Innovations & Fujifilm

Chandar Shekhar Sibal

Chander Shekhar Sibal, vice president- medical division,  Fujifilm India, on the PPP project for digitisation of X-Ray system and the company’s focus on digital mammogram

Please throw some light on the progress of the PPP with KRSNAA Diagnostics Pvt Ltd.

Fujifilm India Private Ltd is committed to improve healthcare infrastructure in India. Fujifilm India signed contract with KRSNAA Diagnostics Pvt Ltd for the digitisation of 1,000 X-Ray setups across the country, covering even the remote locations in a span of two years with its state-of-the-art diagnostic and imaging systems. The first phase of execution in Assam is started and about to get over now and we are ready and waiting for the next phase. We have supplied over 100 CRs to the Andhra Pradesh Government for digitalising their small scale hospitals and large scale medical colleges. We are also doing digitisation of X-rays in Rajasthan, Kerala and MP.

Fujifilm is a leading provider of digital X-ray systems. How many digital X-ray systems has Fuji installed, so far?

Our endeavour is to provide best services in the remotest areas across the country through digitalisation of X-Rays, enabling better image quality at the lowest X-ray dose. This would help improve efficiency and quality of X-ray reporting resulting in faster and more accurate diagnosis. Our designs are compact, easy-to-operate and provide high quality outputs with minimum efforts. We have over 400 DR system installed in India so far.

What are your views on the market trends in digital X-Ray systems?

In this era of digitisation, the quality of workflow is getting better and the efficiency of people is increasing in the hospitals. With the help of technological advancement, doctors are able to manage workflow systems and are able to treat more patients.  Healthcare is reaching to tier III cities and capturing villages where various screening programmes are initiated by the government for healthy India

We have seen a trend in market with more doctors going for Flat Panel Digital Radiography systems and PACS . This clearly shows awareness of doctors towards low dose technologies and better image quality coupled with efficiency or faster output to patient with clear diagnosis. We have focused ourselves for digitisation of small clinics in small cities and villages with our CR and DR and connecting them with tele-radiology for faster diagnosis.

How the technological innovations from the company have impacted healthcare delivery?

Fujifilm consistently strives to refine its digital products based on the key ingredients of the design philosophy to make the work of health professionals more effective and efficient. Fujifilm’s logo is value from innovation, Fujifilm spends $8 million per day in R& D to innovate new products or solution to improve the quality of life. We are developing new products in Full Field digital mammography with 50 micron resolution to detect breast cancer at the onset. This reduces the cost of treatment and makes the outcome much better. We are developing flat panel detectors which produce outstanding result with low dose. We are also developing high value CR system and we have installed base of more than 25,000 CR and imagers across nooks and corner of India. These CR system digitalise the X-rays and help in better reporting through teleradiology services.

There is emphasis on digital mammography. What has the company’s strategy to grab a pie of the market?

‘Early detection is the key to control cancer’ is the guiding force behind the design of the (FFDM)-Amulet Innovality.

We are focusing on Full Field Digital Mammography (FFDM) and we installed FFDM at more than 20 hospitals diagnostic centers across country. We understand that there is huge requirement of FFDM in India, as every year approximately 1,50,000 patients are detected with breast cancer at early stage. Fujifilm is committed to breast cancer awareness programmes and ‘early detection is the key to control cancer’ is the constant guiding force behind the design and evolution of the (FFDM) – Amulet Innovality.

FFIN is focusing on the Full Field Digital Mammography market and taking proactive steps to improve the early detection rate by conducting symposiums and spreading awareness.  FFIN conducted a symposium in Delhi  with Batra Hospital, Mumbai with NM Medical Center, Chennai with SRMC. In our continues effort to generate awareness about this noble cause, we have tied up with PINKATHON (women marathon) as a ‘wellness partner’, where we circulate, breast cancer awareness booklet. FFIN will continue to organise such events while collaborating with symbolic hospitals across India to generate awareness.

 What does the company offer in endoscopy machines and point of care testing?

We manufacture flexible video endoscopy system at Fujifilm Japan. Flexible endoscopy is waste area – where in FUJIFILM produce flexible endoscopy systems (processor- to process the image, light source – to get the light inside body, finally different endoscopes for different applications). One processor and light source combination can accommodate various endoscopy systems.

We manufacture and sale flexible video endoscopes for specialties – primarily gastroenterology, pulmonology/respiratory, ENT, anaesthesia etc over and above we make and sale endoscopic ultrasound system also, which is mainly made for gastro application only, few major applications of our make are mentioned here below.

In gastroenterology, we have:

Upper GI Gastroscope– for diagnosis and treatment and biopsy of esophagus, stomach, duodenum.

Lower GI Colonoscope- Colon diagnosis, biopsy and therapy.

ERCP- Endoscopic retrograde cholangiopancreatography for diagnosis and treatment of CBD/PD,stones in CBD, and stricture treatment, etc.

EUS- Endoscopic ultrasound system – Predominantly for staging of GI abnormalities, growth and their staging, biopsy sampling for histopathology, mainly for pancreas, CBD, etc, this device goes from mouth up to duodenum and can even tell about staging of cancer.

In pulmonology, we have:

Bronchoscopes: Diagnosis, biopsy of lungs and treatment.

EBUS: Bronchoscope with ultrasound on tip of scope allows to stage growth in respiratory tract and lungs and biopsy through fine needle aspiration with few possible therapies. In a nutshell, we can figure out utility of endoscope is essential for GI and respiratory which is non-invasive interventional procedure, can save many lives.

The company was looking at launching high-end screening machines in India. What has been the progress? What is in the pipeline?

We are launching one product in DR, FDR Visionary Suite, a next-generation premium fully automated automatic DR X-ray ceiling mount system. The system features advanced imaging applications, including automated long-length imaging, dual-energy subtraction, and tomosynthesis.


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