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Medica 2012 Turkish Exhibitiors

HALL 1 Chil Tıbbi Malzeme Hall 01 / D39 Türklab Tıbbi Malzemeler Hall 01 / D39 HALL 2 Nüve Hall 02 / B27 Mega Tıp Hall 02 / D27 HALL 3 Köroğlu Medical Hall 03 / D62 Bioanalyse Tıbbi Malzemeler Hall 03 / F34 HALL 4 Orthocare/Arden Medikal Ltd. Hall 04 / C31


HALL 5 EMS Mobil Sistemler Hall 05 / A05

Morsa Medikal Ortopedi Hall 05 / A33

Betatech Medikal Hall 06 / D20

Bonmed Sağlık Ürünleri Hall 06 / E24

Kuteks A.Ş. Hall 05 / D05

Difasan Saglık Ürünleri Hall 06 / D20

Bıcakcılar Tıbbi Cihazlar Hall 06 / F04

4A Medical Hall 05 / E25

Fonksiyonel Tekstil Hall 06 / D20

Doğsan Tıbbi Malzeme Hall 06 / F20

Geotek Medikal Hall 05 / K03

Gözde Tibbi Malzeme Hall 06 / D20

Gentuğ Tekstil Hall 06 / F27

AMET Disposable Healthcare Hall 05 / L20

IDA Kimyevi Hall 06 / D20

Cansın Healthcare Hall 06 / F51 Klas Medikal Hall 06 / G16

Betasan Bant Hall 05 / P17 HALL 6 3teks Tekstil Hall 06 / B24 Sanimaks Hijyen Ürünleri Hall 06 / C14 Ateşci Medikal Hall 06 / C45 MetSet Medical Hall 06 / D06

IMMIB Hall 06 / E24 Interpacs Sağlık Çözümleri Hall 06 / D20 Tadımlı Tıbbi Malzeme Hall 06 / D20

Plasti-Med Hall 06 / G30 Octamed Healthcare Hall 06 / H04

Varimed Medikal Hall 06 / D20

Orhan Boz Tıbbi Malzeme Hall 06 / H16

Vateks Tekstil Hall 06 / D20

Medikokim Hall 06 / J36

Nurel Medikal Hall 06 / D31

Ağaoğu Tıbbi Sağlık Hall 06 / K06

HALL 7 Asset Medikal Hall 07 / B26 Total İthalat İhracat Hall 07 / C20 Matek Medical Hall 07 / C24 Morton Medikal Hall 07 / C27 İstem Medikal Hall 07 / C36 Egemen International Hall 07 / C38 Optimal Sağlık Ürünleri Hall 07 / D25 Medbar Tıbbi Malzeme Hall 07 / E11 HALL 9 Metsis Medikal Hall 09 / C39 HALL 10 Turkuaz Medikal Hall 10 / A08 Aymed Medikal Hall 10 / B58 ELMED Hall 10 / C21 HALL 11 Foras Medikal Hall 11 / A51 Hitaş Ortopedi Hall 11 / B61 Megasan Medikal Gaz Sistemleri Hall 11 / C21

Kare Medikal Hall 11 / E04 Üzümcü Tıbbi Cihazlar  Hall 11 / E14 HALL 12 Medisel Medikal Hall 12 / B37 Trans Medikal Hall 12 / D08 Kordon Tıp Hall 12 / D60

HALL 14 Radeks Radyatör Hall 14 / A64 Dolsan Medikal Hall 14 / B24 Ar-El Tıbbi Ürünler Hall 14 / C47 Detaysan Hall 14 / D41 Gökler A.Ş. / Nitrocare  Hall 14 / E07

Hünkar Ecza ve Medikal Hall 16 / B57 Medikum Samsun Hall 16 / B57 Met-Har Sağlık Hall 16 / B57 Ozti Medikal Hall 16 / B57 Tıpmed Tıbbi Medikal Hall 16 / B57 Isıgün Plastik Hall 16 / B59

Eryiğit Medikal Hall 12 / E38

Medikal2000 ozge.dolen@medikal2000. Hall 14 / E30

Erna Medikal Hall 12 / E60

Destek Otomotiv Hall 14 / E34

SP Medikal Hall 12 / F07

TAUTMANN GmbH Hall 14 / F10

PMS Medikal Hall 12 / F33

Kenmak Hall 14 / F19

Untes Isıtma Soğutma Hall 12 / F44

Muka Metal Hall 14 / F44

HALL 13 Aysam Ortopedi Hall 13 / D38

HALL 16 IMMIB Hall 16 / A67

Ücmed Medikal Hall 13 / E34

Aktiv Dış Ticaret Hall 16 / A69

Ipek Pamuk Hall 17 / A59

TST Tıbbi Aletler Hall 13 / E40

Duman Celik Hall 16 / A69

Nurteks Tekstil Hall 17 / A59

Yiber Elektronik Hall 13 / F05

Kıraç Bilgi İletişim Hall 16 / A69

Ucak İs Formaları Hall 17 / A59

Metko Medikal Hall 13 / F36

Anatolia Hall 16 / B57

Yüksel Endüstriyel Hall 17 / A59

Samsun Cerrahi Aletler Hall 13 / F46

Elmaslar Tibbi Cihazlar Hall 16 / B57

Zimed Medikal Hall 17 / A59

İstanbul Medikal Hall 16 / B59 Mespa Hall 16 / B59 Samatıp Hall 16 / B59 HALL 17 ABC Tıp Hall 17 / A59 Altaylar Medikal Hall 17 / A59 IMMIB Hall 17 / A59




edical devices and equipment sector is one of the sectors which increased its external trade and production capacity very quickly in recent years. Considered among advanced technology sectors, medical sector makes innovations in its product portfolio in parallel with its fast improvement in the last years. Even though local production, research and technology is not at desired level, new product manufacturing capacity of the sector is increasing day by day. Having a constantly increasing product diversity, medical sector covers following product groups: medical imaging systems and devices, operating room devices, respiratory equipment, surgical devices and equipment, dentures, catheters, cannulas, furniture and accessories used in surgery and dentistry, other artifical parts of body, electro diagnostic devices, ozonotherapy, oxygen therapy, other therapic devices and accessories, furniture used in dentistry, mecanotherapy, massage, psychotechnics and test devices, dentistry-specific devices

and equipment, sterile catguts, similar sterile suture materials and hemostats, devices and equipment used in eye surgery, dentist lathes, medical/ surgical and laboratory sterilizers, x-ray devices and artificial joints, prosthesis and orthesis, sound and hearing instruments, optic medical devices, disposable consumables, radiotherapy systems, physical therapy devices, biochemistry, molecular biology, hematology, genetic and microbiology devices.


Medical Devices and Equipment Sector in Turkey

Product range manufactured in Turkey are: stone breaker devices, operation tables, operation lamps, anesthesia devices, bed-side monitors, electrocautery, gynaecologic tables, surgical aspirators, oxygenation devices, x-ray devices, steam and dry air sterilizers, bloodletting chairs, medical gas systems, centrifuge, mixers, patient beds, stretchers, dentist units, hardware and software for hospital information system, surgical equipment, tubing set used in

heart and vein surgery, cardioplegia sets and cannulas, drainage tubes, intracet, stent, catheter and probes, blood pressure transducers, i.v. set, blood and blood products, bloodletting and blood transfusion sets, blood bags, operation and examination gloves, suture yarns, operation clothes, catgut, gauze bandage and cotton, orthopedic prosthesis, orthopedic repair materials, x-ray bath solutions, repair materials for dentistry, syringes, injections, medical masks, incubators, centrifuges, water distillation devices, blood keeping refrigerators, climatic test cabins, elastic bandages, bio carriers, defibrillator, hydrophilic urinary catheter, surgical sutures and serum sets. In Turkey, number of companies operating in this sector increased in the last years. Yet, number of companies conducting production and export is still limited. Sector representatives state that there are approximately 6000 companies in medical sector and that more than 2500 companies among them are suppliers. Approximately 100 companies of 450 middle and big sized companies of the sector are

producers and exporters. They conduct their production operations with a wide product range. These companies are generally in İstanbul, Ankara and İzmir. Yet, medical product groups have been started to be produced in other cities as well, including Samsun. Medical sector of our country gained momentum with improvement of Turkish health sector, increase in the number of new and private hospitals, increase of quality health service demand, technological innovations and other factors. Companies operating in the medical sector in Turkey plan to establish their own quality systems and to have them certified in order to meet customers’ expectations, improve their efficiency, be successful within EU harmonization process and to establish legal requirements. TS EN ISO 13485 standard is an international standard which covers quality management conditions for medical devices. Established on the process model of ISO 9001: 2000 standard, TS EN ISO 13485 is compatible with other management systems including TS EN ISO 14001 and TS 18001 (OHSAS). TS EN ISO

13485:2003 standard was prepared to replace TS EN ISO 13485:2002 and TS EN ISO 13488:2002 standards. It is observed that most of the companies in the sector carry CE mark together with this standard. In addition to GMP and GHP standards, it is also observed that there are certain companies in Turkey which hold FDA and TGA certificates which are required by countries including USA and Austria.

Sector Analysis Strong and weak sides of Turkey in medical devices, materials and equipment sector& threats and opportunities

Strong sides: 1. Our country has a young, crowded and dynamic population willing to use information technologies. 2. Communication infrastructure of our country is new and modern. 3. We have universities with high education quality. 4. There are companies which produce medical devices, equipment and materials even though they are small scaled.


5. There is a qualified and quality manpower in our country and their fees are relatively low.

Weak Sides 1. Medical devices and equipment are usually imported. 2. Biomedical engineering services are insufficient with regard to maintenance, repair and calibration of current medical devices and equipment. 3. Production of local medical devices, equipment and consumables is insufficient (about 15%). 4. Production is conducted at certain regions and in limited amounts, high foreign-dependence in terms of semiproducts or raw materials. Prepared by: Fatih Saraç. 5. Current medical devices and equipment are not used efficiently, unnecessary or improper devices are purchased because of lack of planning and coordination. 6. Supervision is not appropriate and sufficient with regard to the production, certification, sale and import of medical devices and


consumables. 7. Research& Development studies related to the sector are not sufficient because of weakness of universityindustry relations. 8. Employment and personal rights of user personnel are not sufficient.

Risks 1. In case Turkey becomes a member of the European Union, independent technological improvements might be restricted. 2. Employment and personal rights of user personnel are insufficient. 3. Users don’t believe in local producers and local products. 4. Convenient job and pricing opportunities are few. In addition, competent and qualified people seek going abroad or they become obliged to work in another area.

Opportunities 1. Turkey participated in 6th and 7th frame program of the European Union, therefore Turkey will be able to cooperate with companies and universities in European

countries with regard to research & development, and our country will be provided with financial resources in this regard. 2. Our citizens who are working abroad and who are specialists in their fields can contribute to the sector directly or indirectly. 3. There is a market potential with a local and natural volume as a result of our young, dynamic and crowded young population. 4. Qualified manpower is available in medical devices and equipment sector to design new technologies. 5. There are few companies that produce medical devices, materials and equipment, which have knowledge in this regard. 6. Fields such as bioengineering, biocompatibility, tissue engineering are still open for improvement for foreign countries. 7. There is the opportunity to utilize from investments made in defense industry, and companies which conduct high technological production

Hygiene steht für uns an erster Stelle Gerade in sensiblen Bereichen wie Krankenhäusern und Arztpraxen sind Hygiene und Desinfektion von höchster Wichtigkeit. Wer möchte schon gern in unsaubereren OPs mit nichtsterilen Geräten operiert werden oder sich in einer Praxis unliebsame Viren einfangen. Genau hier setzt ACTO GmbH mit einer breiten Palette an Hygieneund Desinfektionsmitteln an.



ereits seit 13 Jahren ist ACTO in einem sehr sensiblen Feld unterwegs, denn Hygiene und Sauberkeit kann man nur durch die konsequente Anwendung passender Reinigungsmittel erreichen. „Wir arbeiten eng mit Forschungslaboren zusammen, um Produkte zu entwickeln, die höchsten Hygienestandards genügen“, sagt Verena Russ, Assistentin der Geschäftsleitung. So umfasst ACTOs Portfolio Desinfektionsmittel für Haut und Hand, Reinigungsmittel für Kliniken und Praxen sowie Reinigungsmittel für DialyseGeräte und anderes medizinisches Zubehör. „Auch Blutbeutel, Katheter und Instrumente für den Zahnarzt müssen entsprechend gereinigt und desinfiziert werden“, unterstreicht Verena Russ. „Wir bieten die richtigen Mittel.“ Die Produkte werden je nach Anwendungsbereich mit und ohne Alkohol angeboten, wobei mit den alkoholfreien Mitteln selbst Acryloberflächen gereinigt werden können. ACTO bietet zudem die neuste Generation von Mitteln mit Polyhexaniden zur Wundheilung. „Wir sind auf wichtigen Messen

vertreten, um unseren Kunden die Qualität und die Wirkung unserer Produkte näherzubringen“, sagt Verena Russ. „So sind wir im November auf der Medica in Düsseldorf, wo Polyhexanide ein Hauptthema für uns sein werden.“ ACTO ist für die Entwicklung und den Vertrieb zuständig, die Produktion übernehmen die ACTO GmbH oder Partnerfirmen. Langfristig ist der Vertrieb in den Niederlanden, Spanien, Italien, der Türkei und in Großbritannien ein vorrangiges Ziel für Eigentümer Ahmed Kilic und seine 50 Mitarbeiter. ACTO ist flexibel in der Produktauswahl und passt seine Palette immer wieder aktuellen Themen an. Neu hat das Unternehmen Kosmetika und Produkte für die Nagelmodellage ins Programm genommen. Alle Produkte werden unter eigenem Namen vertrieben, können aber auch im Auftrag hergestellt werden. Hygiene bleibt dabei immer oberstes Gebot.

ACTO GmbH ist ein wichtiger Hersteller für Desinfektions und Reinigungsmittel im medizinischen Bereich//ACTO GmbH is a major supplier of disinfectants and cleaners used in the medical sector

Hygiene always comes first In highly sensitive environments like hospitals and surgeries, hygiene and disinfection are of paramount importance. No one wants to be operated in unclean operating rooms or contract an awkward virus at the surgery. ACTO GmbH has found appropriate solutions for these situations and provides a vast range of hygiene and disinfection products.


ACTO GmbH Büchnerstrasse 11 38118 Braunschweig Germany Phone: +49 531 239508-0 Fax: +49 531 239508-11

or almost 13 years now, ACTO has been acting in a sensitive sector, where hygiene and disinfection are only to be achieved through the consistent use of cleaning materials. “We closely collaborate with research laboratories in order to offer products which comply with the highest hygiene standards in the market,” points out Verena Russ, assistant of the management. Consequently, ACTO’s portfolio includes disinfectants for hospital and healthcare environments as well as cleaners for dialysis machines and other medical equipment. “Likewise, blood bags, catheters and dental equipment must be cleaned and disinfected thoroughly,” stresses Ms. Russ. “We are able to provide appropriate products.” Depending on the field of application, ACTO’s products are available with

or without alcohol. Alcoholfree disinfectants can also be used for cleaning acrylic surfaces. In addition, ACTO provides a new generation of polyhexanide disinfectants for wound treatment. “We are present at influential fairs in order to demonstrate the quality and efficiency of our products,” points out Ms. Russ. “In November, we are going to exhibit at the Medica in Düsseldorf, where polyhexanides will be a key topic for us.” ACTO focuses on R&D and sales, while the actual production is taken over by ACTO GmbH or partner companies. For owner Ahmed Kilic and his team of 50 employees, distribution in the Netherlands, in Spain, Italy, Turkey and the UK is a prime objective for the future. ACTO is highly flexible in its product selection and constantly adjusts its portfolio to current market trends. From now on, cosmetics and products for nail modelling complement the portfolio. All products are distributed under ACTO’s brand name, however, the company takes on contract manufacturing on request. Nevertheless, hygiene remains its guiding principle.



Elmed Lithotripsy Systems

ELMED is proud to offer the medical profession worldwide an innovative, effective and advanced Lithotripsy Systems.



LMED Lithotripsy Systems is the first manufacturer of ESWL Systems in Turkey. ELMED is involved in designing, developing, Manufacturing, exporting and servicing of advanced medical equipments for the urology market. It was founded in Ankara/TURKEY in 1991, in order to manufacture the first Turkish made Lithotripter. As the first international exhibition ELMED participated to AUA’96 Annual meeting in United States showing that Turkish lithotripsy systems could compete with leading world-brands in international markets. Since then, ELMED is manufacturing high quality and highly efficient medical equipments and advanced products include extracorporeal and intracorporeal lithotripters for the treatment of urinary tract calculi. ELMED has a dedicated research and development department, which develops new products and continually improves the existing product range. ELMED produced the first Automatic Ultrasonic Localization System, which is applicable to any lithotripter. ELMED has its own patent pending and design registrations for its products. The innovative design as new generation lithotripter, ELMED

introduced its Complit model ESWL system, equipped with the movable Iso-Centric shock wave head. ELMED proudly announce that the new Intracorporeal Pneumatic & Ultrasonic Lithotripter; VIBROLITH Plus, and Extracorporeal Shock Wave Therapy (ESWT) Devices; MULTIMED Ortho and VIBROLITH Ortho, have been added to the product range for the use of medical profession worldwide. With installations at numerous clinics and hospitals worldwide, ELMED has

proven record for its ability to deliver high performance products and develop solutions that meet specific user requirements, while at the same time, ensuring high quality reliable service and cost effectiveness. The entire range of products complies with international standards including quality assurance system; EN ISO 9001 and EN ISO 13485 and CE marked in accordance with Medical Device Directive (MDD 93/42/EEC), and GOST-R and Intracorporeal units FDA, as well.

Turkish Industry

TUBITAK Supports


Industry R & D Support: The projects having the qualification of R & D are supported which are carried out in the subjects of the production of new products with R & D Support, and of the development of the new costcutting and quality standard raising techniques and the new production technologies. R & D support covers up the phases from the concept development phase to the end of the trial production, in other words to the pre-production / pre-commercialization phase. The personnel, the acquisitions of tools / equipment / software / publishing projects, the R & D activities which are made by the domestic R & D organizations, the procurement of consulting / service, the material costs, and the expenses of patent which are deemed to have R & D qualification can be supported for maximum three years on the basis of the project, up to the rates of 60%, and as non-refundable. The level of basic support is calculated based on the R & D intensity of the organization (the Ratio of the value of the R & D Operating Expenses in the detailed

income of the organization to the statement of net sales). EUREKA: It is a network structure which was created for encouraging the research and the development of the advanced technologies, the products, and the services which will increase the competitiveness of the companies, the universities, and the research institutions in the European countries in the world markets, and the creation and the execution of the international joint projects. All companies may apply to the EUREKA program regardless of their sizes and sectors. In order to start a EUREKA project, it is sufficient at least two participants of EUREKA member countries to come together. EUREKA is a correct address for the companies, especially which want to open up foreign markets and which have the purpose of the transfer of technology leveraging the accumulation of the technological knowledge in Europe. 60% grant assistance is provided to the projects of the Turkish firms which participate in the EUREKA projects. The projects of the firms which participate in the EUREKA projects are supported with the highest rate of support within the


Grant and Support Programs Towards

scope of TĂœBÄ°TAK Industrial R & D Support. In addition to that, there is not any restriction in the period of support to the projects. SME R & D Funding Program: It is intended with the SME R & D Funding Program that the first two projects be supported by TUBITAK, which are limited to YTL 400,000 budget and 18-month period, conducted by the SMEs in the areas of the production of a new product, the development and the improvement of an existing product, the upgrading of the quality or the standard of the product, or the development of the new techniques and the new production technologies which are cost effective, in order to ensure that the SMEs overcome their problems. It is aimed with the support of the projects to be provided under the program that the SMEs to be more competitive by developing their capacity of technology and innovation, to be able to carry out projects systematically, to be able to develop products which have a high added value, to have the institutional research and technology development culture, and to take place in the national and the

international support programs more effectively. Technopreneurship: Real persons may apply for the program who are the undergraduate students that are expected to graduate within one year from any undergraduate program of the universities providing formal education, and who are the graduate or the doctoral students, or who got one of the bachelor, the master’s or the doctorate degrees up to 5 years prior to the date of the pre-application. Under the program, it is envisaged that after the entrepreneurs found their companies, the expenses of personnel, materials, tools / equipment / software, travel, consulting, and the procurement of services, the rent of the office and the water, electricity, heating and communication costs of the office to be supported by TUBITAK at a ratio of 75%, and up to maximum YTL 100,000 and for a period of one year. Contact Information for TUBITAK supports:

Address: Atatürk Bulvarı No: 221 06100 Kavaklıdere / Ankara Tel: (312) 467 18 01

Fax: (312) 467 32 95 E-mail: Web: Supports of the Turkish Technology Development Foundation TTGV R & D Support: The Technology Development Foundation of Turkey, the TTGV, which was established in order to develop and strengthen the technological infrastructure of our country, and to contribute to the increase of the competitiveness of the Turkish industry in the international markets, provides long-term credits up to a maximum of 50% of the amount of the project, to the technology development projects carried out by the company, in a way that the know-how will stay in the company, within the concept of “the technological product and process innovation” conducted by the industry associations and the software companies,. To date, the TTGV provided support in the amount of 95 million U.S. dollars to a total of 240 technology development projects through Technology Development Projects Support.


Contact Information for TTGV supports:

Address: Cyberpark, Cyberplaza B Blok Kat :5-6 06800 Bilkent / Ankara Tel: (312) 265 02 72 Fax: (312) 265 02 62 E-mail: Web Address:

KOSGEB Supports Various support programs have been developed by the Office of the Chief of the Small and Medium Sized Industry Development and Support Administration (KOSGEB). Related programs are listed below. Detailed information can be accessed via the mentioned links. 1. Consultancy Support, 2. Support for Entrepreneurship, 3. Education Support, 4. Technology Supports, 5. Industry and Property Incentives, 6. IT Support, 7. Quality Improvement Grants, 8. Market Research and Export Development Incentives, 9. Support for the Development of


the International Cooperation, 10. Regional Development Supports. The Supports Provided by the Export Promotion Studies Center (İGEME) Support for the Market Research and the Marketing: 4 different activities are within the scope of the support. In this context; a) The market research projects carried out in relation to the products and / or the sectors of the companies and / or the SDSs, b) The reports and the statistics of market research to be purchased from the institutions and / or the organizations which provide market research services, and which are approved by the Undersecretariat, for the purposes of creating marketing strategies and action plans towards foreign markets, c) The participation in the sectoral trade delegation programs which are coordinated by the Undersecretariat, and performed on the basis of a single sector, d) The costs of the membership to the e-commerce sites, which are

approved by the Undersecretariat, and which are not oriented towards the final consumer, for the purposes of marketing their products in the electronic media towards the foreign markets are supported. Educational Assistance: It is intended to meet the 50% of the expenses of the SMEs, and the 75% of the expenses SDSs for maximum 3 months with regard to the training activities to be conducted, which are in accordance with the standards to be determined by the IGEME, and regarding exclusively the foreign trade issues. Support may be requested for a total of 6 training programs, 3 for the domestic programs, and 3 for the overseas programs. Contact Information for IGEME supports:

Address: Mithatpasa Cad. No: 60, 06420 Kızılay – ANKARA Tel: (0312) 417 22 23 Fax: (0312) 417 22 33 E-mail: Web:

Supports of the Undersecretariat of Foreign Trade Assistance with regard to the Support of the Environmental Costs: Only the costs of certification at a ratio of 50% can be supported in providing the documents of ISO 9000, ISO 14000, CE mark, and the other quality and environmental documents which are international, in order to increase the competitiveness of the SMEs in the international markets, and to ensure compliance with the technical regulations of environment, quality and human health. Expenditures should be documented and the documents should be provided by the Turkish Standards Institute or by the accredited institutions. Its Activities towards the Branding of the Turkish Products in Foreign Markets and the Establishment of the Image of the Products Made in Turkey The companies will apply directly to our Undersecretariat with a project including activities of branding. The Turquality Committee is authorized for opening Turquality stores and for the use of the phrase, Turqualityfrom Turkey. Providing seven types of support is envisaged within the scope of the notification numbered 2003 / 3. Detailed information about the mentioned supports can be accessed via the web site of the Undersecretariat of the Foreign Trade. Contact Information for the supports of the Undersecretariat of the Foreign Trade

Address: Inonu Bulvarı, 06510 Emek– Ankara Tel: (0312) 212 88 00 Fax: (0312) 212 88 81 Web:


The Unions of the Exporters It is required to apply to the Union of the Exporters to which the province

where the exporter is located is connected, in order to apply for the supports provided by the Unions of the Exporters. Assistance in Opening Offices-Stores in the Foreign Markets, in their Operation, and in Brand Promotion: Supports are provided to the

companies within the framework of the provisions below within the scope of the mentioned support. • Providing Support to Opening Offices, Warehouses, and Stores in Foreign Markets for the Purposes of Making Sales under its Own Name and Brand in Foreign Markets,

certain ratio of the expenses with regard to the activities of promotion and incentive which are performed before and during the fair by the local organizers, which are in conformance with the criteria to be determined by the Undersecretariat of the Foreign Trade, is covered by the Support and the Price Stabilization Fund.

• Providing Support to Opening Branches in Foreign Markets in order to Operate as a Broker for the Trade of Goods in Foreign Markets, • Covering the Expenses of the Representation / Distributorship, • The Assistance of the Domestic Trade Fairs, the Nature of which is

International, • It is defined as the support provided for the purposes of the international promotion of the domestic trade fairs, the Nature of which is International, and of increasing the participation at the international level. In this context, a

Support of the Participation in the Foreign Trade Fairs: 65% of the amount paid by the participant to the organizer assigned by the Undersecretariat to arrange the organization of the international fairs is reimbursed to the participant. The amount of the support cannot exceed 10,000 U.S. dollars, in case that the international fair is National Registration, the nature of which is general, or is the Turkish Export Products Fair, and cannot exceed 15,000 U.S. dollars, in case that the international fair is National Registration, the nature of which is sectoral, or is the Sectoral Turkish Export Products Fair. In case of individual participation in the international fairs, the nature of which are sectoral, and which are determined by the General Secretaries of the Unions of the Exporters, and which are deemed appropriate and announced by the Undersecretariat of the Foreign Trade, after obtaining the opinion of the Executive Committee of the Turkish Exporters’ Assembly; For the international fairs, the nature of which are sectoral, 65% of the rent for the empty stands, and 50% of the expenditures of transportation, which do not exceed 15,000 U.S. dollars, are reimbursed; and in case that the participant participating in the international fairs, the nature of which are sectoral, owns a Sectoral Foreign Trade Company (SDS), all of the rent for the empty stands, and 75% of the expenditures of transportation, which do not exceed 15,000 U.S. dollars, are reimbursed.



Akson Group develops solutions for the global market



ffering solutions for the health sector since 2009, Akson Group is appreciated with its national and international projects which are in progress. Started its commercial activities with the construction sector long years ago, Akson Group expanded its trade portfolio in 2009 and started to offer service in the health sector. The company adopts it as principle to make its name known as a reliable company with its national and international projects (some of them have been delivered, while some of them are in progress) through its three strategic business lines. Ensuring customer satisfaction through quality, speed, reliability and positive results, Akson Group maintains its activities without jeopardizing the quality. Akson Group carried out projects of various organizations and corporations in Turkey in the field of construction until today. Finally, the Group completed 84 house and environmental arrangement constructions in the capital city of Turkey Ankara and delivered the houses to their owners. In the health sector, the group restored the hospitals in Hulo, Çakvi and Keda regions in the city of Batum in Georgia and undertook

turnkey tender of T.R Prime Ministry Turkish Cooperation and Coordination Agency Directorate (TİKA) which stipulated procurement of all medical and equipment and office materials which the Group granted. The project was delivered in September, 2011. Our company also carries out turnkey Private Dialysis Center projects in Turkey and offers sale and technical service to hospitals in Turkey. The company meets requirements of Health and Research establishments by supplying laboratory devices, hospital equipment and consumables, in particular Hemodialysis Devices and consumables. ‘’Our company plans the future

today, in order to ensure a bright future. While moving ahead with the purpose of serving as a leading company in all of the sectors where it operates, our company maintains its reliability, values and principles and continues with the belief of gaining differences and quality to the sector. We strictly believe that our group will successfully complete all of the projects that it will undertake without sacrificing quality and its principles by respecting ethical values of our customers in order to meet the requirements and expectations of our customers at the highest level and obtain perfect results with an entrepreneur, productive, responsible and professional business approach.’’

2023 Export Target 5 Billion Dollars


edical devices and surgical instruments manufacturing sector announced its target for the 100th anniversary of the Republic of Turkey. The president of the Samsun Medical Industry Cluster Association (MEDİKÜM), which was founded by approximately seventy companies which came together, Dr. Ahmet Aydemir, announced in a statement that they aim to export 5 billion U.S. dollars in 2023.


The 4th Congress of the National Medical Equipment Manufacturing Industry in Samsun has attracted great interest. The congress to which many local and foreign scientists, company managers and industry representatives attended, added a separate vision and excitement to the medical industry which is clustered in Samsun. MEDİKÜM, which made an evaluation meeting after the Congress, set a target to export 5 billion U.S. dollars in 2023, which is the 100th anniversary of the establishment, hoping to overcome its problems.

The president of the MEDİKÜM, Dr. Ahmet Aydemir said that they will contribute to the achievement of Turkey’s export target of 500 billion U.S. dollars in this significant year, and they are ready to realize their goals, as an association. “In case that the medical production sizes are provided and supported, and the physical working conditions are improved, it is evident that a locomotive sector can be created towards shooting down the imported inputs and reducing the current account deficit. In case that we are supported as a sector, we are ready to perform 5 billion U.S. dollars as the medical sector in the target of exports of 500 billion U.S. dollars,” said Dr. Aydemir, The president of the MEDİKÜM, Dr. Ahmet Aydemir, pointing to the importance and the volume of transaction of the medical devices and the surgical hand tools sector in the world markets, and to the value added which countries gained by that sector, said that the situation is not very bright for Turkish businessmen. Voicing that they expect that their problems will be resolved, Dr.

Aydemir said that “The absolute improvement of the physical working conditions of the medical industry is extremely important to increase productivity and production. For that reason, we definitely need Medical Specialization Organized Industrial Zone. Emphasizing vocational education is important in terms of employment, in order for the young labor force in the Republic of Turkey to take place within sustainable economy with added value, and for the creation of the skilled workforce. One of the two people is working in the health sector in Germany. Why not in Turkey?”. Underlining that capturing the desired quality with the manufacturing technology which is used today is not possible, Aydemir used the following expressions, “Technological machinery investment is needed in order to ensure quality. When considered in conjunction with the integrity of the industrial sector with the health services, in a period in which the employment is decreased due to the technological renovation of the industrial sector, it creates a multiplier effect in employment.”.

ACTO GmbH has entered to a new market


cto Company which was proved itself in disinfectants production against hospital infections, has also started to sell molecular biology and genetics products and to establish genetic diagnosis centers. The mission of Acto GmbH is manufacturing, sales-marketing, and distribution of disinfectants, antiseptics, cleaners and care products, cosmetic products, MRSA and VRE effective wound care products, industrial cleaning, food cleaning and disinfectant group, biotechnological and genetic products for hospital infections. The products are produced and controlled according to the quality standard systems such as GMP, 93/42/EC, EN ISO 13485: 2003, DIN EN ISO 9001:2000 and CE.

The new product group; Genetics, Molecular Biology products and Genetics Diagnostic Centers As a result of the developments in the field of genetics in recent years, many hereditary diseases can be detected in the post pregnancy period, prenatal and pre-implantation periods. The “Genetic Diagnosis Center” was established in 2006 in order to provide and to apply to these developments at the same time as the world. We should say that; the company which works with expert genetic engineers and biologists; has been in talks with many distinguished hospitals in order to establish its Genetic Laboratories. The company does not only produce kits for the diagnosis of genetic diseases; but it has also developed viral, bacterial and fungal detection kits and Salmonella detection kit which is extremely

important for food safety. The Genetic Products group is consisted of DNA isolation kits, RNA isolation kits, PCR Enzymes, PCR master mixtures, DNA Markers, the tampons used in PCR, bacterial detection kits, virus detection kits, fungus detection kits and parasite detection kits. Acto Company which has established the scientific and technological infrastructure in order to establish its Genetic Diagnosis Center as well as the production of kits; therefore it has entered to a new market. As a result of early detection and diagnosis which will be provided in Genetic Diagnosis Center; the diseases will be prevented in advance. The company also aims to provide the possibility of identifying the gender of baby from mother’s blood using the new genetic detection kit in 2013 at the company’s own centers. At the center, it will be supported the scientific studies and projects that will apply chromosome, FISH and DNA analysis which are required in order to detect genetic diseases. The Genetic Diagnosis Center which is going to be established will provide the following services; Clinical Genetics Genetic Counseling Cytogenetic Molecular Cytogenetic (FISH) Molecular Genetics Cancer Genetics Pharmacogenetics Preimplantation Genetic Diagnosis (PGD)



Quality System for Medical Devices EN 46001 ISO 13485


edical device manufacturers feel the need to install and certify a quality system in order to fulfill the requirements of the existing legal obligations, to ensure customer satisfaction, to improve internal efficiency, and to create a legal safeguard against lawsuits that can be filed. EN 46001 / ISO 13485 Management System include additional special conditions for medical device manufacturers, including ISO 9000 Quality Management System requirements.


The companies which have to put CE Symbol on their products, are also required to obtain EN 46001 / ISO 13485 certification, when they have to use Annex 1 and Annex 2 modules. ISO 13485:2003 standard specifies the specific demands required by the quality system for the ones who work in the field of the medical devices. ISO 13485:2003 is based on the ISO 9001:2000 standard and replaces the previous 1996 version of it. Its main objective is to provide the global harmonization of medical

devices to the quality rules. In other words, it is a standard which defines the specific requirements that the quality systems must provide for the manufacturers operating in the field of manufacturing, trade and distribution of medical devices. ISO 13485:2003, although is a special standard written for the Medical Devices, is organized in accordance with the infrastructure of the ISO 9001:2000. However, some specific issues are differentiated from the ISO 9001:2000 standard. Just as the ISO 9001, the new management system, while switching from the notion of

the classical quality control to the process / process-based approach, forecasts to establish a direct link between the main objectives of the organization and the productivity. The new standard can be used by all companies which cover the medical devices or the project, the production, the installation, and the procurement phases of the services related to those. The CEI EN ISO 13485 and 13488:2002 certificates issued on the basis of previous standards (ISO 13485:1996 and ISO 13488:1996) will be invalid at the end of 2006.


X-Ray Does Not Joke!

Aktif X-ray, which has been specialized in X-ray accessories and lead aprons by developing itself since 2002, has reached to international standards making production in accordance with the ISO TÜV quality management system and the (CE 0120) Personal Protective Equipment Regulations.



egardless of the dose of radiotherapy; it is absolutely necessary to use protective lead apron in order to protect one’s health in all areas of radiographic examination. During license obtaining process of radiologic imaging centers, it is mandatory the use of personal protective equipment by the relevant institution in accordance with the personal protective equipment regulations of each country. In radiated areas, x-ray imaging centers, cardiology departments, it must be provided appropriate protective clothing and equipment such as lead aprons, gonad protectors, lead paravanes, thyroid protectors, lead glasses according to the nature of the treatment. Furthermore, radiographic examination is a commonly used diagnostic technique in dental clinics. The amount of x-ray used in treatment increases as the treated area

expands. The digital technology used in recent years, allows the use of lowdose radiation in sensors. However, it should be used the aprons which stop x-rays in order to protect the personnel and the x-ray sensitive patients in clinics where a large number of radiography used. Aktif X-ray, which has been specialized in X-ray accessories and lead aprons by developing itself since 2002, has reached to international standards making production in accordance with the ISO TÜV quality management system and the (CE 0120) Personal Protective Equipment Regulations.

A wide range of products in different sizes and models such as lead aprons, thyroid protectors, gonad protectors and different types of x-ray protectors such as above the waist or above the knee are among the products of Aktif Dış Ticaret (Active Foreign Trade). Aktif lead aprons have comfortable and flexible structure which allows ease of use and they are practical and light. In addition, all the aprons and protectors that we produce can be made of lead-free material upon request. The OXFORD-type fabrics which are specifically manufactured for lead aprons are used in the products. These fabrics are resistant against abrasion in long-term use and hygienically they are very easy to clean. Special models and sizes are applied to our lead aprons according to the customer demand. AKTIF X-RAY is also specialized in lead plating, lead glass, lead paravane and lead doors as well as the production of aprons.



urkish healthcare sector is progressing quickly. The policy of the state foresees to let the private sector the sector to get acceleration. The development in the healthcare sector affects the medical devices in a positive way. The yearly volume of the medical sector accounts for worth $6 billion. Still we meet 90 percent of the medical devices by imports. However, Turkey takes place in 30 countries which need medical devices mostly. In other words, the market has a huge potential but domestic made production is limited. In terms of the value added of medical devices’ sector takes top-tier. For example, a pair of scissors which is used in the ocular surgery costs $5 dollar. But such a device can be sold by high brand value owners in $150200 dollars. For this reason, the sector, which has a high value added, features a great importance in terms of domestic production. Actually both the Ministry of Health and representatives of the sector have awareness of this reality. Even though there are no special incentives for

the sector, the foremost domestic investments have been carried out in recent years. Some of them characterize as breakthrough the investments include many things… Turkey has begun to produce the first cataract lens, first stent two years ago. In the scope of the surgical devices, the province of Samsun has achieved to be a talent. In the optical sector the investments are being carried out to cut the imports. But these are not enough. Still there is lots of way to be taken.

300 kinds of products According to the report prepared by Medical Council of the TOBB, the medical devices sector shelters over 300 thousand products in its structure. The sub-branches of the sector consists of medical imaging system and devices, all devices in surgery department, respiratory devices, surgical devices and tools, prosthesis teeth, medicine, furniture and parts which are used in surgery and dentistry, electro diagnosis devices and parts, tools and devices in dentistry, sterilized sewing materials, medical devices and tools related with eye, dentistry revolver, X ray


The time of ‘Turkish Goods’ in the Medical Sector

devices, artificial joints, prosthesis, sound and auditory devices, optical medical devices, single use consuming matters, radiotherapy systems, physical treatment devices, biochemical, molecular biology, hematology, genetic and microbiology devices. In Turkey there are nearly 1000 medical device producers. 700 of them are both producers and exporters. One of the features of the sector any state-run establishment does not take place at all, completely the sector is in the hand of the private sector. The medical material production intensifies in the provinces such as in Istanbul, Ankara, and Izmir.

SMEs undertake According to the report of the TOBB, the medical devices sector has a great importance in Europe. SMEs carry the sector in which nearly 11 thousand producers act. 80 percent of the producers in Europe characterize as SME. Prior to the global economic crisis the growth of the sector reached up to 6 percent per annum. Still employing 530 thousand people across Europe, the sector’s total growth reached by 80 billion euro. One-third of the medical

market in the hand of Germany in Europe. This is followed by the UK, France, Switzerland, Italy, Romania and Sweden respectively.

Incentive is a must In order to enable the sector to grow, R & D studies attract a great attention. In fact, the firms in Europe spend 8 percent of their revenues per annum in R & D investments. In Turkey, the producers, which have difficulty for the high technology, began to allocate resource for R & D. Before, while the sector which was oriented and developed by the health professionals’ wish and recommends, now the qualified engineers and designers have began to join the structures. No doubt, there is a big share of R & D incentives in this development. But, the incentives of R & D are not enough for the development of medical sector. The representatives of the sector want installing of organized industrial zone in the health sector, as well as15 percent support in favor of the domestic producers in the public purchasing. This incentive finds its return in the application like this. For example, a domestic producer

and importer firms bid for the same tender. The domestically producer even offers 15 percent higher price in their tender; the public bodies are advised to buy from the domesticmade firm. But this incentive does not find much sympathy in application. Here are the bravest investors of the medical sector ranging from optic to stent, prosthesis to auditory device.

Problem of auditory devices is wrong perception In Turkey, nearly 25 thousand auditory devices are sold. The turnover of it is guessed some TL25 million. The biggest buyers of these devices are Social Security Organization, in other words the state. In fact, this is a very low figure in a 70 million populated Turkey. In Denmark where has the population of 4 million, 70 thousand auditory devices are sold. In the developed countries auditory devices are used like an eyewear as an accessory. As for us, regarded as a sign of disabling condition, its use rate is low. Of course, purchasing power parity of human beings affects buying of the devices. SOCSO pays TL420 per auditory

device since the beginning of 2008. However, the average price of the devices is between TL700 - 1000. In Turkey, there is not 100 percent domestic made production in auditory devices. There is semiassembling. The certain parts of the device are brought abroad and mounted in Turkey. One of the firms which work in this way is Esenler Company Group, the owner of Odiomed brand. Beginning the work by imports in 1983, Esenler Group produces its devices as semi-mounted since 2006 at its center in the district of Şişli. Importing various parts of the loud speakers, microphones from Germany, Switzerland and the UK and then mounts, the firm sells the devices under the name of Odiomed. The firm sells the devices not only in Turkey, but also in Cameron, Syria and Nigeria. Dr. Murat Esenler, Chairman of the Board of Esenler Companies Group stressed that they produce and sell peculiar to person. Esenler said, “We sell VIP auditory devices. These devices are not seemed from outside featuring computerized and digital. Their prices range between 500 and


5000 euro in the domestic market.” Esenler Group also brings parts of the devices for tinnitus from Germany and mounts to sell. Esenler believes that the market would grow more by the increase of awareness of the devices in Turkey. “Still 25 thousand devices are sold in Turkey. The developed societies use the device as an eyewear. In Turkey many people do not use the device saying “I’m not disabled”. In Anatolia, even many people do not know this device. When the necessary awareness is provided, I guess the market will reach by 350 thousand units within 5 years. There is also newly awareness in the markets of the Mideast and Africa. Turkey will be also a sale base for these markets.

Surgical Device Base: Samsun 300 thousand kinds of medical materials are used in the healthcare sector. As for surgical devices 14 thousand kinds of products are made in 27 branches. Turkey has begun to get an outstanding way in the surgical devices’ market in recent years. Samsun has become the third surgical devices’ production base


of the world. Before Samsun there are Tutlingen, Germany and Sialkot, Pakistan. In this business, the German Aeslulap is the number one producer of the world. In Samsun, currently some 30 firms produce surgical devices. The leadership of this work has been undertaken by Bahadır Tıbbi Alet Cihaz Sanayi ve Aygün Cerrahi Aletler. In fact, these two firms’ stories are the same in this business. While their founders were master in arm making, in the course of time, they began to make medical devices. Bahadır Medical Devices Executive Board Chairman Hasan Bahadır summarize their story by saying; “We are from Trabzon. My father Hasan Bahadır was a blacksmith master. He used to make arms in Trabzon. After migrating to Samsun, maintained blacksmith work and arm work. He began this work at a workshop of 10 sq meters. He ran his works together with his nephews. In the 1980s, when device reduction began, my father had said “we make this work” and started the work. In the course of time we have expanded our production space up to 11 thousand sq meters. Currently 150

employees work at our company. As for our turnover per annum is some $6 million.” 350 kinds of scissors are used in surgical process. All of them can be produced by the masters in the province of Samsun. There is no problem in quality. However, it is not possible to say that Samsun is a brand sufficiently in this area. Especially, the German firms let their devices produce in Turkey and sells in the world by their own brands. For example, a pair of scissors which is used in the eye surgical can be made $5 dollar in Samsun. As for their retail sales reach by $150-200 dollars. so this situation makes Ahmet Bahadır, as a producer, sad so much. “Germans are the brand in this work. We have not still become a brand. We try to make production and marketing together. But it is not possible to be both producer and seller. We work apart from university. However, the firms as us should be in the techno-park of universities. We experience lack of qualified staff. If Samsun will be a brand in this work, a healthcare organized industrial zone must be made up. In order to be a brand in this work, state, university

and industrialist should work together and cooperate their power.”

Apprentice-Master-Boss The surgical devices’ production is based on handiwork rather than technology. For this reason, apprentice-master relation is very crucial in this work. Actually most of the entrepreneurs in the sector first had worked in Bahadır and Aygün companies then they set up their own businesses. Just Mefa Cerrahi Aletler Industry’s owners Metin Cansu and Faruk Yıldız… Cansu and Yıldız have experience for 17 years in this work. They established their own companies by


getting credit worth TL44 thousand from KOSGEB in 2009. Currently they maintain their business at their workshop locating on an area of 270 sq meters. Metin Cansu emphasized that they work on order having production capacity of 15 thousand unit surgical devices yearly. Mefa sell ophthalmic scissors, tissue scissors to the private hospitals and medical firms. Cansu said, “As long as human beings have been in existence, our sector to be in existence. When human being lie on the surgical table absolutely these devices will be used. In the state tenders there is interest in the foreign firms, but domestically producer firms are also supported.”

Domestic-made cataract lenses In the ophthalmic area, outstanding developments occur on behalf of domestic made production. Known by its investments in real-estate and energy, Varlıbaş Holding has established cataract lens plant in 2008. The group met 55 percent of Turkey’s cataract lens need last year. Known also as “lens for inside of eye” the cataract lens is implanted into eye of patients by surgery. In Turkey, 300-350 thousand cataract lenses are used per annum. In 2007, entire of these lenses were imported. In this area, there are some 40 producers across the world. Varlıbaş family was representative of the German Acritech firm for 15 years in Turkey. There is an interesting story of Varlıbaş family which left the imports to direct to set up the plant in 2008. Ercan Varlıbaş is an eye doctor, elder son of Süleyman Varlıbaş founder of Varlıbaş Holding. Ercan Varlıbaş tells the story, “As Varlıbaş we sell for 15 year the imported products in Turkey. We were representative of the German Acritech firm in Turkey. Our market share was in some 30 percentage. When Acritech was offered for sales, we also demanded. We began bargaining with 50 million euro. But Acritech was sold to Zaiss firm by 32 million euro. We were very upset by this situation. When we asked for the reason, the respond was that the ‘Germans did not want the technology to go outside.’ Then we decided to establish our own facility.” Currently in Turkey it is known that 500 thousand cataract patients exist. When reached by those who did not get cataract surgery the domestic market expected to be bigger. SGK pays TL450 for cataract surgery. The domestic made cataract lenses are sold by TL75, imported ones are sold by TL125. As for the prices of lenses which were specially developed by Varlıbaş for both myopia ana hypermetropia and middle vision

are 325 euro. Dr. Ercan Varlıbaş states that when these lenses are implanted the patients do not need to use eyeglasses. Competing of Turkish businessmen in this area made European fairly anxious. Varlıbaş tells the situation Europeans, “The countries such as Germany, Spain, France did not expect that we would enter this business. They were surprised much. But it must be some fedayeen in these works. We also did this. Now we would like to produce eye laser. In this issue we wait land allocation. Once the Directorship of Istanbul Healthcare, we will launch production in this area.”

Lens market is very virgin As the voice opened from lens it is not suitable not to mention by Anadolu Tıp Technology which produces eye hydrophobic and contact lens. Having established

in the province of Sivas, Anadolu Tıp Teknolojileri, which is the only and first lens plant of Turkey began production in 2005. This firms also exports to Europe and Mideast. The developments in health sector urge the foremost holdings to pose in this area. For example, Eczacıbaşı İlaç Pazarlama has entered the market of lens and lens care products with the foremost Japanese Menicon firm. According to this, Eczacıbaşı İlaç Pazarlama has owned the rights of products of Menicon which acts over 30 countries including Europe, America and Japan with over 1000 employees in Turkey. Well, why Menico has entered Turkey? For this it is enough to look at the figures. In our country it is guessed that 200 thousand lens users are available. The lens use rate to the total population is 0.25 percent. If though that this rate reaches by 3 percent in Europe, it is

putting forward that how much the market is empty.

Chinese threat to surgery yarn In Turkey, many medical materials are produced ranging from surgery yarn to blood bags. For example, Kansuk Laboratory which was established in 1982 the first domestic firm producing blood bags. Established at the beginning of the 1970s, Doğsan headquartered in the province of Trabzon produced first surgery yarn of Turkey. In this area the firm made a breakthrough in the Mideast and Balkans. The company of Saruhan family produces 11 kinds of yarn by polymer. 6 of them are absorbed by body, in other words there is no need to get off yarns after surgery. The market share of Doğsan rises by 30 percent. There are more domestic firms in



this area. SSM, Medeks, Katsan and Orhan Boz from these firms act for years. Nakipoğlu family’s company İpek Plastik Sağlık Ürünleri located in Gaziantep produces surgery yarn since 2004… Deputy General Manager Çağan Karal of Doğsan Cerrahi Dikiş Malzemeleri, said that the imported products dominate 60 percent of the market. Indicating that consumption of the surgery yarn in Turkey, was at least 2 million boxes, Karal said, “The Chinese firms have entered the market within the last 5 years. There are also European firms that produce in China. One box of the domestic yarns is sold between TL20-200. As for the Chinese products can be sold half, even, one fourth of these prices. This put us into difficulty in competition.” Dogsan produces annually producing 800 thousand boxes surgical thread. 120 employees work in factory of the company in Trabzon. 30 employees are on duty of sales. Dogsan exports 20 percent of production to many countries such as Germany, Iran, Iraq, Saudi Arabia, Lebanon and Spain through 50 dealers. The world’s largest surgical thread

manufacturer, Johnson & Johnson, American company is very active in the market of Turkey. Number of firms participating in both private and public hospitals auctions of surgical thread is 28 in our country.

We do not manufacture the Biochemistry device Biochemistry devices are quiet important products for the health sector. Biochemistry laboratories are needed to make the dozens of test such as blood sugar, hemoglobin and cholesterol tests. A biochemistry laboratory can be installed with 25 different devices and over 500 different materials. There is an interesting form of business. For example, the firm, that take place in hospitals auctions, supplies hospital’s equipment free of charge but the firm sells the kit. Biochemical systems are under the domination of imported brands in Turkey as all the world. Four major companies such Roche, Beckman Coulter, Abbott and Siemens achieved $ 400 million turnover last year. The products sold in laboratories of Turkey are $ 1.5 billion turnover.

Bizim Medical is representative of well-known brands such as Biorad, Roche, and Beckman Coulter in the Eastern Black Sea, Central Anatolia, and Eastern Anatolia. Omer Sen, owner the firm, is also president of the Eastern Black Sea Medical Association. Bizim medical is distributor of Kansu blood bags and Medapex surgical thread. The company taking place in about 300 both private and public hospitals auctions per year has turnover of 40 million TL. Omer Sen informs that the device is not produced; only a small amount of kit is produced in Turkey. Stressing that even the definitions of the medical sector has not been fully made, Sen says, “I wish we could sell the domestic product.” By the way, to set a biology lab of a university hospital with the latest technology needs 2-3 million Euros.

Single Pistol in Native Heart Stent To produce the first heart stent in Turkey was only possible 6 years ago. Alvimedica Medical Products is a multi-partner company owned 100 percent of the Turks, like

Ishak Alaton, Chairman of Alarko Holding. Alvimedica founded a catheter factory with the largest ‘clean-room’ (germs-free production area) in Europe in Catalca in 2005. Recalling that they are the first and only manufacturer of heart stent in Turkey, Dr. Cem Bozkurt CEO of Alvimedica, said that they established the factory with an investment of $ 22 million. Bozkurt stated that they produced 120 thousand stents with 40 thousand drug-coated stents, 80 thousand balloon catheter, 250 thousand guiding catheters and 750 thousand angio catheters last year. According to the information given by Bozkurt, 250 thousand Angiomas have been done in Turkey every year. About 10 thousand stents are inserted to the patients during these Angiomas. Currently, 65 percent of the stents used in Turkey have Alvimedica patent. The Company is dominated on the half of the market catheter used. There are totally 10 companies producing stent in the world. the largest of them are Johnson & Cordis, Abbott, Boston Scientific and Metronic. Prices of the medicated stents of these companies were 3-4 thousand dollar in Turkey. That price falls to 1000 TL as Alvimedica enter to the sector. Alvimedica products also are exported to Western Europe. Preparing to open an office in Russia, Iran and Brazil the company exports 40 percent of production. Declaring that they received 20 patents from foreign universities, Bozkurt said, “We spent 61 million dollars for R & D activities and patents. We would like to enter to India too. We will produce the stent for the brain the next year. We would like to establish a Biomedical Specialized Organized Industrial Zone in Catalca. Talks with Catalca Municipality continue on this subject.”

Orthopaedic Products develop 36

The power of domestic producers on orthopedic surgery is increasing.

Though the ruler on the orthopedic market in the World is still Johnson & Johnson Orthopedics, Zimmer, Stryker, Smith & Nephew, Biomet, and Wright, they have also 75 per cent market share of Turkey. Turkey orthopedic implant market is estimated over $ 260 million in volume to hospital purchase price in Turkey. Product prices are between 4 and 4 thousand dollars. But supportive orthopedic products such as neck, kneepad are not involved in

these prices. The number of local companies in the field of orthopedic surgery currently is not two fingers of the hand. These companies are Ortopro, Tipsan, Hipokrat, Tibmed, Tasarim and TST. Starting by importing in the sector, Ortopro Medical Instruments, which was founded by a medical doctor Tolga Yalcinkaya and Mehmet Tanyolac in 1995, has been continuing its operates as a manufacturer in Aegean Free Trade

Zone in Izmir since 2002. Knee and hip prostheses used in degeneration of the joints, platinums and screws used in trauma like fractures are among 50 kinds of Ortopro product. Is Girisim Sermayesi bought a 30 percent of Ortopro in early 2008. With 130 employees the company exports to around 30 countries worldwide as well as domestic market. Tolga Yalcinkaya, Chairman of Ortopro, declares that they aim to export 8 million dollars this year.

To Yalcinkaya the required media to develop the product in this field is now available. Recording that scientists and doctors have very creative ideas in this field, Yalcinkaya supposes to benefit of the R & D incentives of SANTES and TUBITAK. Yalcinkaya said, “We expect hospitals to use the option of 15 percent price advantage for domestic property in Turkey. If the state encourages this app, the medical sector grows faster.” $ 150 million investment Recognized real estate and energy investments, Varlibas Holding started R & D activities in 2008 to develop a cataract lens. Proving qualified leads, the group won the 9th TUBITAK Technology Awards leaving behind 221 companies. Then it started to invest. VSY Varlibaslar Health Investments established its first factory an investment of $ 100 million in Atasehir. Now the group founds a new factory with an investment of $ 150 million in Tuzla. Trial production is expected to start in the second factory in June. VSY Varlibaslar Health Investments will reach to produce 1 million cataract lenses annually. Currently 165 employees work at Atasehir facilities. Investment in Tuzla is expected to make an additional employment for 70 employees. VSY produced 500 thousand lenses in Atasehir plant last year. 165 thousand were sold in Turkey and rests of it were exported to 26 countries. Dr. Ercan Varlibas, General Director of Health VSY Varlibaslar Investments, said that they plan to increase sales by 10-15 per cent in the domestic market this year, rest of it to export. Declaring that they prevent imports of 20 million dollars last year, Varlibas said, “We do not care to earn money in this business. We could have manufactured revolution cars but not continue. I wish we are not so in the field of health. We both our people and doctors unfortunately have a complex against our own products. Need to overcome them.”

Acoustics Salary £ 3 thousand Otikon, Phonak, Starkey, Siemens, GN Group, Videx, Ear Teknik are popular hearing aid producers. Ear Teknik operates with 100 percent Turkish capital since 2001. But history in Germany is related the date 40 years ago. Mehmet Emin Agac, Turkish entrepreneurs, bought the company 10 years ago. Establishing a new factory in Corlu, Agac family now competes with the global giants. Mehmet Emin Agac was born in 1965. He went to Germany for training in the early 1980s. After studying philosophy, he became an acoustics (hearing specialist), then he entered to the sector. Being founded Si-Ser Hearing Center in 1996, began to import hearing aids to Turkey. He founded Ear Teknik with the Germans in 2001. He purchased all the shares of the company in 2005. Bringing know-how and technology of the German company to Turkey, Agac said, “We invest in our business how much we earn.” According to Agac, Ear Teknik has 30 percent of the market in Turkey. The company’s factory in Corlu European Free Trade Zone produces 70 thousand the hearing aids annually. Some parts of the production are exported to 20 countries. Mehmet Emin Agac said that Turkish people are used to imported hearing aids for many years, so in the beginning they have difficulty to adopt the domestic appliances for both patients and health care workers. “Now we are writing ‘Made in Turkey’ on devices proudly” saying Agac that they are distressed to find a hearing aid specialist (acoustics). Agac said, “Most of the buyers are not satisfied hearing aid in Turkey. That is why there is no enough (acoustics) to adjust devices. Currently, the market needs 1,500 acoustics. Therefore, we as the Academy Acoustical Society of Hearing Aid (İCADD) have signed a partnership agreement with leading academy of the hearing


* electrocautery, x ray bath solutions * surgical yarns * dentistry repairing materials * Medical masks * blood saving cupboards * bio carriers * defibrillator * serum sets * stainless steel products

SWOT analysis of medical sector Strong sides of the sector • Featuring a high added value sector • Taking place in the 11 sector which are vital for Turkey • Increasing of Product quality day by day • Progressing of quality awareness

Poor side of the sector

sector, German Bundesinnung der Hörgerate-Akustik Körperchaft des öffentlichen Rechts Deutschland (BIHA) in order to train acoustics in the sector. Young people graduated from high school will apply to the training, which will start in September. Acoustics certificate will be given to the trainers after two years training with training of four months and 8-month internship. Those who completed three years training will be employed as master acoustics by the society. Those who succeed the mastery exam at the end of the theoretical and practical training of the academy will start to work with 3 thousand TL monthly salary. If the awareness of the hearing aid devices developed in Turkey, 450 thousand devices would sell today. Only one quarter of potential can be used in the market.” 38

Medical products manufactured in Turkey * operating tables

* anesthesia devices * gynecological tables * surgical aspirators * oxygen devices * X ray devices * injections, needles * steam and dry air sterilization devices * blood taking armchairs * Medical gas systems * elastic bandages * patient beds * dentistry units * surgical tools * Drainage * Stent, catheter and drills * stone breaking devices * stretchers * blood and blood products, receiving donating sets * blood bags * operation and examination gloves * patient monitoring * orthopedic prosthesis * orthopedic repair materials * operation covers and centrifuge * surgical gauze and cotton

• high technology is not prevalence in Turkey and lack of establishments based on new technology due to being expensive • Costs of the production are high regarding intermediate goods and investment goods are not produced in Turkey and imported • Lack of university-industry and research institution cooperation • Qualified staff need is not met • Production potential cannot be used fully

Opportunities of the sector • Being a big market of Turkey and meets big part of need by the imported goods • Having cheap labor force • Production is supported by the government with new health policies • Development of the international cooperation • Market bigness in Turkey

Sectorial threats • Increasing of the global competition • Domestic producers are not known in the world • Cheap and poor quality production is not hampered • High foreign dependency of the producers

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