To

The Medical Suprintendent,

E.S.I.C. Model Hospital,
Bharat Nagar, Ludhiana.
Subject: Request for purchase of Negative-pressure wound
therapy system.
Sir/ madam,
It is respectfully submitted that:
1. Our department is catering to a multitude of patients with chronic,
seeping wounds of various parts of the body. The morbidity and
mortality of such chronic wounds is considerable.
2. The chronicity of such wounds and their consequent care including
dressings and medicines etc is a great financial liability for the
corporation.
3. Apart from the cost of medical management, the corporation also
endures financial losses due to long term absence of such patients
from their work and E.S.I.C. has to pay these I.Ps during such absence
from their work.
4. Since the last few years, Negative-pressure wound therapy systems
have been successfully employed all over the world for the
management of such wounds.
5. Negative-pressure wound therapy (NPWT) is a therapeutic technique
using a vacuum dressing to promote healing in acute or chronic
wounds and enhance healing.
6. The therapy involves the controlled application of sub-atmospheric
pressure to the local wound environment, using a sealed wound
dressing connected to a vacuum pump.
7. The use of this technique in wound management increased
dramatically over the 1990s and 2000s and a large number of studies

have been published examining NPWT. I am attaching a few of them

with this request letter for your study.
8. NPWT appears to be useful for diabetic ulcers, open abdomen
(laparotomy) wounds, venous ulcers, deep burn wounds etc.
9. We have also noticed that we get frequent requests from empanelled
hospitals like CMCH for permission to use this technique in our patients
admitted there.
10.

These requests usually mention the cost of such treatment in

several thousand rupees and these costs, though seemingly exorbitant,

are fully justified because by rapid healing of such wounds, the long
term morbidity and mortality is greatly reduced.
11.

Hence in the interest of our patients, in a bid to introduce a

useful and modern technique of wound management in our hospital

and to ensure long term financial gain to the corporation, I wish to
request you to kindly direct the medical store to procure two negativepressure wound therapy systems for our hospital.
12.

Considering the high volume of such patients in our hospital, I

request you to kindly sanction procurement of two such units so that

though they would maintained by the department of General Surgery
(one each in Male Surgery and Female surgery ward), but they may
also be used by orthopaedics or Gynaecology departments on need to
need basis.
I am attaching the required proforma and the specifications for the
needful.
Thanking you,
Date- 23/05/2014.

Yours sincerely,
(Dr. Pushpinder Singh

Sandhu)
Specialist & H.O.D.,

Department of General
Surgery,
E.S.I.C. Model Hospital,
Bharat Nagar, Ludhiana.

Negative pressure Wound Therapy System

1. Should have sophisticated alarms for safety and troubleshoot, should
be portable & light weight not more than 3kg. Convenient to use and
can be placed on IV Pole or bedside
2. The System should have night mode facility - to minimize the
disturbance to the patient because when the night mode is active then
ON-OFF Switch light will be dim and screen will be black.
3. USB and Memory Card Ports for downloading Patient data and Wound
Size analysis.
4. Digital wound image feature allows healthcare professionals to
measure and calculate wound area and volume, which helps wound
progress assessment
5. Therapy History Report: Allow clinician to monitor and track therapy
settings , alarm history ,therapy date and time, dressing and canister
change records
6. Machine should have intuitive touch screen navigation
7. The system should have digital display screen with screen lock facility
for unauthorized handling and should be able to operate on Fingers
and Stylus.

8. It should have microprocessor controlled pressure (-25-200mmHg)

settings with steps of 25mmHg to efficiently treat entire range of
wound etiologies & sizes
9. It should be electrically operated and have atleast 6 hours internal
battery backup for enhanced patient freedom
10.

The system should operating under 100V to 240V (50/60Hz)

Power supply
11.

The System should have night mode facility - to minimize the

disturbance to the patient because when the night mode is active then
ON-OFF Switch light will be dim and screen will be black.
12.

The system should be able, to be used on

heavily exudating

wounds of various sizes and shapes to deal with like trauma wounds,
Partial

Thickness burns,

chronic wounds, diabetic foot, open

abdomen, sternal infections etc.

13.

It should provide controlled, localized sub-atmospheric pressure

in continuous or intermittent mode to help draw wounds closed

allowing tissue decompression and enhanced blood flow
14.

The following Alarm Facility Should be available :

1. Leak Alarm To detect leakage in Tubing or Dressing
2. Blockage Alarm To detect Blockage in the tubing
3. Canister Full alarm To let the care-giver know the canister is full
4. Canister not engages alarm.

15.

It should have dressing system made up of soft open cell

reticulated polyurethane foams with pore size 400-600microns.

16.

Track Pad Technology which which acts as medium for Negative

pressure delivery and a mechanism to provide feedback of the

pressure at the wound bed to the Therapy Unit.
17.

The foam should come with Drape for sealing the wound with

Skin to avoid pressure lead and should come with a Disposable Ruler.

18.

The Systems should have an FDA and CE Certifications

19.

VAC Therapy system should

have

following

registration and

certificates.
1. Registration certificate under the Drugs and Cosmetic Act - India
2. FDA Certificate
3. CE Certificate
4. ISO Certificate

1. Xie, X.; McGregor, M.; Dendukuri, N. (November 2010). "The clinical

effectiveness of negative pressure wound therapy: a systematic
review". Journal of Wound Care 19(11): 4905. PMID 21135797.

A 2010 systematic review found "consistent evidence of the benefit of NPWT"

in the treatment of diabetic ulcers of the feet. Results for bedsores was
"conflicting" and research on "mixed wounds" was of poor quality, but
promising. The review did not find evidence of increased significant
complications. The review concluded "There is now sufficient evidence to
show that NPWT is safe, and will accelerate healing, to justify its use in the
treatment of diabetes-associated chronic leg wounds. There is also evidence,
though of poor quality, to suggest that healing of other wounds may also be
accelerated."