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Gerresheimer s factory in China to expand the ability of medical molding

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   German medical injection molder Gerresheimer Regensburg GmbH company in the next 18 months, factories in China will quadruple production capacity expansion, and is actively planning to build a second plant in China.

    Gerresheim Plastic Products (Dongguan) Co., Ltd., general manager Stephane Pianigiani said the Dongguan factory expansion is mainly to meet the multinational medical device manufacturer customers, they want to reduce product costs, but now more and more accustomed to China, sensitive health care products.

    The company, based in Regensburg, Germany, the end of 2012 the company plans to existing factory in Dongguan 8 to 30 sets of injection molding machines, the number of employees expanded from 100 to 350 people, he was on September 7-8 in Shanghai at the China International Medical Equipment Design and Technology Exhibition (Medtec China) said in an interview on the news.

    Pianigiani said: \"The [medical device industry over the past customers] always want to come to China for production, but now they have changed the concept.\"

    Gerresheimer\\ s Dongguan plant is the first step in expansion plans in China, the company is a manufacturer of large-scale drug delivery systems, including inhalers and other products.

    Pianigiani said that while the company is also actively preparing to build a first in China to build or buy an existing plant for the medical industry, injection molding factory.

    He said: \"Although the long view, only by virtue of a factory in Dongguan that we can not become the market leader in China, but to January 2013, we will have a new plant into operation.\"

    If all goes well, Pianigiani said the company will \"soon acquire\" a new plant, but he said the fact that to find a suitable acquisition target is not easy.

    Currently, the company\\ s worldwide total of 15 injection molding plant, of which eight specialized production of medical equipment products. Its customer base includes most of the well-known manufacturer of medical products and pharmaceutical companies, such as Zogenix company, Becton Dickinson Medical, Novartis Pharmaceuticals and Merck KGaA.

    The annual global production of about inhalers 100 million, 50% of its plastics division more than clean room capacity for the production of drug delivery systems, such as powder and capsule inhalers and aerosols. The company\\ s other products include disposable dialysis medical supplies, insulin pen, surgical instruments and medical clinics for laboratory test equipment.

    He said the Dongguan factory was built five years ago, over the years to strengthen customer relations efforts have begun to show results. \"We are a [footprints all over the world] a full-service provider customers tell us their ideas from our design and production work, including all of the molds and tools.\"

    He said that while factories in Dongguan, more than 95% of the products are exported to North America and Europe, but the company chosen to participate in the development of this Medtec China, hoping to expand the business in the local market.

    He said: \"We see a huge population, China has a tremendous untapped market opportunity, we believe that a considerable number of Chinese people can afford our products.\"

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Telemedicine is still a lack of good domestic and international business model

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Recently, the benefits of physical health (Beijing) Technology Co., Ltd. General Manager Mr. Zhou Po, on the physical health benefits and the current state of development of telemedicine in China\\ s overall development of the market to do the interpretation.

Telemedicine is only about five years in our history, as opposed to foreign forty years of development, its backward situation can be imagined. Therefore, to develop telemedicine medical information has become an important part of the building.

The so-called telemedicine, the popular talk about traditional medical devices into the communications function, the integration of innovative new products. Users in the use of telemedicine equipment is no longer just a cold machine, more interactive services.

Zhou Promethium said that the current field of telemedicine is still a lack of good business model. \"Basically, the government now put tens of millions each year, the cost of millions to do the city or area or community telemedicine telemedicine project, can really improve people\\ s health, but continued to put pressure on government finances.\" Entire environment also the government, manufacturers, many consumers support.

In the telemedicine industry, the benefits of physical health is a terminal equipment suppliers, products are mainly divided into two categories: medical and health. Medical products are mainly determined power, blood pressure, blood sugar and other equipment; women\\ s health products such as fat measuring device, measuring instrument and the pedometer and other sports. In addition, the benefits of physical health is also expanding some of the platforms of the interface will be integrated into a variety of products to provide complete solutions to industrial users.

Promethium week said that the current body of health benefits the product line has been relatively well, the next will focus on the data interface and platform construction, launch next year will focus on cloud-based health system, telemedicine health services to help small and medium enterprises and institutions, in particular are nursing homes, welfare institutions, communities with limited funds to build the local health service system quickly, to try new business models.

Reporter: Hello, everyone, today we are very proud of the benefits go to the Physical Recreation (Beijing) Technology Co., Ltd. General Manager Zhou promethium, Zhou Hello. First week of total or please give us a brief physical health benefits.

Week Promethium: Beijing Science and Technology Co., Ltd. Kang Yi body is engaged in telemedicine industry, mainly equipment suppliers, which is a four-year start-up companies do, we are mainly for the industry to provide medical terminal equipment type, and information transmission gateway background of the interface and service platform will be integrated into a complete program of products available to industry users.

Reporter: not only the medical benefits PHM provider of end products, while R & D is very strong, can not describe to us, in the case of independent R & D?

Week Promethium: experience alone, we are not big dozen R & D team, a total of two, one is hardware (ECG, blood sugar, fat and a series of product sensor R & D), a software (platform interface), We also carried out two to three items, four years down the entire product line is relatively complete.

Reporters: 2011 is over immediately, explain how the overall development of the company this year?

Promethium week: This year the market will be much better than last year, but our entire sales break 10 million is still not outside the industry believe that telemedicine is very good, but the market still faces many problems, needs further development, the energy market is not really very large, two to three years time to do it.

Reporter: Yi body about how many types of health products, market share, how?

Week Promethium: Our products can be divided according to categories to sub categories, one medical, one is healthy. Mainly related to health such as ECG, blood pressure, blood sugar and other equipment, to increase the communication function on the use of telemedicine. Another is a healthy product, is currently looking for a breakthrough. Because the current disease population is relatively less health groups such as women with fat measuring instrument, sport gauges, pedometers, etc., these are all very good health or telemedicine applications, the real advantage is remote, it is not only products, but services can help people to do real-time monitoring, to make a long-term health management, so we do a series of health equipment. In addition to product platform, we also expand the number of interfaces.

Reporter: 3D applications have become a major highlight of the Information and Communication, currently in its infancy, it not only brings together enterprise customers, but also used in home health care, physical health benefits have success stories?

Week Promethium: 3D applications for telemedicine to bring really good opportunities for development, the traditional sense, we need to have the network, behind the service, the real needs of telemedicine into the home, community, etc. to use, 3D can be done at any time anywhere. Now we are the successful application of very large, we have many partners, such as Tangshan in Hebei, Tangshan, many community hospitals have been in the application of our equipment so that it passed through the computer and then transfer the data out of 3D is very convenient, many places our products in use.

Physical health benefits of wireless transmission protocols and advantages of the data interface and other new

Reporter: At present, the end product in the domestic health care provider to do this piece of children\\ s overall market conditions are like? Benefits the body in which the health status of the market? Our competitive advantage is reflected in where?

Promethium week: the medical device industry is very large, not very accurate data about tens of billions per annum of the market, the traditional blood pressure is several billion a year market, there are other health class devices, this is a big market, and we focus on health care only a very small segment of the market, there is no accurate data, because the market is not big enough, but at present, probably billions of the market, the information here, including a series of platforms and other items used in inside, really relates to medical devices also need time to develop the market. This year, several hundred million or less of the market, but also takes time to develop.

Reporter: I just said, specifically referring to several hundred million?

Promethium week: the size of the market. I am referring to is the number of medical communication with medical equipment, and now the market\\ s awareness is not high.

Reporter: You just mentioned that a larger space for market development, physical health benefits in the middle of the market positioning of what? Let\\ s competitive advantage has been reflected in the Where?

Promethium week: the most important health benefits body positioning equipment suppliers, more suppliers with communication equipment, to our advantage in the wireless transmission protocol or a data interface as well as new products, such as a pedometer with a communication function, ECG transmission instrument and so on. We can do a blood pressure measurement button, all data is automatically transmitted to the back-office services, and doctors can be very convenient quick text message or telephone notification to the user.

Reporter: In the interests of physical health such as Chinese companies about how much?

Week Promethium: Frankly in China will have a few, and completely as we do so entirely clear that vendors or solution providers less, we have compared the products that make services better and more companies want to do a good job coming service system, so that higher value enterprise business, we have our own position, the current stage we believe that the whole service also requires a lot of running and looking for business models, we are able to find their place, the development of viable technology to provide more focus on equipment the above.

Telemedicine is still in the Chinese market cultivation period

Reporter: The future of this market will have a relatively large development prospects?

Week Promethium: First of all the market will be of significant development, because it is an inevitable trend, as we previously used independently can not be networked computer, networking is now normal and inevitable, medical equipment, too, the traditional measure blood pressure or glucose is the digital feedback, the future can be more connected to the network after the service, which is inevitable, will certainly be a big outbreak. You mentioned earlier the development of the whole industry is not particularly good reason for this is to do everything step by step process, now we start a family there are two blood pressure, slowly concept of a health management, some things need training and education , this market also need to slowly applied in foreign countries throughout the development of telemedicine has been 40 years, the development of particularly good, as the United States and Europe, like Britain, Italy, North America, there can be development, but in China really do up telemedicine less than 5 years, so that now take a very long way to go.

Reporter: At present, still in the market cultivation stage?

Zhou Promethium: Yes, the market is still in the training stage, the whole market that a real customer base is the government foot the bill, should make the consumer pay for long-term market, the concept of the future should lead people to buy products to buying services from the change. Not just a machine but the equivalent of a doctor.

Reporter: Market outbreak is likely to be how long? Be rapid development?

Week Promethium: hard to say. The environment also need the government, manufacturers, consumer support, the industry is now the biggest question is: Government attaches great importance to investment is also great, the whole year into the community which is funded in large part to do telemedicine, e-health and so and telemedicine-related, but there is a core issue, now relying solely on government investment, the market will not be much, will not break out, the real market, said the outbreak must have all of my users, consumers really concerned about this products, and this one, the industry has not fumbled a good business model, if a simple reliance on government pay, equipment vendors, this approach is difficult to break out.

Reporter: You just mentioned China\\ s foreign telemedicine is relatively backward, before the development of five years. The current situation in the domestic market as a whole?

Week Promethium: Traditional telemedicine is remote consultation, remote guidance, in fact, telemedicine is now in foreign countries has been extended to medical and health areas, not only is nosocomial, extended to the outside of the hospital this thing. China is now the hospital late start, it simply is the family doctor or the late start of some communities, now faces the problem or one of the most substantial, because the whole market needs to promote business practices, the government is now more of a driving force, there is no market driving force, the industry lacks a good business model. Basically, now the Government has put tens of millions, cost billions to do the city or area or community telemedicine telemedicine project, this government needs to continue to invest every year, can really improve people\\ s health, to keep tens of millions of investment, government financial pressure great.

Reporter: market drivers yet.

Week Promethium: Now there is a, in addition to the government, there are some companies do even third-party consulting services and hospital services, good prospects from the industry point of view, but from the revenue point of view, the investment returns are negative, We need to purchase a large number of devices, services of professional medical workers, which have a cost, and now the government can subsidize some way, if a few thousand a year, the cost of thousands of hard to be accepted by the public, the lack of a positive behavior. Is not good implementers, service providers have to pay for operating such a good mechanism.

Correspondents: the relative development of foreign, what do you think China can learn from experience?

Promethium week: I and many people have talked to manufacturers responsible for the current domestic and even foreign countries are not very good experience, we are thinking about. Traditional medical model is to provide remote medical health care, this approach is a simple service and the service. We are working with operators to expand the search for social functions of imaging products, there is adhesion between people, I can see the health of parents, I can have a driver, to buy and use.

Reporter: You just mentioned that I am particularly interested in, such as the Internet social networking features into the telemedicine equipment inside, such as how the device will have an interactive effect?

Week Promethium: First we are exploring in this way, simply, we can really use this equipment to help patients, but must continue to use, such as high blood pressure, my mother, so she did not need to use blood pressure today difficult to adhere to, in telemedicine way, she must be measured daily, if not measure, my phone will remind me, I will call the past, you should pay attention to your body, may one day her blood pressure is low or high case, I can receive a timely reminder to care for her, we try to social or human factors add to the mix.

Reporter: At present, still in the exploratory stage? Not to the number of applications?

Promethium week: There are some small-scale applications, but still in the exploratory stage, we all want to find the good in this industry business models. Even I know that some companies try to do something in the enterprise applications, let\\ s focus on employee health, while employees receive company benefits.

Reporter: telemedicine profit model is not yet better, can explain in detail?

Zhou Promethium: relatively simple for us, is to sell equipment, selling software. We will try next year transformation, and others by providing technical support to lower the threshold not to spend so much money to provide cloud platform further into the health of our business model also attempts to do so by focusing on some new technology or other cross-industry business model to adjust the past, users pay approach does have some problems, for example, the user can accept the price level, which is what I say telemedicine and health major premise. If the remote back to the hospital with medical equipment, is relatively simple, it is hospitals and government investment.

Reporter: I know the hospital on the remote equipment investment cost may be relatively large, but not directly proportional to input and returns.

Promethium week: this is indeed facing this problem, more in the hospital more of the telemedicine medical technology level of government investment, it does not directly produce benefits to the hospital, and more to help disadvantaged hospitals, the traditional sense, top three hospitals with the medical equipment on a good, good equipment, good doctors, hospitals and even the town and county hospitals are not good doctors, good equipment, but some patients have no way to rescue a large hospital, so they need a good remote medical equipment, this is more government medical cooperation in the balance, if you really relied on how much money the government will deviate from the original intention.

Telemedicine allows users to better health services

Reporter: You have talked about telemedicine specific medical information to patients in the specific construction What are the benefits and impact?

Week Promethium: it shortened the distance between people, in other words it is closer to the distance between patients and doctors, allowing users to better access to health services.

Reporter: I know if the total is still Continua Health Alliance\\ s global head of domestic, can give us about the situation in this league?

Week Promethium: not to mention responsible, in which to contribute their efforts. Sports is the world doing good digital telemedicine alliance, which is non-profit organizations, including equipment suppliers, software providers, and software medical institutions as a whole, to explore better technical level, the establishment of a good standard, good market to explore ways with market development. Continua in the world, including 260 companies jointly formed by the organization.

Reporter: I know in the Union area, including Intel, IBM, Cisco relatively large international companies, what do you think they mean?

Week Promethium: whether domestic and foreign equipment must be built into a complete ecosystem, an ecosystem, including manufacturers, including service providers, including users are part of, and then further fine a point as the value of IT vendors, because telemedicine is itself Communications and IT, the combination of medical, here is the large amount of data storage, information security and network communications have the opportunity in all aspects, because there is a market value of the willingness to participate, it benefits everyone involved for what? easy to get electronic medical records for , we discuss standards, during the discussion A, B, C manufacturers can come in, the user will have real benefits, I bought a brand sphygmomanometer A, B brands of oximeter, etc., at home measurement , measured in the hospital files can go into the experience. Because of the doctors, the more comprehensive information and data users for more accurate diagnosis of his help, the last to benefit the user.

Interpretation of the value of telemedicine

Reporter: Population aging is the same trend, as people raise the level of income, health awareness, increasing the process of medical devices, the prospects are all promising. These two days have led the Ministry of Science and other ministries together special grass is \"the\" second five \"medical device industry, science and technology development plan\" may be the recent introduction of innovation and integration will become the future development of the theme, you understand how to innovate and integration?

Promethium week: new mobile medical equipment is the focus of government support for development. Health care itself is a process of innovation and integration. Briefly explain what telemedicine, some websites may or encyclopedia definition is very complicated, I use popular language, telemedicine is a combination of medical and communication integration, and innovative new products. Equipment or traditional medical equipment, measurement parameters, but also the hospital\\ s argument, it is the integration of communication functions, so that we measured in the home, the doctor can see the data, which is integration. Innovation refers to the past, only to see the data, to see more services through the integration, which is innovation and integration. For example I have a very simple little product, this thing in the traditional sense it is a step counter, but now it combines a cell phone module, it is innovation and integration. Odograph can monitor the movement, its innovations and communications will be integrated later into the morning I did not get it detects a call to remind me, if I were a patient recovering after my surgery, the doctor let me regular exercise to quantify each days walking 5000 steps, etc., through the innovative integration of the real data through the traditional way of integrating services together to make things updated.

Reporter: In the past it is one thing, now provide a wider range of services more, so you better pay attention to in life.

Promethium week: it is constituted by the products of services, because the traditional words, such as why our health care situation now? Everyone\\ s consciousness is the cure, rather than go to the prevention, detection. Now through telemedicine means it becomes possible, the doctor through a simple digital set, the system automatically prompts the patient, or even a professional data automatically pushed to the doctor, if there is no problem, doctors do not spend a lot of time to see if there , she would go to interest, some sort of surgery done after the patient, how the heart rate, recovery from what can see, this is the value of telemedicine.

The introduction of the health product to try new business models Cloud

Reporter: Then there will be health benefits which the body\\ s strategic initiatives or campaign? Next year the focus of development located?

Promethium week: our entire product line has been relatively well, and with communication function ECG, blood pressure, blood oxygen, blood glucose, because the main health benefit is the body outside a hospital, not on the hospital facilities, we have a more comprehensive, next to the development of is the data interface including better to do, to make the background of the platform, and finally we focus on next year launch cloud-based health products, focusing on small and medium units and to do business or service organizations to help them better fast set up remote health system, because large hospitals or government agencies, community funds can invest millions of their own to do a quick system, but in fact they really have a lot in need of services in nursing homes, welfare institutions, small communities, local communities, But do not put too much, we have to do is help him with very little investment into servers do not need, do not need R & D, may be within half a day to build their own cloud-based health services, telemedicine health system, which is the focus of next year pushing.

Reporter: telemedicine future market prospects or in doubt, you think in the future market process, in terms of health benefits to the body how to seize the better opportunity?

Zhou Promethium: For us, the most direct is more sales, but this is difficult to achieve, we need to do is better to explore some of the possible future of a good business model, our products different upgrades for our customers better service, the last to find their value, and form their own core competencies, and finally the market, I hope we can go well.

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China s medical equipment remains a large foreign trade surplus

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In the first half of China\\ s medical equipment to maintain a larger surplus in foreign trade, export growth was slightly lower than import growth by 2 percentage points, the yuan continues to appreciate the impact of export profits more and more obvious.

According to Chinese customs data processing statistics, first half of 2011, China\\ s medical equipment amounted to $ 12.051 billion imports and exports, up 58.15 percent, of which exports $ 7.134 billion, an increase of 57.34%; imports amounted to $ 4.917 billion, up increase of 59.34%.

Overall, the first half of 2011, China\\ s medical equipment to maintain a larger surplus in foreign trade, export growth was slightly lower than import growth by 2 percentage points, the cumulative trade surplus amounted to $ 2.217 billion, but the trade surplus decreased compared with 2010 a $ 841 million.

Exports: foreign investment and joint ventures accounted for half of the

First half of 2011, the average monthly export volume of China\\ s medical equipment was 11.89 billion U.S. dollars, the highest monthly value of exports in June reached $ 1.351 billion, growth of 4.41%. From the trade point of view, accounting for 56.59% of general trade, processing trade accounted for 38.12%, compared with little change in 2010.

First half of 2011, Asia, Europe and North America is still the main export market of China\\ s medical device, the corresponding exports were $ 2,292,000,000, $ 1,996,000,000 and $ 1,929,000,000, the total proportion of up to 87.14%. Exports to the Asian market grew 55.09%, which by the China-ASEAN Free Trade Area \"zero tariff\" impact on ASEAN exports continued to grow year on year up to 73.03%. Export markets in Europe and North America were up by 56.77% and 55.57%. It is worth mentioning that the market development in Africa has achieved good results, exports $ 308 million, an increase of 64.31%.

U.S., Japan and Germany is still the traditional exports of medical equipment market, the top three countries, the three first half of 2011 reached 42.27% market share.

First half of 2011, there were 15,900 medical equipment export business, an increase of 66.02%, exports to 206 countries and regions, exports accounted for the top 200 medical device companies 49.12% of total exports, the degree of concentration than the 2010 was increased 4.43 percent over the same period, the export is to promote the development of China\\ s medical device industry, an important driving force. Although the medical equipment market continues to expand exports, but domestic manufacturers of medical equipment products are generally low-tech, competitive worrying, in the top 10 export enterprises, foreign investment and joint ventures, there are seven, from the see the composition of export enterprises, foreign investment and joint ventures are the main force of domestic exports of medical equipment, accounting for half of the country.

Imports: an increase of 58.46%

First half of 2011, China has 90 countries and regions from imported medical equipment. Europe is the largest importer of China\\ s medical device market share reached 38.86%, Germany, Switzerland, the Netherlands, Ireland, Britain and France and other European countries accounted for the import of medical equipment top ten trading partners of the six seats, the United States, Japan, South Korea and Mexico account for another four seats.

First half of 2011, China\\ s total 8332 imports of medical equipment business, an increase of 58.46%, which Medtronic medical supplies technical services (Shanghai) Co., Ltd., Johnson & Johnson (Shanghai) Medical Equipment Co., Ltd. and Shanghai Import and Export Co., Kay company, Chongqing Import & Export Co., Ltd., Roche Diagnostics (Shanghai) Co., Ltd., the Building Materials Group Import and Export Corporation, Shanghai East Pine International Trade Co., Ltd. Chinese medicine and health products, St. Jude Medical ( Shanghai) Co., Ltd., shall Tang International Trading (Shanghai) Co., China\\ s medical equipment among the top 10 the amount of imports, the proportion of 12.54%.

First half of 2011, China\\ s imports of medical equipment amounted to $ 300 million in four product categories: \"use of optical radiation (ultraviolet, visible, infrared) and other instruments and devices\", \"color ultrasound diagnostic apparatus\", \"Other compensate for a defect , disability and other auxiliary equipment used (including the wearing, carrying or implanted in the body of the apparatus and parts) \",\" X-ray tomography instrument. \" Products reached $ 200 million five categories: \"Other instruments and apparatus\", \"Other syringes, needles, catheters, intubation, and the like\", \"other medical or veterinary X-ray applications,\" \"magnetic resonance imaging device\" , \"Using optical radiation (ultraviolet, visible, infrared) spectrometer, spectrophotometer and spectrograph.\" $ 100 million of six categories of products: \"No. 9022 Other equipment and parts listed (including the high-voltage generator, control panel and console, screen, etc.)\", \"Microscopes other than optical microscopes; diffraction equipment\", \"in Looking Glass, \"\" attached to the backing of the diagnostic or laboratory reagents \",\" ophthalmic use of other instruments and apparatus \",\" Other artificial parts of the body. \"

The cumulative risk of exchange rate changes export import growth will exceed export

Looking second half of 2011, the scarcity of resources in the world and domestic economic inflation, grain, cotton, chemical products, water, electricity, gas and other raw materials and power prices showed a rising trend will result in some disruption of production activities, not timely delivered to foreign customers. Some companies now general increase in labor costs by 10% to 20%, which is also part of the international order will result in lower labor costs to ASEAN and other countries and regions. Generally denominated in U.S. dollars for China\\ s medical device companies, since the difference depends on the exchange rate has long been a larger profit margin is generally small, RMB appreciation will undoubtedly bring more of their losses, the future of competition in the industry and the export price risk will be higher. At the same time, imports will expand import and export of China\\ s medical device industry, the second half of 2011, balance of trade priorities.

2011 If medical products to maintain our existing international market share and expanded, then, is expected to achieve 15% annual export growth, import growth will be higher than exports, the trade surplus is expected to shrink. 2011, total import and export of medical devices will exceed $ 25 billion.

Related to exports of key products to maintain growth momentum

* Cotton wool, gauze, bandages

First half of 2011, cotton wool, gauze, bandages exports $ 413 million, an increase of 37.09%, average export unit price of 7.31 U.S. dollars / kg, an increase of 35.84%, exports to 180 countries and regions, the main export markets are United States, Japan, Germany, Belgium and Italy, the proportion reached 52.78%. 5 largest market for export growth were maintained at 20%.

* Disposable syringes

First half of 2011, exports disposable syringes $ 187 million, an increase of 23.42%, average export unit price of $ 0.04 / support, an increase of 9.01%, exports to 160 countries and regions, the main export markets are USA, Germany , Pakistan, Brazil and Russia, the proportion reached 38.73%, only the U.S. market accounted for 19.85%, in addition to the decline in exports to the German market, the largest market for exports of the other four showed a different rate of growth.

* Color ultrasound diagnostic apparatus

First half of 2011, exports of color ultrasound diagnostic apparatus $ 162 million, an increase of 28.03%, average export unit price of $ 17,000 / units, an increase of 4.01%. Exports to 127 countries and regions, the main export markets are the United States, the Netherlands, Germany, India and Japan, the proportion as high as 55.14%, in addition to the Dutch market decline in exports, the largest market for the other four remain at 40 export growth % or more.

* X-ray tomography instrument

First half of 2011, X-ray tomography instrument exports to $ 158 million, an increase of 23.24%, average export unit price of $ 161,900 / units, up slightly down 2.24%. Products exported to 66 countries and regions, the main export markets are USA, Japan, Netherlands, France and Brazil, the proportion as high as 61.18%, in addition to the decline in exports to Japan, the largest market for exports of the other four remain different ranges of growth.

* Patient monitors

First half of 2011, patient monitors exports of $ 134 million, an increase of 17.62%, average export unit price of $ 1,898 / units, an increase of 12.81%. Exports to 149 countries and regions, the main export market is the United States, India, Hong Kong, China, Germany and the Netherlands, the proportion reached 58.15%, in addition to the decline in exports to the German market, the largest market for exports of the other four showed a different rate of growth.

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Mobile health care system for the first time for the public good

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Children with congenital heart disease is a congenital disease in the most serious, a large number of China\\ s annual children with congenital heart disease due to family poverty and low level of local factors, lack of timely medical treatment.

Inner Mongolia Autonomous Region of China Mobile jointly launched the Home Office and other departments of China Mobile Love \"heart\" of action by China Mobile Charity Foundation donated 11 million yuan, the purchase of two mobile screening vehicle, equipped with mobile medical systems to carry out congenital heart disease in the Inner Mongolia Autonomous Region screening relief, and fully funded surgery in children. Project two years to rescue 350-400 impoverished children with congenital heart disease.

This is the first time, China Mobile, the mobile medical systems used in public charity.

China Mobile Communications Corporation, vice president, vice president of China Mobile Charity Foundation Zhengmao introduced, China Mobile self-developed mobile health care system, through the mobile communication network and the terminal of things, to build up multi-point collaborative telemedicine workstation to achieve flow screening, data transmission, remote consultation a new model of the Trinity. Can effectively solve the scattered distribution of poor children with congenital heart disease, primary care conditions are poor, unable to timely diagnosis and other issues.

See the doctor the whole station, including visual system, physiological information transmission systems, cases and X-ray image acquisition system, children with congenital heart disease screening of medical records management system and other advanced medical information systems. These systems via mobile networks, enabling real-time two-way audio and video calls, with the heart sounds, ECG, pulse and other acquisition and transmission.

Zhengmao said, to the love \"heart\" of action as a pilot project for future screening assistance through continuous improvement mode, expand the scope of relief, better and more poverty for the majority of patients to provide medical assistance.

\"Mobile Health\" to less investment and quick so as to enhance the short term the level of local health services effective way. In recent years, China has been vigorously developing mobile medical career.

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2010 global revenue of medical device giant inventory of ten

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2010 continued to intensify global aging, Yi Xie giant global product sales are expected to increase this trend from the company\\ s annual report to be confirmed.

FierceMedicalDevice website recently published a well-known medical device company reported 2010 sales volume in 2009 selected the top 10 medical device companies. The report shows that 10 medical device company\\ s products are sold billions of dollars, Johnson & Johnson medical devices is undoubtedly the uncontested top dog in 2009, sales reached $ 23.57 billion. The other major competitors such as Siemens, Philips, although GM and non-pharmaceutical companies, but also in the medical device industry occupies an important place. However, the production of well-known companies such as small devices based Medtronic and Boston Scientific as the list. Medical equipment giants income of general growth trend.

Information from the report \"medical products Equipment magazine\" (Medical Products Outsourcing Magazine), and each company\\ s annual report.

Johnson & Johnson

Location: New Jersey

CEO: Bill Weldon

Sales: $ 23.6 billion

Johnson & Johnson Medical Devices and Diagnostics (MD & D) sector, including DePuy, Ethicon, Ethicon Endo-Surgery, Ortho Clinical Diagnostics, LifeScan, and J & J Vision Care Company, covering a wide range from heart disease to diabetes products.

First half of 2010, Johnson & Johnson MD & D department has sold more than last year ($ 12.4 billion VS 114 million), this figure means an increase of 8.2%.

As early as this summer, Johnson & Johnson\\ s report on the show, the company more than a dozen items have been approved. 2010 to 2012, Johnson & Johnson about the declaration of 80 major projects, seven franchise. In fact, MD & D sector has become the largest business unit of Johnson & Johnson, in the company\\ s market occupy first or second position.

Siemens

Location: Munich, Germany / USA Chau Malvern Pennsylvania

CEO: Peter Loscher (Corporation), Hermann Requardt (healthcare company)

Sales: $ 17.4 billion

Siemens healthcare company in the world there are about 48,000 employees and 2009 revenue totaled € 11.9 billion (at September 30, 2009 exchange rate of $ 17.4 billion), profit of 15 billion euros ($ 2.2 billion). The company\\ s clinical products related to cardiovascular, neurological disease, cancer and surgical fields.

According to the company\\ s September 27, 2010 released a report, all the health care sector revenues have been growing.

General Electric

Location: Connecticut United States Fairfield

CEO: Jeff Immelt (Corporation), John Dineen (Medical)

Sales: $ 16 billion

GE Healthcare mainly in the areas of heart disease, neurological diseases, emergency medicine, oncology and gynecological diseases. Medical device company\\ s second quarter revenue of the manufacturing sector $ 4.1 billion, an increase of 3%; profit from the same period in 2009 to 5.9 billion dollars to $ 661 million, an increase of 12%.

In India recently established a low-cost IT solutions – for more than 15,000 Indian diagnostic centers and hospitals, image archiving and communication system common center PACS. GM\\ s first individual class cell assay products already on the market, mainly for the two companies reach an agreement to transfer or license the drug discovery and toxicology screening.

Medtronic

Location: United States, Minneapolis, Minnesota

CEO: Bill Hawkins

Sales: $ 15.82 billion (2010 fiscal year)

Medtronic\\ s fiscal year 2011 first quarter report, total global revenue of $ 3.77 billion, compared with $ 3.93 billion, down 4%. However, the exchange rate adjusted increase of $ 200 million, an increase of 2%.

Medtronic had forecast earnings per share 3.45 – $ 3.55, up 5% to 8%. By unfavorable foreign currency exchange rates and slow the impact of overall sales, the company had to make adjustments to the plan. Medtronic forecast adjusted earnings per share 3.40 – $ 3.48, up 2% to 5%.

Medtronic CEO Bill Hawkins said: \"The use of pressure drop and price increases led to weakness in the global medical market, the company is also a difficult first quarter, but the cardiovascular, diabetes and surgical technology business performed well, we can ensure the diversity of investment in long-term competition in a favorable position. \"

Meanwhile, Medtronic also claims to protect and extend from pacemakers, defibrillators and spinal devices to the market stand. Recently, Hawkins said the company wants to fill some of the business through the acquisition of space, but also through the 10 billion merger to maintain sales growth.

Baxter

Location: Deer Field, Illinois, USA

CEO: Robert Parkinson, Jr

Sales: $ 12.6 billion

Baxter Healthcare sector in the second quarter sales increased 9% to $ 1.2 billion. Kidney disease products reach $ 585 million, an increase of 6%. The company will continue to consolidate the field of peritoneal dialysis market, especially in the United States, Latin America and Asia, the company also obtained from the most recent follow-up renal replacement therapy business benefit.

But Baxter also suffered a setback this year. May, FDA order the recall and destruction of the U.S. Baxter\\ s Colleague infusion pumps on the market. In addition, Baxter will also need to provide consumers affected by the recall or free replacement repay infusion pump. The next two years, Baxter needs to implement the recall command. June of this year, in automated peritoneal dialysis machine Baxter cause peritonitis after four patients, FDA has warned Baxter.

Philips Medical

Location: Amsterdam, The Netherlands

CEO: Gerard Kleisterlee (Corporation), Stephen Rusckowski (Health Department)

Sales: $ 11.2 billion

Philips is mainly related to cardiovascular, cancer and gynecological disease areas. The United States is its largest market, followed by Japan and Germany. Like other pharmaceutical companies, Philips also began eyeing emerging markets, 19% of annual revenue from these markets.

According to Cardiovascular Business predict that by 2015, with clinical applications, including neurological, cardiovascular, and the growth of breast imaging, MRI equipment market will increase to $ 7.4 billion, which Philips offers growth. The current global MRI market by Philips, Siemens, Universal and leading.

Abbott

Location: Chicago, USA

CEO: Miles White

Sales: $ 8.4 billion

Compete with Boston Scientific\\ s Taxus Express stent products (first-generation paclitaxel-eluting stent) compared to Abbott\\ s everolimus-eluting stent (Xience V) has a better prevention of heart attacks and reduce complications after two years effect, so that Abbott\\ s product at a competitive advantage. Company\\ s second quarter sales of vascular products increased 26.9%, while sales of diagnostic products worldwide increased by 8%.

According to Abbott\\ s 2009 annual report, company\\ s first female stand trial for patients with more than 2,000 women in the tracking of drug-eluting stent (DES) patients.

Boston Scientific

Location: Natick, Massachusetts, USA

CEO: J. Raymond Elliot

Sales: $ 8,190,000,000

Boston Scientific is the world\\ s second-largest manufacturer of heart devices, the company\\ s products are Taxus Express stent and Cognis cardiac resynchronization therapy defibrillator. Third quarter sales of 18.5 ~ $ 1.925 billion.

Not long ago, to $ 443.5 million Boston Scientific is headquartered in Sunnyvale, California completed its acquisition of Asthmatx. Well-known investment site The Motley Fool\\ s Brian Orelli, said: \"I know that Boston Scientific\\ s goal, but I\\ m not sure whether the fork in the company picked the right direction. The company needs to restructure, reduce costs, but in order to get rid of the burden , the cost will be enormous. \"

Allegedly, the company CEO Ray Elliott annual salary of $ 33.5 million, CEO, Massachusetts in the second highest salary. In 2009, Ray Elliott received $ 1.5 million bonus, he joined the company in the middle of last year, and the company lost 10 billion dollars.

Tyco Healthcare

Location: Dublin, Ireland / Massachusetts Mansfield City

CEO: Richard Meelia

Sales: $ 7,810,000,000

Tyco Healthcare from Tyco from 2007 separate and independent group of companies listed. Tyco Healthcare\\ s products are mainly in the medical equipment business, is expected next year\\ s growth could reach 10% to 13%. Company\\ s third quarter sales of $ 1.63 billion, with $ 1.54 billion last year compared with an increase of 6%. Company CEO Richard Meelia said: \"Although the company performed well, especially in the pharmaceutical sector, which does not meet expectations, our largest business is medical equipment, oxygen in the fourth quarter of the amount of measurement and monitoring, blood vessels, first aid Product is expected to grow strongly. \"

Tyco Healthcare\\ s best-selling medical device products, including body, soft tissue repair products and energy treatment equipment. However, the company\\ s main business is facing Johnson & Johnson, Becton Dickinson and CR Bard competition from other companies products. However, Tyco Healthcare will be acquired vascular medical device manufacturer ev3 has said that the focus of developing peripheral vascular and neurovascular markets.

Becton Dickinson

Location: Franklin Lakes, New Jersey, USA

CEO: Edward Ludwig

Sales: $ 7,160,000,000

Becton Dickinson\\ s current business is mainly to hospitals syringes, hypodermic needles, scalpel blades and other disposable medical devices, but also the production of blood samples and disease screening equipment.

Becton Dickinson third-quarter revenue was $ 1.878 billion, compared with the same period last financial year rose by 3.2%. Medical sector in the third fiscal quarter of the global revenue of $ 998 million, an increase of 2.5%, the main income is diabetes care products; diagnostic reagent sector revenue is 5.76 billion, up 1.7%; biological sciences department revenue is $ 309,000,000, an increase of 8.4%. The company\\ s growth is mainly affected by cell analysis equipment and reagents to promote.

Recently, Becton Dickinson Diagnostics and Bruker Daltonics announced that it will be an international cooperation, to identify bacteria and fungi as well as antimicrobial susceptibility testing. Allegedly, the world\\ s leading investor Warren Buffett is very interested in this company, Buffett\\ s company Berkshire Hathaway from the second quarter of 2009, Becton Dickinson\\ s stock holdings.

In addition, Becton Dickinson in the United States in 2012 to establish a sub-centers in North Carolina, three years of employment 187 staff. Analysts also takes a positive evaluation of Becton Dickinson\\ s shares. Don Yacktman Yacktman Fund shareholders on the Barron\\ s magazine said: \"means the arrival of an aging medical products will increase the demand, Becton Dickinson to meet these needs. In fact, because of the recent market downturn, Becton Dickinson\\ s shares lower than expected.\"

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Hunan average price of essential medicines 57% down two down two liters of primary health care

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This year a new round of bidding and drugs have been known to the public the results of the recent, successful pharmaceutical product regulation 947, the initial estimates, bid prices of essential drugs in our province before the implementation of essential drug system, the average retail price fell 57%.

Province since the Ninth Party Congress, benefit the health of our province to accelerate the pace, and vigorously promote the deepening medical reform. Basic drug system is deepening medical reform one of five key tasks, the province from January 31, 2010 start in batches, to June 20 this year, the province of all government-run primary health care institutions (2309 township hospitals, 238 community health service centers) Full implementation of the system of essential drugs and essential drugs zero sales slip.

A total of 505 kinds of essential drugs in our province, the implementation of the provincial units of centralized purchasing, respectively, in December 2009 and September this year, the organization of two centralized bidding and procurement of essential drugs, basic medical and health institutions through the bidding and purchasing network provincial drug procurement of medicines by the drug distribution business uniform distribution. In order to guide the masses to change the drug habit, the province will also include essential drugs new rural cooperative medical care, medical insurance for urban workers and residents in the scope of Medicare reimbursement, reimbursement was significantly higher than non-essential drugs.

Implementation of the basic drug system, the province s primary health care institutions showing a "two up, two down": outpatient visits increased by 23.26%, 10.24% increase in hospital visits, outpatient costs down times were 22.92%, times were 20.75% decline in hospital costs. Implementation of essential drugs, especially the grassroots zero sales slip, the large prescription drug abuse and significantly reduced, not only to reduce the mass medication burden, and promote the rational use of medicines, medication safety. Beginning next year, the province set up all required to implement village health essential medicines zero sales slip, people will have access to basic medicines system to bring more benefits.

Authoritative comment

Xiao policy group (party secretary of the provincial health department)

To well-off, the first health. Public health protection is one of the most important livelihood. As health care reform is an important reform, national essential medicines system "prove safety," your doctor for treatment, "chronic." This is a brand new system, but also solve the primary care health facilities deep-rooted problems of fundamental measures. The province to achieve full coverage of basic drugs, let the people enjoy the most direct, more affordable, primary health care institutions showing a "two up, two down," the fortunate situation.

Implementation of the national health system in our province with an opportunity for basic drug system, focusing on institutional innovation, the flow, to tackle tough, grass-roots health care institutions to carry out the management system, personnel system, distribution system, the basic drug system, financial security system comprehensive reform, the progressive realization of "the government was popular, people may benefit, was the development of health" reform goals.

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Ministry of Health requirements: medical use of antibiotics must be publicized

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Health, Medical Administration Zhao Gang, deputy director of the Ministry of Health yesterday held a regular press conference that the Ministry of Health requires medical institutions to disclose the unit variety of antibiotics, quantity, size and use, and the proportion of antibiotic drugs, the patients understand the treatment.

In accordance with the provisions of the Ministry of Health, three general hospitals in principle, the type of antibiotics more than 50, two general hospitals should not exceed 35 species, in addition to other pediatric medicine, with a variety of antibiotics, the same size no more than two outpatient antibiotic usage control in less than 20% usage of antibiotics in hospitalized patients to control 60% or less.

Although these indicators have been achieved most medical institutions, but Zhao steel frankly, because the hospital compensation mechanism issues, lack of capacity of individual physician expertise, knowledge and mastery of the masses of inadequate treatment and other reasons, some of the irrational use of antibiotics still exists, In a very few medical institutions and medical personnel who, irrational use of antibiotics are quite serious.

According to reports, the Ministry of Health, "clinical use of antibiotics management approach" has been several drafts, listen to the views of the industry within the healthcare industry, has now entered the final amendments to the document process.

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Medical equipment will be a special plan for future growth 20%

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Authorities from the Ministry of Science and was informed at the exclusive, special focus on Science and Technology \"medical device Industry and Technology Development Plan 2011-2015\" has been completed, to solicit the views of medical device companies are expected to introduce in the near future.

    According to Ministry sources, the \"five-second\" period, China will greatly enhance the number of medical devices, intelligent, high precision and networking, to promote the development of domestic medical equipment, the next step is also expected to achieve in the field of medical devices and then manufacturing.

    Ministry sources, the \"special plan\" for each high school to support low-end medical equipment. The focus of primary care involves basic equipped with 10 categories, and is expected to promote the appropriate conditions of inexpensive high-quality ultrasound ultrasound equipment; in high-end products focused on solving the problem of high-value consumables, and strive to achieve the pricing; medical services will be supported.

    The source said that since 2008, China launched a national medical device industry research, the basic information currently available. The current domestic medical device industry is characterized by: small quantities, but the profit margin is high; products are public goods, property, belonging to the Government pay range; distinctive characteristics of high-tech industry sectors, innovation is very fast, get the policy of great concern.

    China Medical Device Industry Association Expert Committee Wang Xiaoqing, said medical device development is now showing a trend of integrated development, corporate sales will not only equipment, but the integrity of services and comprehensive solutions, home medical equipment, surface to primary health care equipment and medical devices based on wireless networks and so may gain a larger market.

    It was explained that the hospital is not a major grass-roots community organization of medical diagnosis, but the future operation of the rehabilitation process of the main executive body, therefore, home medical equipment is expected to seize a beachhead in the community hospital.

    Medical device industry scattered, chaotic features the same attention. Mindray Bio-Medical Electronics Co., Ltd., Hang Xu, China\\ s total number of medical device companies a total area of ??about 14,000, but sales of more than 1 billion less than 200 enterprises. Industry shows that high-tech, multi-disciplinary, complex production process, as well as mainstream SMEs, big gap between the overall strength of the status quo. However, the global market, 70% of medical equipment sales focus on the first 30 companies in the hands.

    Secondary market, the investment value of the medical device industry is also promising. 10 medical device sector contrarian outstanding performance, Improve Medical (300,030 valuation, assessment, market, information, main trading) (300,030 valuation, assessment, market, information, the main trading), nine medical safety (002,432 valuation, evaluation, market, information, main trading) (002,432 valuation, assessment, market, information, the main trading) limit two stock, music universal health care (300,003 valuation, assessment, market, information, main trading) (300,003 valuation, assessment market, information, the main trading), diving medical (002,223 valuation, assessment, market, information, main trading) (002,223 valuation, assessment, market, information, the main trading) and others doing well.

    Minsheng Securities Research, said the domestic demand for medical devices is getting better, and downward pressure on prices is small, with the new rural cooperative medical insurance co-ordination to increase the proportion of urban residents, patients will become more accurate diagnosis requires a high, strong demand for various types of diagnostic equipment.

    It is understood that the current height of the domestic low-end test equipment has passed, the field of foreign high-end equipment, absolute advantage, high-quality home medical equipment company is expected to become a good investment targets.

    Comments: Minsheng Securities Research, said the domestic demand for medical devices is getting better, and downward pressure on prices is small, with the new rural cooperative medical insurance co-ordination to increase the proportion of urban residents, the exact diagnosis of patients require increasingly high demand for various types of diagnostic equipment strong.

    Future of the industry a 20% compound growth medical device market leveraging the Blue Book

    October 31-November 3, the 66th China International Medical Equipment (Autumn) Fair (CMEF) was successfully held in Fuzhou.

\"2011 annual report of China\\ s medical industry\" blue book came out, the \"Blue Book\" by Reed Sinopharm CMEF together world-renowned consulting firm Frost & Sullivan took six months to complete, is the most recent influential Chinese medical industry, a research report. Because of them predict the future of China\\ s medical device industry will be rapid growth, which led to the recent medical device market.

    Forecast 20% compound growth of the industry\\ s future

    According to the \"Blue Book\" described in the next five years, China\\ s medical device industry, the three main driving factors: First, the national \"five\" plan to encourage social capital to enter the health care field; Second, the new medical reform plan to phase out hospital drug addition , hospital charges for medical services will become the main source of income, the hospital will increase investment in medical equipment; third, according to national \"five\" plan, the new focus on medical and health resources to the rural and urban communities tilt, which makes low-end medical equipment market needs to expand the domestic enterprises in particular.

    Another driving factor is: First, some domestic high-quality medical device companies have listed, on the one hand regulate the operation of enterprises, on the other hand can contribute to new product development through financing and the establishment of overseas markets; Second, the Chinese medical device market share in China 14% of the pharmaceutical market, while the global medical device market share of the total pharmaceutical market size ratio of 42%, which means that the Chinese medical device market is still much room for development; Third, China\\ s urbanization process and the acceleration of the aging population, resident self-care awareness, increase public awareness of medical and health services.

    Based on the above factors, the \"Blue Book\", said the next five years, China\\ s county-level hospitals for medical imaging equipment, testing equipment and information technology equipment demand will increase significantly, and forecasts, 2011 to 2015 China\\ s medical device industry compound annual growth rate could reach 20.1%.

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Kidney health is essential to eradicate nine kinds of men to be abuse of renal injury

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Kidneys is the secretion of urine, excretion of waste, toxic vital organs, can regulate the body s electrolyte concentration, to maintain the role of acid-base balance. To protect the kidneys, everyone following "kidney injury" factors must be watchful.

1 abuse of analgesics:

Long-term use or large doses of some anti-inflammatory drugs, such as pain tablets, indomethacin, acetaminophen, aspirin, etc., easily lead to kidney damage. Kidney damage can be expressed as: fatigue, dry mouth, loss of appetite, frequent urination, urgency, dysuria, or hematuria and aseptic pyuria, and accompanied by joint pain and other symptoms. Some of the direct cause of acute nephritis or nephrotic syndrome, glomerular necrosis, severe cases can cause kidney failure and death.

(2) excessive use of certain herbs:

Would "harm to the kidneys" of the Chinese herbal medicine are: Hook, Guan Mu Tong, cows son, fruit, poppy, sward, so that a gentleman, green wood, fangchi and so on. Tripterygium which caused kidney damage, followed by the manshuriensis. Manshuriensis kidney injury due to renal toxicity of substances containing aristolochic acid.

3 overeating:

Food intake will eventually waste – uric acid and urea nitrogen. Most of these wastes excreted through the kidneys, excessive eating will undoubtedly increase the burden on the kidneys.

4 often hold back:

Some people are busy with work and for a long time holding back urine. Beijing Shuguang Hospital, experts have warned that male friends, in the urine in the bladder too long is the growth of bacteria, the bacteria will retrograde through the ureter to the kidney, leading to urinary tract infections and pyelonephritis. Once this type of recurrent infection, can cause chronic infection and difficult to cure. Patients will not only appear back pain, urinary urgency and other symptoms may also develop into acute uremia.

5 too little water:

If time does not drink water, will reduce urine output, urine carries waste and will increase the concentration of toxins. Common clinical kidney stones, hydronephrosis, and for a long time without water and so closely related.

6 over a drink:

Soft drinks and sports drinks excessive intake may indirectly damage the kidneys. The body s pH is 7.2, which is generally highly acidic beverages, drinking in the body after significant changes in pH. Kidneys regulate the body pH is the main organ, the long-term excessive intake of soft drinks and sports drinks, will burden the kidney, increases the probability of kidney damage.

7 soft bread eaten on:

Bread and cakes in a food additive potassium bromate, it gives baked goods necessary for gluten strength and flexibility, soft texture and taste, but excessive consumption can damage the human central nervous system, blood and kidneys.

8 drink to drink tea:

Some people believe that drinking tea can sober drink, in fact, not only ineffective, but also renal injury. Beijing Shuguang Hospital, experts said, theophylline in tea can quickly affect the kidneys play a diuretic effect, have not yet re-decomposition of alcohol at this time begins to renal excretion, the kidney stimulated by the large number of ethanol, which damage the kidney.

9 salty diet:

Salty food, especially high salt content in some snacks, such as eating potato chips, instant noodles and other people will unconsciously absorb the excess salt, leading to high blood pressure, kidneys can not maintain normal blood flow, and induce kidney disease.

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Purchase home medical equipment should be four to

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Many people for the convenience of their own to buy a home medical equipment use, there are many readers to buy them home medical equipment should pay attention to what?

According to regional Food and Drug Administration staff, purchase of home medical equipment should pay attention to the \"four to be.\"

First, we must check: check whether the business of selling medical equipment with a \"medical device Distribution Enterprise License\", the sales of medical equipment whether .

The second depends on: look you want to purchase medical equipment for use on product packaging is in Chinese, it indicates the product name, manufacturer name and address, the production license number (except the first class of medical devices), the product registration certificate number, Product lot number or numbers and so on.

Third, we must ask: to be asked in detail about the scope of the medical device, contraindications and precautions, is appropriate for your use.

Fourth, we must vote: to save commercial enterprises ask for and sales invoices (invoices to check whether the name of the unit inscribed \"Medical Device Distribution Enterprise License\" and the name of the same unit), the product manual and warranty card, service calls.

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