. The sector has the
potential to generate 2.7 million additional jobs in India between 2017-22- over 500,000 new jobs per year.

Several factors such as aging population, a growing middle class, the rising proportion of lifestyle diseases are
driving the growth of the Indian healthcare sector. In addition, an increased emphasis on public-private partnerships
as well as accelerated adoption of digital technologies, including telemedicine, besides heightened interest from
investors and increased FDI inflows over the last two decades is also boosting growth.

The Indian government has established FDI-friendly policies and has implemented extensive structural and ongoing
changes to enhance the healthcare sector. The Aatmanirbhar Bharat Abhiyaan packages include a number of
immediate and long-term health system improvements, such as Production-Linked Incentive (PLI) programmes to
increase domestic production of pharmaceuticals and medical equipment. Additionally, India is working towards
becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.

The COVID-19 pandemic has not only presented challenges but also several opportunities for India to grow. The
crisis has opened the flood gates for Indian start-ups, many of whom have risen to the occasion and accelerated the
development of low-cost, scalable, and quick solutions. Additionally, the pandemic is stimulating the country's
market for home healthcare and telemedicine.

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 All these factors, together, make India’s healthcare industry ripe for investment. In the hospital segment, the
expansion of private players to Tier 2 and Tier 3 locations, beyond metropolitan cities, offers an attractive
investment opportunity. Along with providing investment opportunities in sectors including contract manufacturing
and research, over-the-counter drugs, and vaccines, India also has the chance to increase domestic pharmaceutical
manufacture, supported by the most current PLI initiatives. The proliferation of diagnostic and pathology centers
as well as miniaturized diagnostics presents enormous prospects for businesses in the medical devices market in
India.

Over the previous two decades, India has emerged as one of the fastest-growing emerging economies, attracting
huge FDI inflows that have increased from USD 2.5 billion in 2000-2001 to USD 50 billion in 2019-2020. Investors
have become more interested in the healthcare sector in recent years, with transaction values jumping from USD
94 million in 2011 to USD 1,275 million in 2016. All of these variables combine to generate a plethora of investment
opportunities in India's healthcare sector.

FIGURE 4 MAJOR SEGMENTS IN INDIA’S HEALTHCARE SECTOR

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

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 FIGURE 5 GROWTH TREND OF INDIA’S HEALTHCARE SECTOR (USD BILLION) FROM 2014-2022
400 372

350

300 280

250
USD Billion

200
160
150
104 110
100 81

50

0
2014 2015 2016 2017 2020 2022F
Year

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

1.2.3 HEALTHCARE INFRASTRUCTURE IN INDIA

Despite economic growth and modernization, India continues to face significant challenges of unavailability and
unaffordability in healthcare services. This is substantiated by the fact that India has a lower Bed Density than the
rest of the world.

FIGURE 6 BED DENSITY (NUMBER OF HOSPITAL BEDS PER 1000 POPULATION) IN INDIA
COMPARED TO OTHER PARTS OF THE WORLD, 2021
6 5.6
Bed Density (No. of Beds per 1000

4
Population)

3 2.7
2.4 2.4

2
1.2
1
1

0
India Low Income Middle Income Low & Middle World European Union
Income

Source: World Bank, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

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 1.2.4 PRIVATE SECTOR SPENDING TREND IN INDIA
The standards of India’s public healthcare system contrast starkly with its private counterpart, which generates
billions of dollars annually from medical tourism.

For Indians, the price of private healthcare is almost four times that of the national system. About 72% of those
living in rural areas and 79% of people living in cities use private healthcare services.

FIGURE 7 PUBLIC V/S PRIVATE HEALTHCARE (%), 2019

120%

100%

80% 72%
Percentage

79%
60%

40%

20%
28% 21%
0%
Rural Urban
Sector

Public Healthcare Private Healthcare

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

1.2.5 GOVERNMENT SPENDING FOR HEALTHCARE SECTOR

TABLE 2 EXPENDITURE ON HEALTH AND WELL BEING (USD)

Ministry Department 2019-20 2020-21

Dept of health and family welfare 788.498 821.544

Dept of health research 24.4396 26.5373

Ministry of Ayush 22.5441 26.8153

COVID-19 vaccines - -

Department of water and sanitation 230.799 271.919

Nutrition 23.7572 46.7562

Total 1,090.04 1,193.57

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

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 1.2.6 GOVERNMENT INITIATIVES
Some of the major initiatives taken by the Government of India to promote Indian healthcare industry are as follows:

 In the Union Budget 2022-23:

o USD 11.28 billion was allocated to the Ministry of Health and Family Welfare (MoHFW).

o Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) was allocated USD 1.31 billion

o Human Resources for Health and Medical Education was allotted USD 982.91 million

o National Health Mission was allotted USD 4.84 billion

o Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was allotted USD 840.32
million

o The Government of India approved continuation of ‘National Health Mission’ with a budget of USD
4.85 billion

o USD 675.72 million was allocated to the newly announced PM-ABHIM to strengthen India’s health
infrastructure and improve the country’s primary, secondary and tertiary care services.

 As of April 5, 2022, 117,771 Ayushman Bharat-Health and Wellness Centres (AB-HWCs) are operational in
India.

 As of April 5, 2022, 748 e-Hospitals were established across India as part of the central government's ‘Digital
India’ initiative.

 A Scheme on “India Covid-19 Emergency Response and Health Systems Preparedness Package - Phase-II”
(ECRP-Phase-II) during 2021-22 has been approved by the Cabinet on 8.07.2021 for an amount of Rs.23,123
crores, to be implemented in 9 months from 1st July, 2021 to 31st March, 2022. The Scheme is aimed to
prevent, detect and respond to the continuing threat posed by COVID-19 and strengthen national health systems
for preparedness in India. The scheme is a Centrally Sponsored Scheme (CSS) with some Central Sector (CS)
components.

 Under CSS components of ECRP-II, support is provided to the States for provision for establishing District
Pediatric Units (42 or 32 bedded units including Oxygen Supported beds and ICU beds) in all the Districts of
the Country. Besides, support is also provided to increase the availability of ICU beds in Medical Colleges,
District Hospitals, Sub District Hospitals and Community Health Centres.

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 1.2.7 INVESTMENT OPPORTUNITIES
India's healthcare sector is in high demand from both foreign and indigenous investors. The Government’s plans to
increase budgetary allocation for public health spending to 2.5% of the country’s GDP by 2025, will benefit the
hospital sector as well. Specialty hospitals and tertiary care institutions in particular are in high demand. The amount
of beds that are currently available and those that are needed are far apart. India has fewer hospital beds per 1,000
people than the rest of the world, which means that over the next 15 years, an additional 2.2 million beds will be
required.

TABLE 3 INVESTMENT OPPORTUNITIES IN HOSPITAL/MEDICAL INFRASTRUCTURE

Sector Investment Opportunities (IIG)

Medical Infrastructure 582 Opportunities worth USD 32.16 Billion

Pharma, Biotech & Life sciences 81 Opportunities worth USD 364.37 Million

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

TABLE 4 FDI (FOREIGN DIRECT INVESTMENT) IN INDIA’S HEALTH SECTOR (2000-2020)

Health-related FDI (USD Million) 25,357

Drugs & Pharmaceuticals 16,501 16,501

Hospital & Diagnostic Centres 6,727 6,727

Medical & Surgical Appliances 2,130 2,130

Source: NITI AAYOG, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

1.3 MAINTENANCE AND TRADING OF HIGH VALUE MEDICAL EQUIPMENT

Indian medical devices market stood USD 11 Billion in 2020. The market is expected to increase at a CAGR of
35.4% from 2020 to 2025, reaching USD 50 billion, according to data published by IBEF.

The Indian medical device is driven by 75- 80% imports from countries such as the U.S, China and Germany.

The Government of India (GOI) has commenced various initiatives to strengthen the medical devices sector, with
emphasis on research and development (R&D) and 100% FDI for medical devices to boost the market.

18
©Reports and Data 2022. All Rights Reserved.
 TABLE 5 IMPORT OF MEDICAL DEVICES IN INDIA FROM 2017-2025, (USD THOUSAND)
2017 2018 2019 2020 2021 2022 2023 2024 2025

China 231,168.0 260,795.0 260,179.0 286,789.0 465,689.0 554,169.9 554,169.9 659,462.2 784,760.0

United States
377,241.0 369,483.0 379,284.0 264,858.0 374,418.0 373,715.6 373,014.4 372,314.6 371,616.1
of America

Germany 246,410.0 233,330.0 225,969.0 179,138.0 206,070.0 197,062.5 188,448.6 180,211.3 172,334.1

Japan 104,404.0 117,046.0 110,255.0 80,041.0 102,190.0 101,643.9 101,100.7 100,560.4 100,023.0

Brazil 5,618.0 6,867.0 8,580.0 5,219.0 4,893.0 4,726.9 4,566.4 4,411.3 4,261.6

France 36,635.0 47,244.0 47,971.0 28,759.0 43,659.0 45,616.1 47,660.9 49,797.4 52,029.7

Italy 19,984.0 23,346.0 27,836.0 20,812.0 38,865.0 45,896.3 54,199.7 64,005.3 75,584.9

United
16,176.0 19,509.0 25,839.0 25,874.0 27,923.0 32,006.3 36,686.6 42,051.4 48,200.7
Kingdom

Australia 5,651.0 5,852.0 6,566.0 1,572.0 2,992.0 2,552.2 2,177.1 1,857.1 1,584.2

Mexico 21,385.0 10,134.0 2,278.0 3,665.0 1,341.0 671.1 335.8 168.0 84.1

South Africa 10.0 63.0 351.0 204.0 363.0 891.0 2,187.1 5,368.3 13,176.9

Others 1,949,560.0 2,356,991.0 2,543,803.0 1,967,847.0 2,904,936.0 3,297,102.4 3,742,211.2 4,247,409.7 4,820,810.0

Source: Trade Map, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

19
©Reports and Data 2022. All Rights Reserved.
 TABLE 6 EXPORT OF MEDICAL DEVICES FROM INDIA FROM 2017-2025, (USD THOUSAND)
2017 2018 2019 2020 2021 2022 2023 2024 2025

United States of
138,830.0 206,509.0 242,415.0 208,617.0 242,198.0 278,350.7 319,899.9 367,651.2 422,530.2
America

Germany 38,862.0 46,149.0 69,270.0 68,959.0 61,765.0 69,350.0 77,866.6 87,429.0 98,165.7

China 32,542.0 48,182.0 60,694.0 57,103.0 61,053.0 71,453.4 83,625.4 97,871.0 114,543.3

Brazil 36,232.0 43,381.0 35,688.0 34,237.0 47,073.0 50,256.4 53,655.2 57,283.8 61,157.7

France 20,985.0 20,509.0 26,877.0 19,827.0 21,790.0 21,996.0 22,204.0 22,414.0 22,625.9

Italy 8,802.0 13,022.0 15,464.0 17,449.0 19,126.0 23,221.2 28,193.3 34,229.9 41,559.2

United Kingdom 8,535.0 10,297.0 13,066.0 13,459.0 15,405.0 17,855.7 20,696.2 23,988.6 27,804.8

South Africa 7,260.0 6,980.0 7,684.0 7,970.0 8,781.0 9,208.6 9,657.1 10,127.4 10,620.7

Japan 7,156.0 7,798.0 10,884.0 6,599.0 7,626.0 7,748.2 7,872.5 7,998.6 8,126.9

Australia 2,477.0 3,440.0 3,070.0 3,662.0 6,041.0 7,549.3 9,434.1 11,789.5 14,733.0

Mexico 5,639.0 4,619.0 7,168.0 8,381.0 9,609.0 10,978.6 12,543.4 14,331.3 16,374.0

Others 1,000,073.0 1,168,042.0 1,435,823.0 1,389,906.0 1,630,132.0 1,841,919.1 2,081,221.5 2,351,614.2 2,657,136.4

Source: Trade Map, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

20
©Reports and Data 2022. All Rights Reserved.
 2 INDUSTRY OVERVIEW: ICU SET-UP AND MAINTENANCE

2.1 INDIA ICU SET-UP AND MAINTENANCE MARKET OVERVIEW

The Indian healthcare sector is experiencing rapid change and has become one of India’s largest sectors, both in
terms of revenue and employment. This change has become significantly more visible over the last decade, with a
renewed focus from the government and a growing market demand for healthcare services and products. The Indian
population of nearly 1.4 billion is growing at a rate of 1.6 percent per year and has an elderly population of over
100 million. Rapid economic growth, rising middle class incomes, and increased market penetration of health
insurance are fueling growth in the industry. In addition, changing demographics and a shift from chronic to
lifestyle diseases has led to a boom in healthcare spending.

The Indian healthcare industry reached $190 billion in 2020, and according to the India Brand Equity Foundation
(IBEF), it is expected to reach $370 billion by 2024-2025, due to increased demand for specialized and higher
quality healthcare facilities. The products and services driving this growth include hospitals, medical devices,
clinical trials, telemedicine, medical tourism, health insurance, and medical equipment.

The industry’s rapid development is fueled by large investments from existing corporate hospital chains and new
entrants backed by private equity investors. However, considerable challenges exist in terms of service accessibility
and patient care quality. According to the Global Burden of Disease Study (GBD), released by the Lancet Medical
Journal in 2018, India ranks 145th among 195 countries on the healthcare index. India’s healthcare access and
quality (HAQ) index score has improved in recent years, increasing from 44.8 (out of 100) in 2015 to 67.3 in 2020.

FIGURE 8 INDIA’S PUBLIC EXPENDITURE ON HEALTHCARE (%)

2.5%
India’s public expenditure on healthcare

2.1%
2.0% 1.8%

1.5% 1.3%
(%)

1.0%

0.5%

0.0%
2021-22 2020-21 2019-20
Year

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

21
©Reports and Data 2022. All Rights Reserved.
 In the Economic Survey of 2022, India’s public expenditure on healthcare stood at 2.1% of GDP in 2021-22 against
1.8% in 2020-21 and 1.3% in 2019-20.

ICU is highly specified and sophisticated area of a hospital which is specifically designed, staffed, located, furnished
and equipped, dedicated to management of critically sick patient, injuries or complications. It is a department with
dedicated medical, nursing and allied staff. It operates with defined policies; protocols and procedures should have
its own quality control, education, training and research programmes. It is emerging as a separate specialty and can
no longer be regarded purely as part of anaesthesia, medicine, surgery or any other speciality. It has to have its own
separate team in terms of doctors, nursing personnel and other staff who are tuned to the requirement of the
speciality.

In India the scenario of ICU development is fast catching up and after initiatives, promotion, education and training
programmes of Indian Society of Critical Care Medicine (ISCCM) during last 15 years, there has been stupendous
growth in this area but much needs to be done in area of infrastructure, human resource development, protocol,
guidelines formation and research which are relevant to Indian circumstances.

India is a diverse country with different levels of health care: primary, secondary and tertiary. At advanced centres
in large cities, the ICU bed strength varies between less than 5% of the total hospital beds in majority of hospitals,
to near 10% in selected few hospitals. Large public hospitals (e.g., some corporate/chain hospitals in the
metropolitan cities/state-provincial capitals of the country) have separate medical, surgical, paediatric, cardiac,
cardiothoracic, neurology, paediatric and neonatal ICUs. Most hospitals have all/broad purpose ICUs or, at most,
medical, surgical, and coronary care units. The number of ICU beds available is disproportionately low, both in
private as well as public hospitals. Obtaining a bed in ICU is quite often difficult for critically ill patients. Owing
to shortage of ICU beds, only the most critical of the deserving patients are provided ICU care, that could contribute
to high mortality inside the ICU as well as outside the ICU (in the wards).

2.1.1 ICU PLANNING AND DESIGNING IN INDIA – GUIDELINES

Designing ICU/Level/No of ICUs/No of Beds and Individual Bed

Following ICU Levels are proposed

Level I

 It is recommended for small district hospital, small private Nursing homes, Rural centres
 Ideally 6 to 8 Beds
 Provides resuscitation and short-term Cardio respiratory support including Defibrillation
 ABG Desirable
 It should be able to Ventilate a patient for at least 24 to 48 hrs and Noninvasive Monitoring like - SPO2, H
R and rhythm (ECG), NIBP, Temperature etc
 Able to have arrangements for safe transport of the patients to secondary or tertiary centres
 The staff should be encouraged to do short training courses like FCCS or BASIC ICU Course
 In charge should be preferably a trained doctor in ICU technology and knowledge

22
©Reports and Data 2022. All Rights Reserved.
  Blood Bank support
 Should have basic clinical Lab (CBC, BS, Electrolyte, LFT and RFT) and Imaging back up (X-ray and
USG), ECG
 Some Microbiology may be desirable
 At least one book on Critical Care Medicine as ready reckoner

Level II (Recommendations of Level I Plus)

 Recommended for larger General Hospitals

 Bed strength 6 to 12
 Director be a trained/qualified Intensivist
 Multisystem life support
 Invasive and Noninvasive Ventilation
 Invasive Monitoring
 Long term ventilation ability
 TC Pacing
 Access to ABG, Electrolytes and other routine diagnostic support 24 hrs
 Strong Microbiology support with facility for Fungal Identification desirable
 Nurses and duty doctors trained in Critical Care
 CT must & MRI is desirable
 Protocols and policies for ICUs are observed
 Research will be highly recommended
 Should be supported ideally by Cardiology and other super specialities of Medicine and Surgery
 HDU facility will be desirable
 Should fulfil all requirements for IDCC Course
 Resident doctors must be exposed to FCCS course/BASIC course/Ventilation workshops and other updates
 Blood banking either own or outsourced

Level III (All recommendations of Level II Plus)

 Recommended for tertiary level hospitals

 Bed strength 10 to 16 with one or multiple ICUS as per requirement of the institution
 Headed by Intensivist
 Preferably Closed ICU
 Protocols and policies are observed
 Have all recent methods of monitoring, invasive and noninvasive including continuous cardiac output,
SCvO2 monitoring etc
 Long term acute care of highest standards
 Intra and inter-hospital transport facilities available
 Multisystem care and referral available round 24 hrs

23
©Reports and Data 2022. All Rights Reserved.
  Should become lead centres for IDCC and Fellowship courses
 Bedside x-ray, USG, 2D-Echo available
 Own or outsourced CT Scan and MRI facilities should be there
 Bedside Broncoscopy
 Bedside dialysis and other forms of RRT available
 Adequately supported by Blood banks and Blood component therapy
 Optimum patient/Nurse ratio is maintained with 1/1 pt/Nurse ratio in ventilated patients
 Protocols observed about prevention of infection
 Provision for research and participation in National and International research programmes
 Patient area should not be less than 100 sq ft per patient (>125 sq ft will be ideal). In addition there is
optimum additional space for storage, nursing station and relatives
 The unit is assisted by an Ethical Committee which formulates policies about DNAR, Organ donation,
EOLS etc.
 Doctors, Nurses and other support staff be continuously updated in newer technologies and knowledge in
critical Care

2.1.2 INDIA ICU STATISTICS

There were an estimated 95 thousand intensive care unit hospitals beds across India in 2019. Of these, private
hospitals had the highest number of beds at around 59 thousand, compared to around 36 thousand ICU beds in
public hospitals.

TABLE 7 INDIA ICU STATISTICS: 2019

Total Hospital Beds 1.9 Million

Public Hospital Beds 713,986

Private Hospital Beds 1,185,242

Total Intensive Care Unit Beds 94,961

Public Intensive Care Unit Beds 35,699

Private Intensive Care Unit Beds 59,262

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

24
©Reports and Data 2022. All Rights Reserved.
 FIGURE 9 PERCENTAGE SHARE OF NUMBER OF BEDS AND VENTILATORS AVAILABLE IN
INDIA, 2020

5.3%
11.0%
6.5%

7.2%
10.8%

9.7%
10.6%

West Bengal Tamil Nadu Uttar Pradesh Karnataka Maharashtra Rajasthan Kerala

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

According to research, India has approximately 1,900,000 hospital beds, 95,000 ICU beds, and 48,000 ventilators.
Most of the beds and ventilators in India are spread across seven states – West Bengal (11 percent), Tamil Nadu
(10.8 percent), Uttar Pradesh (10.6 percent), Karnataka (9.7 percent), Maharashtra (7.2 percent), Rajasthan (6.5
percent) and Kerala (5.3 percent).

25
©Reports and Data 2022. All Rights Reserved.
 FIGURE 10 NUMBERS OF ICU BEDS IN STATES ACROSS PUBLIC AND PRIVATE SECTORS, 2020
20,000

18,000

16,000 4000
3800
14,000
Number of ICU Beds

2500
12,000

10,000 4000

8,000 4000
14,000
6,000 13,000 500
11,450
4,000 7900
5800 5000
2,000

0
Uttar Pradesh Karnataka Maharashtra Tamil Nadu West Bengal Telangana
States

Private Public

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

26
©Reports and Data 2022. All Rights Reserved.
 2.1.3 ICU SETUP COST: INDIA
The cost to set up a hospital in India depends on two per-determinants:

1. The intended capacity of the health care facility

2. The level of health care the facility intends to offers

TABLE 8 ICU SETUP COST: INDIA, 2021

Sl.
Departments Facilities & Items Qty Cost (INR)
No.

Outpatient check-up rooms with proper

preliminary diagnostic devices 2-3 50,000
1. Multispecialty Dental Chair 1 2,50,000
OPD
ENT check-up workstation with audiometer and 1 3,00,000
tympanometry

General (beds) 5,50,000

In-patient 20
ICU/ICCU(beds) 19,90,000
2. Ward ≤10
Nursery with Intensive Care 9,00,000

Basic operation room 20,40,000

3. OR Setup 2
With optional laparoscopic facility (+) 18,00,000

Emergency
4. - 1 6,43,000
Block

38,50,000
Radiology, pathology, and imaging rooms
Diagnostic 8,00,000
5. separately 1
Framework (+)
With optional MRI machine (each dept.)
1,00,00,000

6. CSSD Sterilization equipment and storage 2,75,000

Ambulatory
7. Medical vehicle with life support 1 5,00,000
Service

Refrigerated and regulatory guidelines complied

Special
8. storage facility for blood bank and blood 1 5,00,000
Storage
products

9. Mortuary - 1 4,00,000

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

27
©Reports and Data 2022. All Rights Reserved.
 2.2 GLOBAL ICU SET-UP AND MAINTENANCE MARKET OVERVIEW
The frequent outbreaks of pandemic diseases such as Influenza, Ebola, and the recent Covid-19, has put enormous
pressure on healthcare authorities and health services to draft and discuss preparedness plans that include the
increase in number of ICU beds, to accommodate critically ill patients. During pandemics, most patients require
ICU admission and this drives the market for ICU beds. Even in most well-developed countries, ICU beds are often
close to capacity during such out-breaks.

Patients with severe COVID-19 disease require approximately 14 days of respiratory support in ICU. Such lengthy
treatment time will further stress resources. Therefore, the frequent outbreaks of pandemics are expected to drive
the overall ICU beds market.

Critical care is often described as expensive care that includes high cost of resources. In the U.S., although ICU
beds comprise less than 10% of hospital beds, ICU departments consume 22% of total hospital costs.

ICU beds tend to cost threefold higher than a bed in a general ward. ICU beds cost between $25,000 and $30,000,
significantly more than other medical/surgical beds, which typically cost $5,000 to $10,000 a bed.

Bariatric beds are even more expensive, which are nearly about $35,000 to $40,000 each. The escalating demand
for critical care services put financial strain on both health care systems, and also on patients, who pay completely
or partially out-of-pockets for these services. Therefore, high prices of ICU beds are a restraint on the growth of the
ICU beds market.

28
©Reports and Data 2022. All Rights Reserved.
 FIGURE 11 RATES OF INTENSIVE CARE BEDS IN HOSPITALS IN SELECT COUNTRIES
WORLDWIDE, 2020

Germany

Austria

U.S.

France
Countries

Canada

England

Spain

Italy

Denmark

Ireland

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0

Number of beds per 100,000 population

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

As of 2020, it was estimated that Germany had around 34 intensive care beds in hospitals per 100,000 population.
This statistic shows rates of intensive care beds in hospitals in select countries worldwide as of 2020. In the course
of the COVID-19 pandemic, the availability of critical care beds has become a major issue across all affected
countries.

29
©Reports and Data 2022. All Rights Reserved.
 3 COVID-19 IMPACT ASSESSMENT

3.1 IMPACT ASSESSMENT

Since December 2019, the Coronavirus disease-19 (COVID-19) pandemic has affected more than 110 million
patients and led to more than 2.4 million deaths worldwide. Unfortunately, global cases continued to rise, with
many countries facing additional waves of infection, some of which were even more worrisome than the first.
Healthcare systems have been challenged but have also shown remarkable adaptability.

COVID-19 can affected the global economy in three main ways: by directly affecting production and demand, by
creating supply chain and market disruption, and by its financial impact on firms and financial markets. The
outbreak of COVID-19 has brought effects on many aspects, like flight cancellations travel bans and quarantines
restaurants closed all indoor events restricted over forty countries state of emergency declared massive slowing of
the IT Spending market volatility falling business confidence, growing panic among the population, and uncertainty
about future.

The growing number of COVID-19 patients with respiratory failure has led to an unprecedented surge of ventilators,
leading to shortage of mechanical ventilators. To mitigate this worldwide shortage, major key players as well as the
small scale manufacturers have increased the production of ventilators.

For instance, in March 2020, Medtronic increased the production of ventilators by more than 40% due to
coronavirus outbreak and to cater to the increase of demands of the patients and healthcare systems.

Intensive care unit is one of the most critically functioning operational environments in a hospital. It provides the
critical care, and life support for acutely ill and injured patients. ICU equipment includes life support, real-time
patient monitoring, and emergency resuscitation devices; and diagnostic devices.

FIGURE 12 PERCENTAGE OF PEOPLE WITH COVID-19 WHO WERE ADMITTED TO THE ICU IN
THE U.S., BY AGE, 2020
6.00%
Percentage of COVID-19 Patients

5.00%

4.00%

3.00%

2.00%

1.00%

0.00%
9 years or 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80 years Total
younger years years years years years years years and older
Age Group

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

30
©Reports and Data 2022. All Rights Reserved.
 3.1.1 INDIA HAS LONG BEEN SHORT OF HOSPITAL BEDS. THE PANDEMIC INTENSIFIED THE
SHORTAGE
When India country was ravaged by an aggressive second wave of the virus in March-April, there were fewer beds
for Covid patients, not just in Delhi but also in many other parts of the country, including Mumbai.

TABLE 9 COVID BEDS ACROSS INDIA, 2020

Dedicated Covid treatment facilities 15,375

Dedicated isolation beds 15,41821

Oxygen supported beds 2,70,738

ICU Beds 80,583

Ventilator Beds 40,545

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

TABLE 10 DISTRIBUTION OF GOVERNMENT: HOSPITALS AND BEDS ACROSS REGIONS, 2020

Hospitals Beds

Rural 21,403 2,65,275

Urban 4,375 4,48,711

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

The pandemic has underscored the need to urgently invest in the public sector healthcare infrastructure. The current
wave of the pandemic is set to extract a huge toll due to the inadequacies of the healthcare infrastructure.

There might be a third wave in the not too distant future. However, urgent measures taken now by the Union and
state governments to upgrade the quality of healthcare infrastructure and hospital care can limit the damage inflicted
by it.

3.2 UPCOMING STRATEGIES REQUIRED TO COMBAT THE CURRENT SITUATION

As the COVID‐19 pandemic continues to expand throughout the world, innovative methods are required to involve
residents in the care of critically ill COVID‐19 patients. Telemedicine is one of the promising technologies which
is having a significant focus during the pandemic. Several initiatives and implementations have been carried out by
various government organizations and market players related to tele ICU which are likely to drive the market
growth. For instance,

31
©Reports and Data 2022. All Rights Reserved.
 In July 2020, Physician anesthesiologists at the New Hampshire Society of Anesthesiologists (NHSA) have launched
Tele-intensive Care Unit (Tele-ICU) hub to collaborate with physicians in rural hospitals to ensure infected patients
from across the state get critical care expertise at no expense while receiving care close to home in Chicago.

In August 2020, Advanced ICU Care launched comprehensive tele-ICU care in collaboration with CentraState
Medical Center located in New Jersey.

India is in the top 5 countries with the highest amount of COVID-19 cases. The country’s healthcare system was
under immense pressure as infections spike. Leveraging its clinical, technical and design expertise, several
companies have developed new mobile ICUs to address the challenging needs of critical-care services in India. For
instance,

In July 2020, Royal Philips, a global leader in health technology announced that it introduced first-of-its-kind
mobile Intensive Care Units (ICUs) in India. Designed to meet the critical-care requirements of patients, each
prefabricated ICU has a capacity of nine beds.

Furthermore, the COVID-19 pandemic has highlighted a pre-existing shortage of critical care specialists, nurses
and other clinicians across the U.S. and around the world. In response to the critical care shortage GE Healthcare
announced a multi-year agreement with Oregon Health & Science University (OHSU), Oregon’s only academic
health center, that allow OHSU to oversee and help provide care to ICU patients across eight hospital sites via a
“Virtual ICU” (VICU), using the GE Healthcare Mural Virtual Care Solution.

TABLE 11 STRATEGIES USED TO EXPAND ICU BED CAPACITY DURING THE COVID-19 PANDEMIC

Area Strategy

Use of non-operational ICU beds

Within Converting large ICU rooms to double rooms for 2 patients
ICU
Shifting low-acuity patients to the wards

Repurposing other monitored beds (post-anesthetic care units, stepdown, stroke units, endoscopy
suites and emergency departments and operating rooms) to ICUs
Within
hospital Repurposing wards to ICUs

Establishing de novo ICUs

Outside
Field hospitals
hospital

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

32
©Reports and Data 2022. All Rights Reserved.
 4 ICU SET-UP AND MAINTENANCE SEGMENTATION & IMPACT ANALYSIS

4.1 INDUSTRIAL OUTLOOK

4.1.1 MARKET DRIVER ANALYSIS

2021–2022 2022–2024 2025–2030
Market Drivers
Impact

Growing prevalence of chronic diseases

Improvement in hospital infrastructures

Growing demand for intensive care

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

4.1.1.1 GROWING PREVALENCE OF CHRONIC DISEASES

Chronic diseases, such as cardiovascular diseases, cancer, neurological diseases, and respiratory diseases, are
globally prevalent. For instance, according to the Centres for Disease Control and prevention, approximately 133
Americans have at least one chronic disease. They require ongoing monitoring or treatment, leading to long-term
hospitalization and intensive care. Hence, the growing prevalence of chronic diseases has simultaneously led to an
increasing number of patient admissions in the critical care unit, which is projected to drive the market growth.

For instance, according to a research article published in the National Centre for Biotechnology Information
(NCBI), in 2019, in the U.S.., intensive care unit readmission and re-hospitalization risk among COPD patients was
44% within five years of discharge.

Additionally, the burden of respiratory disease is ring globally, owing to various factors, such as obesity, smoking,
and lifestyle changes. At severe stage of respiratory diseases, acute respiratory failure often requires intensive care
unit admission.

According to a research article published by the National Centre of Biotechnology Information (NCBI), In
Germany, around 2.1 million patients are admitted to intensive care unit each year, out of which an estimated 42.0%
of patients require mechanical ventilation.

33
©Reports and Data 2022. All Rights Reserved.
 Worldwide annual mortality due to chronic disease is expected to increase in real numbers as well as relative to
deaths from injuries and diseases traditionally understood to be infectious such as polio, rubella, tuberculosis, etc.

FIGURE 13 ANNUAL GLOBAL MORTALITY, BY CHRONIC ILLNESS

Cardiovascular Diseases Cancer

Respiratory Diseases (asthma, COPD) Diabetes

250
Other Non-communicable Diseases

200
45
Millions Of Deaths

150
50

28
100 22
33 48
28

50 31
25 38
22
20
27
12 16
0
1990 2002 2020
Year

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

4.1.1.2 IMPROVEMENT IN HOSPITAL INFRASTRUCTURES

The growing trend of digitalization of healthcare, the integration of advanced AI/ML algorithms, cloud deployment
of healthcare systems, rising expenditure, inefficient facility management, and overburdened systems are creating
a surge in demand for healthcare infrastructure. Care facilities would be able to integrate and streamline their
workflows, drive their operational and functional outcomes, enhance data management and security, and deliver
optimum care. It is anticipated to boost the adoption and demand for cloud infrastructure systems and bolster the
market growth.

The pandemic positively impacted the demand for advanced cloud infrastructure and solutions due to the rise in the
implementation of these systems across several organizations. The Covid-19 pandemic has upended how businesses
function and has overburdened back-end support services and increased traffic on networks.

The pandemic led to remote working and relying on virtual digital events, which significantly increased the demand
for cloud infrastructure implementation. Clinical providers are rapidly adjusting to adopt these advanced solutions.
Furthermore, the implementation of these systems and solutions allows organizations to drastically cut down on
their IT spending and focus on seamlessly remote working.

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 4.1.1.3 GROWING DEMAND FOR INTENSIVE CARE
Intensive care represents the highest patient care and treatment level designated for critically ill patients with
potentially recoverable life-threatening conditions. This intensive care for patients is given in the intensive care unit
a separate self-contained area within a medical facility equipped with high-tech specialized facilities.

The growing geriatric population with the rising prevalence of chronic diseases and emerging health threats, such
as coronavirus, are contributing to the global market growth. For instance, in March 2020, Philips announced to
ramp up the production of critical healthcare products to help diagnose and treat patients with the new coronavirus
disease. It doubled the production of hospital ventilators and achieved a four-fold increase by the third quarter of
2020.

4.1.2 MARKET RESTRAINTS ANALYSIS

2021–2022 2022–2024 2025–2030

Market Restraints
Impact

High cost of treatment and expensive set

up

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

4.1.2.1 HIGH COST OF TREATMENT AND EXPENSIVE SET UP

Despite the growing population and chronic disease burden, certain factors are restraining the growth of the market.
One of the major restraining factors among them is the high price tag of critical care equipment. Higher costs of the
equipment result in a higher cost per patient admission in the critical care unit. For instance, according to the
economic analysis, the cost per patient admission in the ICU ranges from about USD 1,783 to USD 78,435. Hence,
the overall treatment cost in the ICU is an out-of-pocket expense in emerging countries, which limits the market
growth.

Due to the high cost associated with the equipment, many healthcare providers operating in emerging countries rely
on purchasing refurbished equipment for their facilities. This factor significantly hampers the growth of the market.
For instance, mid-sized private hospitals that account for over 90% of the total number of the healthcare providers
in India cannot afford expensive systems, such as patient monitoring equipment and ventilators. In March 2020, the
Union Ministry of India eased the import policy and commissioned the import of second-hand ventilators until
September 2020, as coronavirus infections skyrocketed. In addition to this, higher import duties on advanced
equipment are projected to impact the market growth over the forecast duration significantly.

35
©Reports and Data 2022. All Rights Reserved.
 4.1.3 MARKET OPPORTUNITIES ANALYSIS

2021–2022 2022–2024 2025–2030

Market Opportunities
Impact

Technological advancement in the

treatment facilities

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

4.1.3.1 TECHNOLOGICAL ADVANCEMENT IN THE TREATMENT FACILITIES

In the past few decades, a particularly rapid period of technological advancement has been witnessed in the area of
critical care. The incorporation of artificial intelligence (AI) in the ventilators is one of the most current market
trends across the globe. For instance, in August 2020, when ventilators have become critical for treating severe
coronavirus cases, an India-Dutch start-up LEVEN Medical, developed smart ventilators that are integrated with
AI and machine learning (ML).

Moreover, the beds are witnessing innovative developments, such as wireless beds that provide higher service and
function levels, such as caregiver and patient assistance, real-time monitoring, automated functions and positions,
and data logging. For instance, in October 2020, Stryker announced the global launch of the industry’s first and
only completely wireless hospital bed, ProCuity. This intelligent bed was designed to help reduce in-hospital patient
falls at all acuity levels, improve nurse workflow efficiencies and safety, and help lower hospital costs. It is the only
bed in the market today that can connect seamlessly to nurse call systems without cables or wires.

Thus, such increasing advancements in the ICU equipment are anticipated to drive market growth over the forecast
period.

4.1.4 MARKET CHALLENGES ANALYSIS

2021–2022 2022–2024 2025–2030

Market Challenges
Impact

Lack of proper training

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

36
©Reports and Data 2022. All Rights Reserved.
 4.1.4.1 LACK OF PROPER TRAINING
The absence of proper education and training is closely tied to the negative consequences of technology, such as
staff errors, stress, and limited autonomy. ICU nurses must gain information and clinical skills through a lifelong
learning approach to retain competency because undergraduate education cannot address training for continually
changing equipment. Continuous education and training programs are required to keep pace with technological
advancements and provide accurate information about capabilities, potential applications, and user requirements
for the safe and effective use of new, more complicated devices, particularly their advantages over previous models.

4.2 REGULATORY FRAMEWORK

Guidelines for the provision of intensive care services-

 Critical care units must hold multi-professional clinical governance meetings, including analysis of mortality
and morbidity.
 The unit must participate in a National Audit Programme for Adult Critical Care.
 Critical care units must participate in a mortality review programme using appropriate methodology to
maximize learning and improvements in care
 Critical care units should participate in a programme of hospital-acquired infection surveillance to monitor
and benchmark rates of catheter-related bloodstream infections, antimicrobial use, and frequency of multi-
resistant infections.

Recommendations-

 The UK intensive care community should encourage and develop a validated methodology to review referrals
to intensive care and evaluate decision making and subsequent outcomes relating to intensive care admission
and refusal.
 Units should develop a consistent approach to patient-centred decision making, evaluating burdens and benefits
of admission to intensive care, and be able to demonstrate this through the audit of pre-admission consultation,
agreed ceilings of therapy, and time-limited treatment trials.
 Longer-term mortality should be collected on all patients admitted to critical care.
 The UK intensive care community should encourage and develop validated measures of longerterm patient-
and family-centred outcomes beyond mortality, including measures of functional ability, socioeconomic
consequences, and carer burden.
 The UK intensive care community should encourage and develop validated measures of quality of care relating
to end of life and bereavement.

37
©Reports and Data 2022. All Rights Reserved.
  Critical care units should consider systematic assessment of patient and family experiences and demonstrate
how these are used to guide improvement.

4.3 PESTEL ANALYSIS

FIGURE 14 PESTEL ANALYSIS

Source: NCBI, ISCCM, CDDEP, CDC, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data

38
©Reports and Data 2022. All Rights Reserved.
 5 ICU SET-UP AND MAINTENANCE MARKET BY TYPE INSIGHTS & TRENDS

KEY TRENDS & HIGHLIGHTS

 Medical ICU segment set-up is expected to cost 1,54,567.6 (Level-2) in India.

5.1 ICU SET-UP AND MAINTENANCE COST

Based on type, the market has been segmented into Medical ICU, Surgical ICU, Neurologic ICU, Neonatal ICU,
Pediatric ICU, Trauma ICU and Cardiac ICU.

FIGURE 15 ICU SET-UP AND MAINTENANCE MARKET: TYPE DYNAMICS (USD): 2021

3,500,000.0
3,140,264.9 3,129,669.9
3,000,000.0

2,500,000.0 2,288,810.4

2,000,000.0

1,500,000.0
1,231,645.6

923,609.9
1,000,000.0 864,360.8
679,039.9
495,638.0
447,694.0
500,000.0 233,526.9
156,000.0
154,567.6 66,807.0 81,128.4
-
Medical ICU Surgical ICU Neurologic Pediatric ICU Neonatal ICU Trauma ICU Cardiac ICU
ICU
India Worldwide

Source: Reports and Data, Secondary Research and Primary Interviews.

39
©Reports and Data 2022. All Rights Reserved.
 5.2 MEDICAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
The medical intensive care unit is dedicated to the care of adult patients with medical conditions requiring frequent
observation, specialized monitoring and medical treatment. These include illnesses such as diabetic ketoacidosis,
gastrointestinal bleeding, drug overdose, respiratory failure, sepsis, stroke and cancer. The diseases need specialized
care and high-tech tools including anesthesia machines, respiratory ventilators, EKG machines, sequential
compression devices, and others to be treated effectively. For example, using a Sequential Compression Device
(SCD), which enhances blood flow in the legs, (Deep vein thrombosis) DVT is prevented. SCDs have the
appearance of "sleeves," which wrap around the legs and inflate one at a time with air. By simulating walking, this
reduces the risk of blood clots.

5.2.1 GLOBAL MEDICAL ICU COST ANALYSIS, (USD): 2021

TABLE 12 GLOBAL MEDICAL ICU COST ANALYSIS, (USD): 2021

ICU
RESPIRATORY ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS
MONITORING SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 1,65,000.0 48,384.7 77,000.2 13,284.0 1,25,496.1

Level II 3,30,000.0 96,769.3 1,92,500.6 39,852.0 2,64,488.0

Level III 4,40,000.0 1,29,025.8 3,08,001.0 53,136.0 4,76,550.2

Source: Reports and Data, Secondary Research and Primary Interviews.

5.2.2 INDIA MEDICAL ICU COST ANALYSIS, (USD): 2021

TABLE 13 INDIA MEDICAL ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 3,120.0 3,900.0 13,000.0 26,000.0 11,693.4

Level II 6,240.0 7,800.0 32,500.0 78,000.0 30,027.6

Level III 8,320.0 10,400.0 52,000.0 1,04,000.0 52,764.3

Source: Reports and Data, Secondary Research and Primary Interviews.

40
©Reports and Data 2022. All Rights Reserved.
 5.3 SURGICAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
The surgical intensive care unit is dedicated to the management of postoperative patients, including postoperative
patients who have undergone major abdominal surgeries, craniotomy patients, thoracotomy patients, unstable
multiple trauma patients and any surgical patient who requires continuous monitoring or life support. The SICU is
well-equipped with modern ventilators, non-invasive ventilation systems, multi-modular monitors, dedicated
ultrasound systems, bronchoscopes, defibrillators, dialysis machines, portable X-ray machines, CRRTs, and ABG
machines to evaluate sick patients immediately; volume, syringe infusion & feeding pumps for precision delivery,
and dedicated beds for hemodialysis are some of the major equipment used in the SICU. For example, defibrillators
are machines that send an electric pulse or shock to the heart to restore a normal heartbeat. They are used to prevent
or treat an irregular heartbeat that beats too slowly or too quickly, called arrhythmia. If the heart suddenly stops,
defibrillators can also help it beat again.

5.3.1 GLOBAL SURGICAL ICU COST ANALYSIS, (USD): 2021

TABLE 14 GLOBAL SURGICAL ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION SURGERY SUCTION OTHER
Level ICU BEDS MONITORING
SYSTEM MACHINE COMPONENTS
SYSTEM

Level I 1,65,000.0 48,384.7 77,000.2 900.0 27,820.0

Level II 3,30,000.0 96,769.3 1,92,500.6 2,700.0 57,070.0

Level III 4,40,000.0 1,29,025.8 3,08,001.0 3,600.0 1,06,690.0

Source: Reports and Data, Secondary Research and Primary Interviews.

5.3.2 INDIA SURGICAL ICU COST ANALYSIS, (USD): 2021

TABLE 15 INDIA SURGICAL ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION SURGERY SUCTION OTHER
Level ICU BEDS MONITORING
SYSTEM MACHINE COMPONENTS
SYSTEM

Level I 3,120.0 3,900.0 13,000.0 338.0 12,259.0

Level II 6,240.0 7,800.0 32,500.0 1,014.0 19,253.0

Level III 8,320.0 10,400.0 52,000.0 1,352.0 32,942.0

Source: Reports and Data, Secondary Research and Primary Interviews.

41
©Reports and Data 2022. All Rights Reserved.
 5.4 NEUROLOGIC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
The patients in the Neuro ICU have serious brain tumours, strokes, or traumas, and many of them go through
neurosurgery. These may involve the placement of various invasive brain monitoring devices, craniotomies for
injuries, the repair of cerebral aneurysms, or the removal of tumours. The recovery of patients undergoing minimally
invasive endovascular operations to treat cerebral aneurysms or other vascular illnesses is carefully tracked in the
Neuro ICU. Cardiovascular telemetry, routine noninvasive blood pressure checks by automatic cuff inflation or
continuous invasive arterial blood pressure recording, pulse oximetry, and core body temperature are examples of
systemic monitoring in the NICU. Additionally, there are various other equipments utilised in the NICU, such the
Flexible Fiberoptic Bronchoscope, Pulse index Continuous Cardiac Monitoring (PiCCO), Transcranial Doppler,
Ultrasound Machine, and others. For instance, the Pulse Index Continuous Cardiac Monitoring (PiCCO) system
combines transcardiopulmonary thermodilution with pulse contour analysis to integrate static and dynamic
hemodynamic data.

5.4.1 GLOBAL NEUROLOGIC ICU COST ANALYSIS, (USD): 2021

TABLE 16 GLOBAL NEUROLOGIC ICU COST ANALYSIS, (USD): 2021

INTRACRANIAL
ICU VENTILATION OTHER
Level ICU BEDS PRESSURE DEFIBRILLATORS
SYSTEM COMPONENTS
MONITORS

Level I 1,65,000.0 3,00,000.0 77,000.2 5,598.3 28,620.0

Level II 3,30,000.0 6,00,000.0 1,92,500.6 16,795.0 92,350.0

Level III 4,40,000.0 8,00,000.0 3,08,001.0 22,393.3 1,38,350.0

Source: Reports and Data, Secondary Research and Primary Interviews.

5.4.2 INDIA NEUROLOGIC ICU COST ANALYSIS, (USD): 2021

TABLE 17 INDIA NEUROLOGIC ICU COST ANALYSIS, (USD): 2021

INTRACRANIAL
ICU VENTILATION OTHER
Level ICU BEDS PRESSURE DEFIBRILLATORS
SYSTEM COMPONENTS
MONITORS

Level I 3,120.0 4,680.0 13,000.0 2,600.0 13,871.0

Level II 6,240.0 9,360.0 32,500.0 7,800.0 42,744.0

Level III 8,320.0 12,480.0 52,000.0 10,400.0 64,051.0

Source: Reports and Data, Secondary Research and Primary Interviews.

42
©Reports and Data 2022. All Rights Reserved.
 5.5 NEONATAL ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
Premature, high-risk, and severely unwell infants are managed in the neonatal intensive care unit. The neonatal
intensive care unit also treats newborns with congenital diseases and birth problems. The NICU is equipped with
cutting-edge equipment and skilled medical staff to provide specialised treatment for the tiniest patients. Umbilical
catheter, catheter, tracheostomy tubes, orogastric tubes, extracorporeal membrane oxygenators, cooling blankets or
caps, apnea monitors, and other equipment are some of the key equipment used in NICUs. For instance, an umbilical
catheter is a tiny tube that is inserted into the baby's umbilical cord's arteries after the cord is severed after delivery.
Through the tube, medical professionals can administer fluids, blood, medications, and nutrients including vitamins
and minerals to the infant. The tube is also used to draw blood from the infant. The baby's blood pressure can be
checked by caregivers using a little connection to the tube which is a useful method.

5.5.1 GLOBAL NEONATAL ICU COST ANALYSIS, (USD): 2021

TABLE 18 GLOBAL NEONATAL ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION TRANSCUTANEOUS OTHER
Level ICU BEDS MONITORING
SYSTEM BILIRUBINOMETER COMPONENTS
SYSTEM

Level I 1,65,000.0 48,384.7 77,000.2 2,600.0 10,99,225.0

Level II 3,30,000.0 96,769.3 1,92,500.6 5,200.0 25,05,200.0

Level III 4,40,000.0 1,29,025.8 3,08,001.0 6,500.0 27,94,200.0

Source: Reports and Data, Secondary Research and Primary Interviews.

5.5.2 INDIA NEONATAL ICU COST ANALYSIS, (USD): 2021

TABLE 19 INDIA NEONATAL ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION TRANSCUTANEOUS OTHER
Level ICU BEDS MONITORING
SYSTEM BILIRUBINOMETER COMPONENTS
SYSTEM

Level I 3,120.0 3,900.0 13,000.0 1,950.0 79,901.9

Level II 6,240.0 7,800.0 32,500.0 3,900.0 3,97,254.0

Level III 8,320.0 10,400.0 52,000.0 4,875.0 4,87,337.5

Source: Reports and Data, Secondary Research and Primary Interviews.

43
©Reports and Data 2022. All Rights Reserved.
 5.6 PEDIATRIC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
In a PICU, children’s respiration, heart rate, and blood pressure are continuously monitored by nurses who provide
acute nursing care. Additionally, the medical staff is able to offer treatments in the Pediatric Intensive Care Unit
that might not be available in other hospital departments. It includes equipment for intense therapy, including a
pediatric laryngoscope, an echocardiography machine, an ophthalmoscope, and others. There are different sizes,
shapes, and other characteristics of the equipment, such as the nebulizer mask, T-piece, stethoscope, etc. It is
typically colorful and cheerful for children. Most common cases are congenital anomalies, respiratory failure,
poison and others.

5.6.1 GLOBAL PEDIATRIC ICU COST ANALYSIS, (USD): 2021

TABLE 20 GLOBAL PEDIATRIC ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 1,50,000.0 48,384.7 77,000.2 5,598.3 11,07,805.0

Level II 3,00,000.0 96,769.3 1,92,500.6 16,795.0 25,34,200.0

Level III 4,00,000.0 1,29,025.8 3,08,001.0 33,589.9 47,64,345.0

Source: Reports and Data, Secondary Research and Primary Interviews.

5.6.2 INDIA PEDIATRIC ICU COST ANALYSIS, (USD): 2021

TABLE 21 INDIA PEDIATRIC ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 3,120.0 3,900.0 13,000.0 26,000.0 83,190.9

Level II 6,240.0 7,800.0 32,500.0 52,000.0 3,97,098.0

Level III 8,320.0 10,400.0 52,000.0 65,000.0 4,80,740.0

Source: Reports and Data, Secondary Research and Primary Interviews.

44
©Reports and Data 2022. All Rights Reserved.
 5.7 TRAUMA ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
Trauma is a significant global health concern since it is a primary cause of mortality and morbidity worldwide.
According to estimates from the World Health Organization (WHO), trauma accounts for 9% of all fatalities
worldwide. Additionally, 100 million people experience temporary or permanent disabilities each year. Trauma
patients frequently require surgery related to their accident and require the highest level of intensive care,
necessitating the use of advanced monitoring equipment as well as other equipment, such as a video laryngoscope,
an electrocardiograph-oscilloscope-defibrillator, tourniquets, a thoracostomy, thermal control equipment,
craniotomy instruments, and others. For example, Optical stylets and video laryngoscopes are hard instruments that
provide indirect laryngoscopy, or the vision of the vocal cords and associated airway structures without a direct line
of sight. In their most basic form, VLs are retractor devices with lighting and optical components. In comparison,
OS don't offer much retraction. They are tubular objects that slide within the tracheal tube and transmit images
through either a fiberoptic bundle or a video camera.

5.7.1 GLOBAL TRAUMA ICU COST ANALYSIS, (USD): 2021

TABLE 22 GLOBAL TRAUMA ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 1,65,000.0 1,65,000.0 77,000.2 7,00,000.0 2,15,467.8

Level II 3,30,000.0 3,30,000.0 1,92,500.6 1,80,000.0 12,56,309.8

Level III 4,40,000.0 4,40,000.0 3,08,001.0 3,60,000.0 22,62,279.8

Source: Reports and Data, Secondary Research and Primary Interviews.

5.7.2 INDIA TRAUMA ICU COST ANALYSIS, (USD): 2021

TABLE 23 INDIA TRAUMA ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 3,120.0 3,900.0 13,000.0 9,100.0 1,01,364.1

Level II 6,240.0 7,800.0 32,500.0 27,300.0 1,59,686.9

Level III 8,320.0 10,400.0 52,000.0 54,600.0 3,97,287.9

Source: Reports and Data, Secondary Research and Primary Interviews.

45
©Reports and Data 2022. All Rights Reserved.
 5.8 CARDIAC ICU SET-UP AND MAINTENANCE- MARKET OVERVIEW
Critically sick patients with surgical complications involving their hearts, lungs, or blood vessels get care in the
Cardiovascular Intensive Care Unit (CVICU). Coronary artery bypass grafting (CABG), cardiac valve
repair/replacement using cardiopulmonary bypass, transcutaneous aortic valve replacement, aortic replacement
with or without hypothermic circulatory arrest, endovascular aortic repair, such as endovascular aneurysm repair
and thoracic endovascular aneurysm repair, lung transplantation, heart transplantation, and ventricular assist device
implantation are some of the procedures that may be performed. This might necessitate the use of specialised tools,
such as intra-aorta balloon pumps, defibrillators, external pacemakers, ventilators, continuous cardiac output
monitors, and others. For instance, an External Cardiac Pacemaker that is also known as a Transcutaneous or
Artificial Pacemaker is an electrodes-based medical device that is used to regulate the contractility of
myocardiocytes to maintain adequate heart rate and so cardiac output.

5.8.1 GLOBAL CARDIAC ICU COST ANALYSIS, (USD): 2021

TABLE 24 GLOBAL CARDIAC ICU COST ANALYSIS, (USD): 2021

ICU
RESPIRATORY ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS
MONITORING SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 1,65,000.0 48,384.7 77,000.2 30,000.0 1,31,835.5

Level II 3,30,000.0 96,769.3 1,92,500.6 90,000.0 1,55,090.9

Level III 4,40,000.0 1,29,025.8 3,08,001.0 1,80,000.0 1,70,833.8

Source: Reports and Data, Secondary Research and Primary Interviews.

5.8.2 INDIA CARDIAC ICU COST ANALYSIS, (USD): 2021

TABLE 25 INDIA CARDIAC ICU COST ANALYSIS, (USD): 2021

ICU RESPIRATORY
ICU VENTILATION ICU DIALYSIS OTHER
Level ICU BEDS MONITORING
SYSTEM EQUIPMENT COMPONENTS
SYSTEM

Level I 3,120.0 1,872.0 13,000.0 494.0 29,938.8

Level II 6,240.0 3,744.0 32,500.0 1,482.0 37,162.4

Level III 8,320.0 4,992.0 52,000.0 2,964.0 42,102.1

Source: Reports and Data, Secondary Research and Primary Interviews.

46
©Reports and Data 2022. All Rights Reserved.
 6 ICU SET-UP AND MAINTENANCE MARKET: BY HOME CARE MEDICAL
EQUIPMENT TRADING INSIGHTS & TRENDS

6.1 HOME CARE MEDICAL EQUIPMENT TRADING, 2021

Some of the most commonly used home care medical equipment includes IV stand, para monitor, oxygen cylinder,
suction machine, alpha mattress, nebulizer and DVT pump.

6.2 IV STAND-TRADING OVERVIEW

The increase in import of IV stand is one of the major reason for the growth of IV stand segment. US imports the
largest amount of IV Stands from India. Out of the total million-dollar worth of IV Stands that India exports, 86.43%
of the IV Stands shipments goes to US. Followed by China that imported IV Stands of 0.78 USD which makes
67.29% share of China in the overall IV stand market of India. The top five IV Stands importing countries from
India contributed to the total Indian IV Stands exports are U.S, Germany, China, Japan and Australia. Another
reason is the increase in demand for modern IV stand as modern IV stand have features like activity monitoring for
the patients, a folding, adjustable, and 4-hook detachable top that makes it easy to attach an IV bottle to two hooks
and accommodate two patients at once for IV medicine. The development of user-friendly features in technology
is projected to accelerate the growth of the IV stands segment.

6.2.1 IV STAND – EXPORT FROM INDIA

TABLE 26 IV STAND - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 0.84 -86.43
Germany 9,883.34 0.10 12.30
China 21,252.72 0.78 -67.29
India Japan NOS 6,176.77 0.01 584.62
94029090 OTHERS
Australia 8,283.13 0.13 240.48
Brazil 6,488.97 - -88.52
South
6,085.29 0.12 293.25
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

47
©Reports and Data 2022. All Rights Reserved.
 6.2.2 IV STAND – IMPORT TO INDIA
TABLE 27 IV STAND - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 3.25 5.05
Germany 14,963.14 5.74 81.97
China 94,167.24 11.50 75.82
Japan NOS 14,399.77 1.06 1,019.72
94029090 OTHERS India
Australia 16,756.17 - -85.19
Brazil 5,713.28 0.01 5,250.00
South
10,965.81 - -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.3 PARA MONITOR-TRADING OVERVIEW

India imports para monitor from many nations. U.S, Germany, China, Japan and Australia are the top five countries
that sell para monitor to India. The world's largest importer of para monitor is India. According to the factsheet by
Government of India Trade and commerce 2021, India imported 200,279.25 quantity of Multi Parameter Monitor,
making India the country with the biggest volume of imports. Diagnostic tools, ultrasonic scanning equipment, and
other items are among the main para monitoring products. Further, one of the main factors driving the expansion of
portable, user-friendly monitors is the rise in home care treatment. Additionally, improvements in wireless medical
communication technologies have increased the range of patient monitoring options available to them both within
and outside of hospitals. These technological developments enable the quick recording and transmission of data
from a patient's device to a healthcare professional, cutting down on the time needed for diagnostics and
management. Such breakthroughs are expected to work in favor of the para monitor segment for patient monitoring
in the years to come.

48
©Reports and Data 2022. All Rights Reserved.
 6.3.1 PARA MONITOR – EXPORT FROM INDIA
TABLE 28 PARA MONITOR - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 4.71 45.78
Germany 9,883.34 0.20 38.36
China 21,252.72 3.40 19.05
90181290 OTHR ELECTRO- India Japan NOS 6,176.77 1.90 -14.80
DIAGNOSTC APARATUS Australia 8,283.13 0.04 -35.37
Brazil 6,488.97 0.12 13.89
South
6,085.29 - -90.08
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.3.2 PARA MONITOR – IMPORT TO INDIA

TABLE 29 PARA MONITOR - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 19.41 27.43
Germany 14,963.14 2.37 -9.09
China 94,167.24 72.50 53.79
90181290 OTHR ELECTRO- Japan NOS 14,399.77 3.06 -23.96
India
DIAGNOSTC APARATUS Australia 16,756.17 0.12 360.15
Brazil 5,713.28 0.24 135.20
South
10,965.81 - -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.4 OXYGEN CYLINDER-TRADING OVERVIEW

The rise in demand for oxygen supplies for COVID-19 patients has been one of the most glaring trends impacting
the production and distribution of medical oxygen gas cylinders. Governments in various countries, notably in India
and the U.S. have been actively recalibrating the production, distribution, and storage norms and have adopted
policies to bridge the gap in supply and demand. Additionally, due to an increase in cases and the increased demand
for oxygen cylinders during the COVID-19 pandemic, oxygen cylinders were imported during the second half of
the pandemic. In 2021, India purchased oxygen from the US, Germany, China, Japan and India. The U.S. was the
leading exporter of oxygen cylinders with a contribution of USD 76,111.33 million, followed by China, Germany,
according to the key ports for oxygen cylinder import to India. The main port for the import of oxygen i.e.,
CHENNAI Air Cargo, saw an increase in oxygen cylinder imports which is one of the factors contributing to the
segmental growth of oxygen cylinder in India.

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 6.4.1 OXYGEN CYLINDER – EXPORT FROM INDIA
TABLE 30 OXYGEN CYLINDER - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 19.73 184.49
Germany 9,883.34 2.90 5.09
73110090 OTHER PRESSURE China 21,252.72 3.84 226.08
CONTAINERS FOR India Japan NOS 6,176.7 1.10 5,007.91
TRANSPORT OR STORAGE OF Australia 8,283.13 1.24 39.59
COMPRESSED GASES Brazil 6,488.97 1.77 -11.30
South
6,085.29 0.96 939.52
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.4.2 OXYGEN CYLINDER – IMPORT TO INDIA

TABLE 31 OXYGEN CYLINDER - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 2.86 203.70
Germany 14,963.1 2.79 54.15
73110090 OTHER PRESSURE China 94,167.24 39.16 831.11
CONTAINERS FOR Japan NOS 14,399.77 0.32 69.77
India
TRANSPORT OR STORAGE Australia 16,756.17 0.21 423.96
OF COMPRESSED GASES Brazil 5,713.28 - -
South
10,965.81 0.68 -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.5 SUCTION MACHINE & ALPHA MATTRESS -TRADING OVERVIEW

The import of medical devices has increased in 2021, according to the Indian import department. India imported
medical devices worth USD 6.24 billion in 2020–21, up from USD 5.84 billion in 2019–20 and USD 5.7 billion in
2018–19. Electronics equipment made up the majority of imports in 2021 (USD 3.6 billion), followed by
consumables and disposables (USD 1.5 billion). For instance, according to Government of India, 43,313.84 suction
units were imported from U.S by India, further the majority of the suction units were imported from Germany,
China, and Japan and incorporated ophthalmology and dentistry equipment. Additionally, it is anticipated that the
rapid transition from traditional healthcare settings to homecare settings and the drop in medical suction device
prices, which is boosting their uptake in developing nations, will drive the growth of the medical suction devices
segment over the course of the forecast period. The rapid development of technology and the rise in the prevalence
of chronic diseases are both expected to boost segment expansion.

To ensure that patients can sleep on them comfortably, medical mattresses differ in terms of quality and
characteristics. Medical mattresses are a great option where regular washing is anticipated because they are
specifically made for much higher workload and require being both waterproof and antibacterial. In addition to

50
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 being strong and long-lasting, hospital beds must also be antibacterial, antifungal, latex-free, and inflammation-
resistant. According to the factsheet of Government of India Trade and Commerce India exported the highest
number Alpha Mattress to U.S with a quantity of 76,111.33, followed by Germany, China and Japan

6.5.1 SUCTION MACHINE & ALPHA MATTRESS – EXPORT FROM INDIA

TABLE 32 SUCTION MACHINE & ALPHA MATTRESS - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 10.96 26.21
Germany 9,883.34 1.80 -37.90
China 21,252.72 0.08 -74.22
90189099 OTHR SRGCL
India Japan NOS 6,176.77 0.62 12.39
INSTRMNTS AND APPLNCS
Australia 8,283.13 2.26 70.87
(INCL VTRNRY)
Brazil 6,488.97 2.06 16.70
South
6,085.29 0.39 25.94
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.5.2 SUCTION MACHINE & ALPHA MATTRESS –IMPORT TO INDIA

TABLE 33 SUCTION MACHINE & ALPHA MATTRESS - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 73.56 38.24
Germany 14,963.14 22.64 37.91
China 94,167.24 59.16 54.92
90189099 OTHR SRGCL
Japan NOS 14,399.77 11.75 81.80
INSTRMNTS AND APPLNCS India
Australia 16,756.17 0.39 37.71
(INCL VTRNRY)
Brazil 5,713.28 0.92 62.61
South
10,965.81 0.03 -71.95
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.6 NEBULIZER -TRADING OVERVIEW

In 2021, India imported highest quantity of nebulizer 94,167.24 units from China followed by U.S and Germany.
The majority of nebulizers are imported into India. The top 3 items that India imports are microtomes, components,
and accessories, as well as (ozone therapy, oxygen therapy, aerosol therapy, artificial respiration, or other
therapeutic respiration apparatus). Additionally, due to their affordability compared to ultrasonic and mesh
nebulizers, pneumatic nebulizers are also becoming more and more popular among elderly patients, which is
another factor driving import growth and supporting segment expansion.

51
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 6.6.1 NEBULIZERS – EXPORT FROM INDIA
TABLE 34 NEBULIZERS - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-22)
U.S. 76,111.33 3.77 423.83
Germany 9,883.34 0.04 -86.44
China 21,252.72 0.04 558.73
India Japan NOS 6,176.77 - -55.56
90192090 OTHERS
Australia 8,283.13 2.33 14,818.59
Brazil 6,488.97 0.12 11.70
South
6,085.29 0.25 -0.28
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.6.2 NEBULIZERS –IMPORT TO INDIA

TABLE 35 NEBULIZERS - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-22)
U.S. 43,313.84 134.62 309.96
Germany 14,963.14 51.74 85.43
China 94,167.24 442.88 305.82
Japan NOS 14,399.77 20.98 17,858.48
90192090 OTHERS India
Australia 16,756.17 48.54 332.01
Brazil 5,713.28 0.38 275.05
South
10,965.81 0.25 667.91
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.7 DVT PUMP -TRADING OVERVIEW

In 2021 India was the largest importer of DVT machine with highest quantity of 94,167.24 from China followed by
U.S, Germany and Japan. Total Import duty on DVT pumps is around 26-29%. DVT pumps are furthermore
imported into India from Australia, Brazil, Turkey, Israel, and other nations, which benefits the growth of imports
and is the reason for market's expansion.

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 6.7.1 DVT PUMP – EXPORT FROM INDIA
TABLE 36 DVT PUMP - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 7.97 67.47
Germany 9,883.34 1.13 23.07
China 21,252.72 13.1 14.74
90189029 OTHR SURGICAL India Japan NOS 6,176.77 0.36 -1.8
TOOLS Australia 8,283.13 0.29 20.88
Brazil 6,488.97 0.67 133.00
South
6,085.29 0.02 -68.63
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

6.7.2 DVT PUMP - IMPORT TO INDIA

TABLE 37 DVT PUMP - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 45.27 49.17
Germany 14,963.14 14.07 52.51
China 94,167.24 27.01 148.94
90189029 OTHR Japan NOS 14,399.77 0.4 241.23
India
SURGICAL TOOLS Australia 16,756.17 0.50 116.19
Brazil 5,713.28 0.02 -20.21
South
10,965.81 - -97.38
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

53
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 7 ICU SET-UP AND MAINTENANCE MARKET: BY HIGH VALUE MEDICAL
EQUIPMENT TRADING INSIGHTS & TRENDS

7.1 HIGH VALUE MEDICAL EQUIPMENT TRADING, 2021

Some of the most commonly used high value medical equipment includes Defibrillators, Anesthesia Machines,
Patient Monitors, Sterilizers, and EKG/ECG Machines.

7.2 DEFIBRILLATORS -TRADING OVERVIEW

In total, India imports defibrillators from 26 different nations. In 2021-2022 India was the largest importer of
defibrillators with highest quantity of 94,167.24 imported from China followed by U.S, Germany and Japan.
Defibrillators are furthermore imported into India from Australia, Brazil, South Africa, Israel, and other nations,
which benefits the growth of imports and is the reason for market's expansion.

7.2.1 DEFIBRILLATORS – EXPORT FROM INDIA

TABLE 38 DEFIBRILLATORS - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 0.71 1,147.79
Germany 9,883.34 0.0 -71.43
China 21,252.72 - -
India Japan NOS 6,176.77 - -
90189094 DEFIBRILLATORS
Australia - - -
Brazil - - -
South
6,085.29 - -100.00
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

7.2.2 DEFIBRILLATORS – IMPORT TO INDIA

TABLE 39 DEFIBRILLATORS - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 1.41 -57.14
Germany 14,963.14 0.52 -33.28
China 94,167.24 3.47 -3.44
Japan NOS 14,399.77 0.99 3,098.39
90189094 DEFIBRILLATORS India
Australia 16,756.17 - -
Brazil 5,713.28 - -
South
10,965.81 - -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

54
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 7.3 ANESTHESIA MACHINES -TRADING OVERVIEW
As per Government of India fact sheet data of 2021-2022, U.S. exported the highest quantity of Anesthesia
equipment’s from India. The majority of the anaesthesia machines, which included acupuncture equipment,
precision instruments, and other accessories, were supplied to U.S., China, Germany, and Japan. Additionally, India
surpassed all other countries as the top exporter of anaesthesia machines in 2021-2022 with highest quantity of
134,281.55 export to top 7 countries.

7.3.1 ANESTHESIA MACHINES – EXPORT FROM INDIA

TABLE 40 ANESTHESIA MACHINES - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 0.36 -67.52
Germany 9,883.34 0.02 43.36
China 21,252.72 0.11 -46.81
90189041 ANAESTHETIC India Japan NOS 6,176.77 - -100.00
EQUIPMENT Australia 8,283.13 0.01 175.86
Brazil 6,488.97 - -
South
6,085.29 - 500.00
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

7.3.2 ANESTHESIA MACHINES – IMPORT TO INDIA

TABLE 41 ANESTHESIA MACHINES - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 6.89 97.44
Germany 14,963.14 0.75 -61.04
China 94,167.24 12.38 60.38
90189041 ANAESTHETIC Japan NOS 14,399.77 0.03 223.40
India
EQUIPMENT Australia 16,756.17 0.04 393.41
Brazil 5,713.28 - -
South
10,965.81 0.02 -41.86
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

55
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 7.4 PATIENT MONITORS-TRADING OVERVIEW
China is the leading exporter of Patient monitors in India. In 2021-2022 U.S. exported 76,111.33 quantity of Patient
monitoring devices to India followed by China, Germany and 8,283.13. The majority of the patient monitor, which
included ultrasonic scanning apparatus, Multi-Channel Vital Sign Patient Monitor, Pressure Monitor, BP Monitor,
Diagnostic Medical Color Monitor, Digital Blood Pressure Monitor and others. India imported most of its Patient
monitor from Australia, Germany and U.S. Additionally, according to the 2022 data of import, India is the largest
importer of Patient monitor.

7.4.1 PATIENT MONITORS – EXPORT FROM INDIA

TABLE 42 PATIENT MONITORS - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 27.37 28.83
Germany 9,883.34 23.02 -31.66
China 21,252.72 0.77 192.00
90189019 OTHR
India Japan NOS 6,176.77 0.08 202.52
DIAGONOSTICS
Australia 8,283.13 0.07 141.99
INSTRUMENTS
Brazil 6,488.97 0.01 637.50
South
6,085.29 0.25 8,675.86
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

7.4.2 PATIENT MONITORS – IMPORT TO INDIA

TABLE 43 PATIENT MONITORS - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 12.49 0.43
Germany 14,963.14 26.11 -4.91
China 94,167.24 71.04 44.07
90189019 OTHR
Japan NOS 14,399.77 2.59 75.80
DIAGONOSTICS India
Australia 16,756.17 0.54 4.36
INSTRUMENTS
Brazil 5,713.28 0.02 -
South
10,965.81 0.15 -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 7.5 STERILIZERS -TRADING OVERVIEW
In total, India exported sterilizers to 173 different countries. The volume of export to U.S. in 2021-2022 was around
76,111.33. The figures show the great potential for Indian exporters of sterilizers to increase their participation in
global trading and improve their numbers. China is the largest exporter of Sterilizers that India imports from. In
2021-2022 India imported 94,167.24 quantity of Sterilizers from China followed by U.S. and Germany. Further,
the top 5 trading partners of India are U.S, Germany, China, Japan, and Australia.

7.5.1 STERILIZERS – EXPORT FROM INDIA

TABLE 44 STERILIZERS - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 0.38 185.67
Germany 9,883.34 0.01 -96.92
China 21,252.72 0.05 3,553.33
India Japan NOS 6,176.77 0.18 -
84192090 STERILISERS,N.E.S.
Australia 8,283.13 0.06 128.51
Brazil 6,488.97 - -
South
6,085.29 0.01 -82.50
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

7.5.2 STERILIZERS –IMPORT TO INDIA

TABLE 45 STERILIZERS - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 2.76 47.64
Germany 14,963.14 1.86 55.86
China 94,167.24 3.29 -16.79
Japan NOS 14,399.77 0.11 195.04
84192090 STERILISERS,N.E.S. India
Australia 16,756.17 - 100.00
Brazil 5,713.28 0.03 8.55
South
10,965.81 - -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 7.6 EKG/ECG MACHINES -TRADING OVERVIEW
As per Government of India Trade and Commerce factsheet 2021-2022, 18 buyers imported ECG shipments in
India. The majority of the ECG Machines, which included electro-diagnostic apparatus, including apparatus for
functional exploratory examinations or for checking physiological parameters, electro-cardiographs, ultrasonic
scanning apparatus and others. India imported most of its ECG monitor from U.S, Germany and China.
Additionally, according to the 2022 data of import, India is the largest importer of ECG monitor which accounts
with the highest import quantity of ECG machines i.e., 94,167.24 from China.

7.6.1 EKG/ECG MACHINES – EXPORT FROM INDIA

TABLE 46 EKG/ECG MACHINES - EXPORT FROM INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 76,111.33 17.51 68.14
Germany 9,883.34 11.92 17.19
China 21,252.72 1.22 94.21
90181100 ELECTRO- India Japan NOS 6,176.77 1.02 37.08
CARDIOGRAPHS Australia 8,283.13 0.77 32.85
Brazil 6,488.97 0.97 93.77
South
6,085.29 0.04 129.81
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

7.6.2 EKG/ECG MACHINES –IMPORT TO INDIA

TABLE 47 EKG/ECG MACHINES - IMPORT TO INDIA
HS Description Origin Destination Unit Quantity Value %
Code Country Country USD Growth
Million (2021-
22)
U.S. 43,313.84 5.35 99.94
Germany 14,963.14 0.26 25.13
China 94,167.24 8.54 88.71
90181100 ELECTRO- Japan NOS 14,399.77 - 109.09
India
CARDIOGRAPHS Australia 16,756.17 - -100.00
Brazil 5,713.28 - -
South
10,965.81 - -
Africa
Source: DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

58
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 8 ICU SET-UP AND MAINTENANCE MARKET: BY TURNKEY PROJECTS
COMPANIES & TRENDS

8.1 HEALTHCARE SECTOR IN INDIA: BOONS AND BANES

In India, about 62 % of the country's total health infrastructure is private. The capacity of the majority of public
hospitals and private hospitals in the states is the same, with the exception of Chandigarh and Puducherry, where
private hospitals have larger capacity than public hospitals (measured by beds to hospitals ratio, ICU to hospitals
ratio, and ventilator to hospitals ratio).

TABLE 48 PRIVATE AND PUBLIC HEATHCARE INFRASTRUCTURE IN INDIA, 2020

Infrastructure Private Public

Hospitals 43,486 25,778

Beds 1.18 Million 713,986

ICU 59,264 35,700

Ventilators 29,631 17,850

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

The top three states with the greatest disparity between private and public health infrastructure are Uttar Pradesh,
Karnataka, and Maharashtra. These three states are home to 31% of India's population. Private infrastructure
outnumbers public infrastructure in Uttar Pradesh and Maharashtra by nearly 128,000 beds, 6,400 ICUs, and 3,200
ventilators. Private infrastructure outnumbers public infrastructure in Karnataka by 122,667 beds, 6,133 ICUs, and
3,067 ventilators.

Private hospitals, beds, ICUs, and ventilators ("Infrastructure") outnumber government Infrastructure in 15 states
(Andhra Pradesh, Bihar, Dadra & Nagar Haveli Daman & Diu, Gujarat, Haryana, Jharkhand, Karnataka, Kerala,
Madhya Pradesh, Maharashtra, Punjab, Tamil Nadu, Telangana, Uttar Pradesh, Uttarakhand). These 15 states
account for roughly 74.25% of India's projected population for 2020 (including the population of Ladakh). These
15 states account for roughly 74.25 % of India's projected population for 2020 (including the population of Ladakh).
In these 15 states, private infrastructure accounts for 69-70 % of all health infrastructure. In other states (where
government infrastructure exceeds or equals private infrastructure), private infrastructure accounts for nearly 35-36
% of total health infrastructure.

However, the Covid-19 pandemic highlighted some of the peculiarities and shortcomings of India's healthcare
infrastructure. This examines the private healthcare system, which is rapidly developing but comes at a high cost
that many people cannot afford, and thus does not adequately supplement public healthcare.

59
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 FIGURE 16 SHARE OF PRIVATE AND PUBLIC ICU’S IN INDIA, 2020

Private ICU's 37.6%

Public ICU's 62.4%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

Percentage Share

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

8.1.1 NEWBORN CARE IN INDIA

According to UNICEF data, nearly 3.5 million babies in India are born prematurely, 1.7 million are born with birth
defects, and one million new-borns are discharged from Special New-born Care Units each year (SNCUs). These
newborns continue to be at high risk of death, stunting, and developmental delay.

Investing in intrapartum and newborn care services lowers the risk of newborn death. The Reproductive, Maternal,
Newborn, Child, and Adolescent Health (RMNCH+A) strategy, which was launched in 2013, took a life course
approach to newborn health, focusing on the continuum of care and strengthening health systems. The India
Newborn Action Plan (INAP) 2014 was created to provide a roadmap for achieving the 2030 goals of "Single Digit
Neonatal Mortality" and "Single Digit Stillbirth." Furthermore, India's National Health Policy, 2017, endorsed the
national consensus on achieving neonatal mortality targets more quickly. The India Strategy for Women's,
Children's, and Adolescents' Health (I-WACH), which was released in December 2018, advances the life-course
approach. It describes an integrated and multisector approach that recognizes the importance of health-promoting
factors (such as maternal nutrition and education, water, clean air, sanitation, hygiene, and infrastructure) in
addressing the underlying causes of preterm births and newborn deaths.

India assessed its progress against the INAP 2014 milestones and targets in 2020. India had met its goal of lowering
the newborn mortality rate to 24 by 2017 and lowering the stillbirth rate to less than 19 in 2020.

Currently, Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) covers 10 Neonatal Care packages,
5 of which are most commonly used for in-patient care and vary depending on the severity of the baby's condition
at the time of birth.

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 TABLE 49 COST OF NEONATAL CARE IN INDIA, 2020

Packages Cost

Basic Neonatal Care Package INR 500-600 per day

Special Neonatal Care Package INR 3,000-4500 per day

Intensive Neonatal Care Package INR 5,000-6500 per day

Advanced Neonatal Care Package INR 6,000-7000 per day

Critical Neonatal Care Package INR 7,000-8600 per day

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

8.1.2 STATUS OF FACILITY BASED NEWBORN CARE IN INDIA

A key strategy for improving neonatal health is facility-based newborn care. Investing in neonatal care units is an
expensive endeavour. Aside from the initial investment, the ongoing costs of equipment, personnel, ancillary
services, drugs, consumables, investigations, and care with or without ventilators are significant.

TABLE 50 LIST OF NICUS IN INDIA, 2020

States No. of NICUS States No. of NICUS

Bihar 43 Uttarakhand 6

Chhattisgarh 23 Arunachal Pradesh 5

Delhi 20 Assam 28

Himachal Pradesh 16 Manipur 5

Jharkhand 19 Meghalaya 5

Madhya Pradesh 56 Mizoram 5

Odisha 40 Nagaland 3

Rajasthan 61 Sikkim 2

Uttar Pradesh 85 Goa 3

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 8.1.3 NATIONAL HEALTH MISSION (NHM)
The National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM) are the two Sub-
Missions that make up the National Health Mission (NHM) (NUHM). Reproductive, maternal, neonatal, child, and
adolescent health (RMNCH+A), as well as Communicable and Noncommunicable diseases, are the three core
programmatic components. According to the NHM, everyone will be able to access fair, affordable, and high-
quality healthcare services that are accountable and sensitive to the requirements of their patients.

Upto 33% of NHM funds in High Focus States can be used for infrastructure development. The following list
includes information on new building and renovation/upgrading projects carried out across the nation under NHM
are as follows:

TABLE 51 NEW CONSTRUCTION UNDERTAKEN ACROSS INDIA BY GOVERNMENT, 2020

Facility New Construction Renovation/Upgradation

Sanctioned Completed Sanctioned Completed

SC- Sub-Centre 35805 22073 26125 19464

PHC-Primary
2889 2447 16783 14582
Health Centre

CHC-Community
604 530 7636 8662
Health Centres

Sub Health Centre-

Health & Wellness
251 174 1317 1145
Centre (SHC-
HWCs)

DH-District
175 156 3311 2854
Hospitals

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

62
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 8.2 OVERVIEW OF TURNKEY PROJECTS
Large-scale infrastructure projects are typically developed using a variety of methods. Turnkey project development
is one of these methods. A turnkey project is one that is designed, developed, and outfitted with all necessary
amenities by a company under contract. When it is ready to conduct business, it is handed over to a buyer.

FIGURE 17 BENEFITS OF TURNKEY PROJECTS

Access to expert
knowledge and
Cost saving Time saving Hassle-free
technical know-
how

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

TABLE 52 TURNKEY V/S THE TRADITIONAL MODELS COMPARISON

Approach Traditional Project Management Turnkey

Process Sequential: design, bid, and build. Overlapping of design and build
stages

Service provider’s role Management Execution

Who hires the vendors Client, after the bidding process Service provider has a team of
supplier partners

Project timeline 32 weeks 24 weeks: 25% of savings

Better for projects Budget-sensitive: large scale projects Time-sensitive: small and
medium scale projects

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 8.2.1 COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR ICU IN INDIA
TABLE 53 LIST OF COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR ICU IN INDIA

Company Name Company Overview Establishment Location

Year

Acme Hospital The company has a team of Hospital Planners, Designers, 1996 Tamil
Projects Equipment Specialists and Commissioning Experts that Nadu
helps right from the concept to commissioning stages,
ensuring a well-integrated approach for a timely
completion to the Hospital.

The company has an experience of about 20 years in the

field of Healthcare and over 700 Hospitals worked with,
across the Country.

HLL Infra Tech HLL Infra Tech Services Limited, known as ‘HITES’ is a 2014 Uttar
Services Ltd. 100% subsidiary of HLL Lifecare Limited (A Mini Ratna Pradesh
PSU) under Ministry of Health and Family Welfare,
Government of India.

HITES is specifically positioned towards absorbing the

requirements of Medium to Large Public Hospitals
primarily within the country as well as small forays
overseas.

Redsun Redsun communication is one of the turnkey project 2007 Gujarat

communication consultants in India. They are doing turnkey project
Pvt. Ltd. consultancy for various projects like, Healthcare Projects,
High end Education projects and Engineering projects.

FrontEnders’ FrontEnders’ healthcare consultancy services provides the 2011 Tamil

healthcare latest medical solutions to both medical industrialists and Nadu
consultancy healthcare establishment owners, which are easy on the
services pocket. Healthcare Entrepreneurs can avail their technical
and tactical guidance, and make their endeavors thriving.

Magnatek Through its comprehensive services in Medicare, the 1964 Hyderabad

Enterprises Magnatek group covers all the requirements of today's
growth-oriented companies. Its focus towards innovation,
customer-centric approach and dedication to qualitative
productivity and technological solutions have catapulted
Magnatek group of companies into one of the most reputed
names in India.

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 L&T Construction L&T Construction is a division of Larsen & Toubro (L&T) 1946 Mumbai
a major Indian technology, engineering, construction,
manufacturing and financial services conglomerate, with
global operations.

C Cube Advanced C Cube Advanced Technologies is providing ways for 2010 Karnataka
Technologies organizations to be successful by outsourcing very
important business process of Wire Harness & assembling.
C Cube Advanced Technologies is all set to deliver wire
harness and assembly solutions in a cost effective and
elegant manner.

Aastha India a leading company is India specialized in a 2016 Mumbai

diversity of turnkey design build solutions for modular
Aastha Medical
operation theatres & providing full-fledged design &
Technologies Pvt.
integration facilities to hospitals medical centres IVF and
Ltd.
healthcare facilities in modular construction.

Allied Medical Allied Medical Limited is well-known Manufacturers, 1982 Haryana

Limited Exporters, Traders and Importers of a huge gamut of
Hospital Equipment.

Diti Engineering Services (DES) is a Turnkey solutions for 2013 Mumbai

hospitals providing for the Healthcare industry, focusing
Diti Engineering
exclusively on Hospitals and Laboratories by offering
Services
customized leading edge solutions in Design, Detailed
Engineering and Implementation & Validation. Not only
healthcare industry we also take care of other sectors by
providing Best turnkey solutions for hospitals.

8.2.2 TRENDS OF TURNKEY PROJECTS

Trend of turnkey projects is increasing due to substantial rise of ICU’s and OT setups in India. This basically
depends upon the increase in healthcare infrastructure and spending as most of the government organizations are
looking towards the development of hospitals, ICU’s, OT’s through turnkey projects which minimizes the cost,
time, and provides knowledge regarding the project. The trend is increasing due to the number of tenders
passed/released by various government authorities. For instance, tender for setting up of 10 bedded intensive care
unit by Gandhi Shatabdi Eye Hospital, Dehradun at Uttarakhand on turnkey basis during the year 2020.

Additionally, in April 2022, the Telangana government awarded a contract to Larsen and Toubro (L&T) for the
development of a super speciality hospital in Warangal. A 1750 bed super specialty hospital will need to be built
by the corporation as part of Telangana's Warangal Health City. This will be the tallest hospital building in the

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 nation as well as one of the largest hospitals in the state with modern amenities. The project is anticipated to be
completed by the corporation in 18 months.

8.3 OVERVIEW OF MODULAR OPERATION THEATER

The goal of a modular operation theatre is to maximize efficiency, accuracy, and safety for the entire operating
crew. By removing squandered time and resources, it is intended to improve patient outcomes and streamline the
workflow. The use of a modular operating room helps operations run consistently and smoothly, lowering the risk
involved in performing surgery. Savings from a modular operating room benefit the hospital as well as the patient.
Patient movement is minimal because a wide range of operations can be performed in the same space. It saves the
hospital money on the price of beds, the expense of hiring staff to carry patients, and much more.

Further, due to rising healthcare costs and the expansion of a technologically advanced healthcare infrastructure,
modular operating rooms have become more and more popular in India. According to the NHM research, almost
all district hospitals in India have one operating theatre, and 48% of them have an operating theatre exclusively for
gynaecological procedures. Additionally, the majority of hospitals and institutes are planning to raise the number
of OTs in their respective organizations as a result of the rising need. For instance, according to a 2021 report from
the Ministry of Health and Family Welfare, the North Eastern Indira Gandhi Regional Institute of Health and
Medical Sciences (NEIGRIHMS) in Shillong, Meghalaya, currently has 7 operating theatres. Construction of an
additional 8 high modular operation theatres with the integration of 5 OTs is currently underway with approval
from the Ministry of Health and Family Welfare.

TABLE 54 DIFFERENCES BETWEEN MODULAR OPERATION THEATRES AND CONVENTIONAL

OPERATION THEATRES

Modular operation theatres Conventional operation theatres

Uses a mixture of Fresh air and Recycled air Uses 100% Fresh air

Each Modular OT has a different Air conditioning system Uses a central air conditioning system

Laminar Air flow system Flow of air involves eddy currents

Anti-static flooring is an absolute requirement May not have anti-static flooring

Energy efficient up to 60% by using Recycled air Not energy efficient

Designed using 3D software’s as per international and National Designed using simple 2D CAD Design
standards

Temperature and humidity control is localized in each Modular Due to centralized AC system localized
OT temperature control is quite difficult

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 Constructed by a single team of professionals who understands Constructed by multiple vendors at the time of
the mechanics of Operation theatre hospital construction, hence control becomes
quite difficult

Contains standardized instrument and Equipment. Quality Quality control is quite difficult when multiple
control is easy vendors are used.

8.3.1 COST OF MODULAR OT IN INDIA

Modular OT manufacturing costs vary depending on factors such as size, equipment, equipment quality, team
expertise, and so on. In India, the cost of effectively building a Modular OT typically ranges between 4,00,000 and
10,00,000 INR. VMEDO has one of the best teams in India working on Modular OT development.

8.3.2 LAQSHYA SCHEME FOR DEVELOPMENT OF MATERNAL OPERATION THEATER

The ambitious LaQshya programme was introduced in 2017 by the Ministry of Health & Family Welfare of the
Government of India. This program's goals were to decrease maternity and newborn morbidity and death, improve
postpartum care quality, increase beneficiary satisfaction, promote a positive birthing experience, and offer
Respectful Maternity Care (RMC) to all expectant women using public health facilities. Aiming to improve the
quality of care provided to mothers and newborns during the intrapartum and immediately post-partum periods, it
is essentially a quality improvement project in labour rooms and maternity OT. For instance, under this programme
LaQshya achieved 447 Labour Rooms and 365 OTs till 2021, LaQshya certified 64 MOT’s in 2021, which shows
the growth of OT's and the increased focus of government towards the development of healthcare.

8.3.3 STATUS OF LAQSHYA CERTIFICATION PROGRAMME (2018-2021)

FIGURE 18 STATUS OF LAQSHYA CERTIFICATION PROGRAMME (2018-2021)

MOT'S Certification Under LaQshya Scheme

400
365
350

300
Number of MOT's

250 233

200
146
150

100

50
14
0
Jan-18 Jan-19 Jan-20 Jan-21
Year

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 8.3.4 MODULAR OPERATION THEATER TENDERS – (01 JULY 2022- TILL 31 AUGUST 2022)
Various tendering authorities & private companies have announced 8 modular operation theater tenders.

TABLE 55 MODULAR OPERATION THEATER TENDERS – (01 JULY 2022- TILL 31 AUGUST 2022)

Tender Description Publish Due Tender State

No Date Date Opening
Date

33258843 Work for Comprehensive Maintenance for 9 26-07- 02-08- 03-08- Gujarat
Nos Modular OT and 9 Nos Non Modular OT 2022 2022 2022
Including Material Supply, Delivery, Off
Loading, Testing, Setting To Work and
Engaging of Man Power for Maintenance of 9
Nos Modular OT and 9 Nos Non Modular OT
at N.C.H Campus

33249068 Bids Are Invited For Modular Operation 25-07- 04-08- 04-08- Maharashtra
Theater Total Quantity : 1 2022 2022 2022

33212130 Bids Are Invited For Tender For Indigenous 22-07- 02-08- 30-07- Uttar
Modular Operation Theater For S.P.M ( Civil 2022 2022 2022 Pradesh
) Hospital -1 Free standing Substructure for
mounting Paneling system complete with all
installation accessories - made of 1.5 mm GI
profiles, as per 1ninutes, sp

33206737 Modular Operation Theatre ( As Per 22-07- 30-07- 01-08- Jammu And
Corrigendum ) Modular Operation Theatre ( 2022 2022 2022 Kashmir
As Per Corrigendum ) , Modular Operation
Theatre , Cmc For Ist Year , Cmc For2nd Year
, Cmc For 3Rd Year , Cmc For 4Th Year ,
Cmc For 5Th Year , Cmc For.

33167351 Provision of Fully Automatic Modular OT 20-07- 16-08- N.A. Chhattisgarh

with Dual Dome Led OT Light with 2022 2022
Cupboard in One Wall 23 Feet (OT Size
27X23 Feet) At Central Hospital S. E. C. Rly.
Bilaspur Under The Jurisdiction Of Sr.Den /
Settlement / Bilaspurprovision Of Fully A.

33138367 Setting Up Of Medical Gas System And 18-07- 28-07- 29-07- Kerala
Modular OT At Wc Kanhangad Kasargod. 2022 2022 2022

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 33133884 Execution Including Supply, Installation, N.A. 29-07- N.A. Chandigarh
Testing And Commissioning Of Modular 2022
Operation Theatres And Minor Operation
Theatre For Advanced Neuro Science Centre
At Pgimer, Chandigarh.

32717113 Corrigendum : Repair / Routine Preventive 21-07- 28-07- 01-08- Kerala

Maint Of Central Ac Plant Modular OT And 2022 2022 2022
Repair To Fcus, Csus, Pac, Cooling Towers
Condenser And Chilled Water Pipe Lines
And Certain Ahus Of Central Ac Plants At
Naval Base Kochi

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

8.3.5 AVERAGE NUMBER OF OT PER LAKH IN INDIA AND GLOBALLY

India is believed to be home to 1.26 lakh millionaires and has just one operation theatre per 1 lakh population.
Eastern Europe has the most OTs per 100,000 people, followed by Asia Pacific, North America, and Australia.

TABLE 56 AVERAGE NUMBER OF OT PER LAKH IN INDIA AND GLOBALLY

Region Number of OT’s per lakh population

Eastern Europe 25.1

Asia Pacific 24.3

North America & Australia 14.3

India & Pakistan 1.3

China 2.6

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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 8.3.6 NUMBER OF GOVERNMENT OT IN INDIA
In India there were around 8694 number of government OT in 2020.

FIGURE 19 PERCENTAGE SHARE OF GOVERNMENT AND PRIVATE OT IN INDIA, 2020

37%

63%

Private OT Public OT

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

8.3.7 COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR MODULAR OT

TABLE 57 LIST OF COMPANIES THAT PROVIDE TURNKEY PROJECTS FOR MODULAR OT

Company Name Company Overview Establishment Location

Year

Sterile Tech India The manufacturer of modular operating theatres, Sterile 2015 Chennai,
Tech India, offers complete turnkey solutions. With India.
believe that they are highly competent of completing the
projects to perfection in accordance with the standards and
timelines since they have extensive knowledge of the most
recent technology guidelines set out by NABH and ISO.
Sterile Tech India are also well-trained with practical
experience.

Kaizen Group One of the top organizations for organizing, carrying out, 2013 Pune,
and managing turnkey projects is Kaizen. Offer a 360- India.
degree solution for a modular operating room. In order for
it to be installed precisely in accordance with your unique
requirements, they provide custom-made Modular OT.

Western India The company Western India Electromedical Systems 2001 Pune, India
Electromedical Private Limited manufactures and exports a wide variety
of equipment, including Modular Operation Theatres,
Surgical Scrub Sinks, Clean Room Doors, and other items.

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 Systems Private They also offer hospital turnkey project services.
Limited Additionally, Western India Electromedical Systems
Private Limited offers value-added services like planning,
aiding, designing, installation, and after-sales services for
the convenience of the clients.

Hectra Enviro A specialized and fully integrated company offering the Hyderabad,
Systems best quality product range with turnkey solutions of India
Modular Clean Room manufacturers and Modular
Operation Theatres.

Bio-care Systems One of the top companies dealing in, manufacturing, and 2003 Banaglore,
providing services for medical equipment, instruments, India
furniture for hospitals, hospital software, turnkey projects,
turnkey projects O.Ts and other goods.

BiOM Medical A creative firm that designs, executes, and implements 2016 Banaglore,
Technology operating rooms (ORs) that provide best-in-class OR India
solutions to meet OR requirements. They are a pioneer in
the field of modular OT and provide full turnkey projects
with their partner firm, Axis Medical.

Source: MoHFW, DGFT, Journals and Whitepaper, Company Annual report, Primary Interviews, Reports and Data.

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©Reports and Data 2022. All Rights Reserved.
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