Sanjaymon KR
General Manager – Business Development,
Agappe Diagnostics Limited

Coagulation Market In India – New Trends

The Indian coagulation market is growing significantly for the past few years. The reason behind this growth is the increase in the cardiovascular disease (CVD) cases in India. It is estimated that the CVD cases in India is more than the global average and is one of the major cause for mortality. When we look at the current scenario, there is an increase in the CVD cases in rural population especially due to the low intake of fruits and vegetables, high use of tobacco, lack of awareness, and late diagnosis of the disease.

At present, PT, APTT, and fibrinogen are the three major parameters in coagulation testing. Out of this PT contributes around 80 percent of the total testing followed by APTT and fibrinogen. In the recent years, there is a growth in the D-dimer estimation. Majority of the coagulation tests are performed in the hospital based laboratories than the stand-alone laboratories. This is one of the reasons for less installation base in the coagulation analyzer segment.

Automation in coagulation starts from single channel coagulation analyzer to fully automated multi-channel coagulation systems and when compared to the other segments in the IVD, only few multinational companies are present in the fully automated coagulation segment and are purely on import. In fully automated segment, there is a shift from bigger system to compact system to address the space constrain in the laboratories especially in the metro cities and there is an increase in the reagent rental business model. Like fully automated segment, there are only few players in the semi-automated coagulation segment and most of these instruments are on import. In the semi-automated coagulation analyzer segment, there is a new trend in recent years where the laboratories are moving from open systems to closed systems.

Since the forex rates are going higher than the expected, there is a huge impact on the price of hardware and consumables of coagulation systems which is eluding the rural laboratories from coagulation testing. Local manufacturing is the key success factor in this segment and there are few manufacturers in India who envisioned this. Indigenized and highly compact smart card technology based semi-automated coagulation systems are introduced recently in India which is getting momentum gradually. We are expecting that more such innovative systems are going to be introduced in the coming years with local manufacturing to make the coagulation testing easy and affordable to the
common man.

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