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Diagnostic Control

"On The Growth Path-Diagnostics And Pathological Testing Market In India"

"On the growth path-Diagnostics and Pathological Testing Market in India"

The Growing Indian Healthcare Industry

The healthcare industry in India is growing at a rapid pace and it is poised to become one of the dominant participants of the Indian economy. According to a Yes Bank and ASSOCHAM report, the Indian health care industry is estimated to grow at 23% p.a. to $77 billion by 2012 from the current $35 billion. The sector has grown at a rate of 9.3% from the year 2000 to 2009.

Of the sum, diagnostic and pathology services would account for $2.5 billion in 2012, more than double its estimated current size of $1billion. The growth in the segment is expected to be driven by consolidation in the industry and increasing insurance penetration among the country's population. Healthcare facilities, inclusive of public and private hospitals, the core sector, around which the healthcare sector is centered, would continue to contribute over 70% of the total sector and touch a figure of $54.7 billion by 2012

According McKinsey report, the Indian healthcare market is expected to grow at a rate of 10-12 percent p.a. This is being driven by a strong local demand and growing population. With average household consumption expected to increase by more than 7 per cent per annum, the annual healthcare expenditure is projected to grow at 10 per cent and also the number of insured is likely to jump from 100 million to 220 million. India's high population makes it an important player in this industry. According to the Insurance Regulatory and Development Authority, the Indian healthcare industry has the potential to show the same exponential growth that the software and pharmaceutical industries have shown in the past decade. Only 10 per cent of the market potential has been tapped till date. This is indicative of the strong growth potential of the Indian healthcare market.

The last few years have seen a rise in the purchasing power of the middle class. With an erratic and sedentary urban lifestyle of the growing middle and upper-middle class in India, healthcare has become an important component of everyone's life. Expenditure on healthcare is rising with increase in self-awareness and availability of high-class healthcare facilities with the advent of private players. According to ICRA 2005 report on Indian Medical Care Industry, India spends 5.10 percent of its GDP on healthcare. India's expenditure on health, in terms of percentage of GDP, is among the highest for developing countries. India is being seen as the preferred destination for quality health solutions due to the major cost advantage over the western countries.

 

The burgeoning segment; Pathology and Diagnostics testing market in India

 

The diagnostics and pathology testing market in India represents one of the most lucrative markets in the world. The market has grown robustly in past few years on the back of increasing disease prevalence and rising consumer awareness. There are 2 major segments of the Diagnostics Market:

1) Pathological Laboratories             2) Diagnostic kits and reagents

Both of the above segments provide very strong potential for growth, both in the domestic market and as a preferred hub for clinical trials and outsourcing from western countries.

 

Pathological Laboratory Business

 The revenues from diagnostic segments are projected to grow at a CAGR of around 20% during 2010-2012. With increasing awareness among people about having a healthy lifestyle; the diagnostic market in India will experience strong growth in coming years. The country is witnessing a strong growth in biochemical and molecular diagnostic test segments.

The pathology market is currently 2.5 per cent of the overall healthcare delivery market. As per industry estimates, there are over 40,000 independent pathology labs in the country servicing around 1-1.25 million patients per day. This includes specialized laboratories, laboratory facilities in hospitals and nursing homes and small testing centers with basic facilities. The quality of services provided by these labs varies widely. The National Accreditation Board of Laboratories (NABL) has been established to accredit the laboratories, but the number of laboratories actually accredited is still minimal with majority of players operating in the vast unorganized segment.

 

Currently there are a few large national Players like Super Religare laboratories, Dr. Lal Pathlabs, Metropolis, Thyrocare, Max Health Care, and Apollo Clinics. Quest Diagnostics, a major international player has also entered India in the recent past. The industry is highly competitive and price-driven with kickbacks and business referral payments in the absence of a regulatory body. Around 70 per cent of treatment decisions in the country are based on lab results.

 

 

 

 

 

Major Indian Players in the Pathological Laboratory and Clinical Trials Segment

Super Religare Laboratories

Dr. Lal Pathlabs

Metropolis

Thyrocare

Vimta Labs

Quest Diagnostics

 

 

Diagnostic Kits and Equipment Segment

 

The diagnostic kits and reagents segment in India is a relatively new segment. Diagnostic kits consist of syringes, vacutainers, swabs etc. used at the time of sample collection whereas reagents are compounds, such as sulphuric acid, hydrochloric acid, sodium hydroxide, etc., used in the laboratory for chemical analysis or experiments.

 In addition to the presence of international players, at present India has more than 25 companies manufacturing diagnostic kits. These diagnostic companies are manufacturing and selling kits mainly in the areas of pregnancy, ovulation, estimation of T3, T4 & TSH, HIV, HBV and HCV infection, rheumatoid diseases and disorders, cancer (cervix, colon, prostate, lung, mouth etc.), kidney function and liver function.

There has been an increase in the utilization of diagnostic devices and tests in last few years. The major reason for this is the increase in consumer awareness, increasing income of middle class consumers and spurt in the health insurance schemes which is leading to increased usage of diagnostic kits. The number of tests conducted in the last decade has more than doubled from 180 million to over 500 million. There are over 11,500 hospitals and 14,000 diagnostic laboratories in the country that utilize large volumes of diagnostics. The major factor that is driving the growth of manufacturing of diagnostic kits in India is the 70-80 percent cost advantage that Indian laboratories offer over their western counterparts.

The Indian companies with their R&D facilities have developed a range of quality products which are giving a tough competition to imported kits. However, there are hi-tech products like Elisa, PCR, a few cancer markers and some other products for which there are very few manufacturers in the country. Though there have been major developments, still the diagnostic kits and reagents market has a long way to go.

 

Some of the companies manufacturing diagnostic kits include Accurex Biomedicals, Beacon Diagnostics, Bhat Biotech, Bio-systems Diagnostics J Mitra & Co, Monozyme India, Span Diagnostics Ltd, Transasia Biomedicals, Tulip Group and XCyton Diagnostics.

 

Trends in the Indian Pathological Laboratory Segment

Of late, Indian Pathological and diagnostics industry is witnessing some action with the entry of bigger players and international companies. Apart from the growth in the domestic segment, India has the potential of becoming an international hub for Clinical trials and export of reagents and diagnostic kits. The cost advantage that Indian companies have over their western counterparts could play a major differentiator. Following are some of the trends being witnessed in the Indian pathology segment:

 

Consolidation and Takeovers

Today there are 800 private labs in the US of which the top 10 laboratories carry out 85 percent of the pathological workload. Earlier like in India, the US too had standalone labs but the scenario changed when health insurance entered the US healthcare market. Insurance companies tied up with labs that had quality control, uniform systems of billing and services. This consolidation came about and the functioning changed. Since in India, the public healthcare system is falling apart and there is a growth of around 20 per cent in private sector each year. International health insurance companies entering India tie up with pathology chains, thereby changing the face of the diagnostic industry.

 

With the advent of large pathology laboratories chain, the Indian diagnostics landscape has undergone some major changes in the last four to five years. One of the significant impacts has been the rising competition among the large players, which may not have cut down the prices to the consumers, but has surely raised the entry barriers for small path labs, which mushroomed in the nineties to uncontrollable proportions. Now, large path labs say that consolidation is imminent and they quote the US example which evolved in a similar way, but is today dominated by only four major chains of path labs.

Though large path labs have been showing impressive growth rates (for instance Metropolis claims that its business grew 50 per cent over last year, while the overall market growth was estimated at 25 per cent), a large portion of the market is still dominated by the unorganized sector.

Large path labs have outperformed the industry growth estimates and it is obvious that they are eating into the share of small labs. For instance, a test for diabetes is generally done at small labs by arbitrary calculation in 80-90 per cent of the cases. Large labs claim that this method is unreliable, while direct estimation offer accurate results. As the consumer awareness is increasing, organized players with more focus on quality and accuracy are taking on smaller players head-on.

 

Major emphasis on Quality and Technology

With the advent of International players and large corporates, there has been a major focus on providing enhanced quality right from sample collection, sample transportation to actual testing of sample in the lab.

There has been a major improvement in sample collection procedures with the use of sealed sample collection kits and vacutainers. There has been major focus on training phlebotomists (technicians who draw blood); emphasis is on their technical as well as communication skills to enhance end-customer experience.

Another milestone has been the use of barcodes for sample tracking and transportation for proper delivery of the sample to the lab and avoiding sample misplacements. Lastly, temperature controlled gel packs and boxes are increasingly getting used to maintain sample integrity and maintaining correct reporting.

 

Focus towards wellness testing, in addition to normal disease testing

Wellness testing is a new concept and is meant for apparently healthy individuals who are not aware whether they are suffering from a particular disease. Among the organized players, there has been an increasing trend towards targeting healthy individuals who have sedentary lifestyles and are more risk prone for lifestyle diseases such as cardiovascular and diabetes ailments.

Organized players have developed specific panels such as full body screening panels, diabetes panel, cardiovascular panel, thyroid panel etc. to tap into this segment. A panel comprises of bouquet of tests for that specific disease or ailment. For example, a thyroid panel would consist of specific tests such as T3, T4 and TSH.  Therefore, these panels are product packages designed for end customers and are easy to understand and provide a comprehensive analysis as compared to individual tests. The whole notion behind this is to encourage consumers to self-initiate these tests rather than taking a doctor's prescription which is generally required for advanced and complicated tests like cancer, osteoporosis and other ailments.

Thus, companies are trying to create an interest for the diagnostics category amongst the masses so that they can monitor their disease levels themselves and thus generating a lot of end-customer involvement.

 

 

 

Brand Building initiatives by Organized Players

Recently a lot of action is seen in advertisement space from major diagnostic players and hospitals. There has been a conscious effort by major players to differentiate their brands and services from competitors and the unorganized segment. From SRL, Fortis, Dr. Lal Pathlabs, Apollo Clinics, everyone is using advertising and focusing more towards brand development which was absent around 3-4 years back.

Companies are trying to create specific testing products in the form of health and disease panels which generally include a bouquet of tests for general health checkup or particular ailments. Thus, for promoting these products various Above the Line (ATL) and Below the Line (BTL) mediums are being used for the same. From outdoors to print, from radio to direct marketing, diagnostics and Pathlabs are present everywhere.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issues in the Indian Diagnostic Kits and Reagents Industry:

 

The diagnostic kits and reagents segment provides a huge opportunity. But still there are various issues which act as impediments and a strong action from both the industry and government is required to facilitate the same. Some of the key characteristics are as follows:

 

Diagnostic kits and reagents still being primarily imported

Although there is a huge opportunity in the diagnostic kits and reagents manufacturing segment but still more than half of the kits are being imported. These kits are imported at a higher cost and are often ineffective as these are not designed for Indian climatic conditions. There is a huge opportunity in the manufacturing of substitutes for these imported kits and reagents as per the Indian requirements. But there are some impediments in the path, these are highlighted as follows: 

1. High import duty for raw materials and custom clearance procedures,
2. competition from the western companies who offer more sophisticated products,
3. lack of knowledge and expertise among the Indian manufacturers,
4. licensing and slow pace of approvals from statutory authorities,
5. Absence of national laboratory network for evaluation and approval of new products are some of the factors slowing down the pace of indigenization.

Red-tapism, lack of strong will power to remain in the business of diagnostics, regulatory confusion and lesser margins are some of the issues confronting the growth of the segment. Moreover, as the segment is very small, it is difficult to drive the struggle. Importing raw materials at high cost is also a major issue facing the segment.

There is an urgent need to address these issues with the Government authorities.

 

Lack of market and technical know-how

There is a serious opportunity in the diagnostic kits and reagents business, but our entrepreneurs are missing on this lucrative sector. Though the opportunity is huge, there are some hurdles in the way. These are as follows:

1. lack of knowledge about the range of products,
2. absence of technical expertise for these medical kits and reagents,
3. Complex nature of manufacturing process.

In India, there is still a gap between the industry and academia. The authorities need to work towards enhancing public-private partnership. This will result in proper utilization of public funds and technology transfer to private sector.

The Department of Biotechnology (DBT) has been facilitating the transfer of many technologies for diagnostic kits to the industry developed at the CSIR labs.

 

Government Licensing

There are no standard guidelines and procedures for issuing license for manufacturing diagnostic products. Also the approval for the ranges of products is missing for both products manufactured in India or imported products. These vary from state to state. There is also no special package and exemption in taxes from the government for establishing diagnostic manufacturing units. The number of cheaper and efficient technology transfers in the area of diagnostics is limited.

This industry is considered to be a part of the pharma segment but really does not belong there. The authorities themselves are not knowledgeable about the diagnostics industry. Current rate of customs duty is a major disincentive, which makes the manufacturing not cost effective. Also there is an absence of any trade organization of diagnostic kits and reagents manufacturers to take these important issues with the authorities. 

 

 

 

 

 

 

 

 

 

 

 

 

India has the potential of becoming the global hub for R&D, clinical trials and pathology services. The major reasons in support of this are the growing health awareness and quality consciousness in the increasing middle class, opening of the health insurance industry, advent of private players and consolidations in the diagnostics and pathology segments, huge cost advantage of the clinical trials segment, availability of trained medical professionals, increased test-prescriptions in the urban and rural areas and initiation of Public-private partnerships.

 

But some corrective measures are required on the industry and government front to address various issues like licensing, limited technical expertise and stiff competition from imported products.

 

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Sources:

1. IBEF Industry report on Healthcare sector;
2. National Accreditation Board for Testing and Calibration Laboratories;
3. Biospectrum India
4. Indian Expres Healthcare management
5. India PR wire

About the Author

Mr. Nikhil Bhatia has completed B.Com (Hons.) from Shri Ram College of Commerce, Delhi University and MBA from IMT, Ghaziabad with specialization in Marketing & Finance. He has over two and a half years' corporate experience in banking and healthcare sectors. He has worked with CitiFinancial Consumer Finance India Ltd. and is currently working with a leading healthcare MNC in marketing domain. In addition, he has done Industry oriented marketing projects with Maruti Udyog Limited and Kellogg's India. He has to his credit projects and prize winning case study on "Rediff Bol-Marketing of Rediff.com online messenger" presented at SJMSOM, IIT Bombay and IMT, Ghaziabad respectively. He has received merit scholarships from the Institute of Company Secretaries of India and the French Embassy in India.    

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OBDII USB Car Diagnostic Cable - Blue $13.99 Overview:This cable works on all VW, Audi, Seat and Skoda vehicles with a 16 Pin Diagnostic Connector.Can not work if your car uses a protocol/bussystem like VPW, PWM or CAN-bus.Terminal K = bus of communicationTerminal L = ignition for waking up car computing system (ECU: Engine Control Unit)This K/L diagnostic interface amp; cables work on ISO/KWP (Key Word Protocol) launched after 1996 onlySupported also ISO9141 protocol; supports VAG-COM version 409.1 or olderThe Cables may work with some versions of the Carsoft, but carsoft used a lot of different interfaces during the different versions and also had some custom interfaces.Capability includes: encoding drivers, encoding key with immobiliser,service review set, drivers comparison, regulation of turn of waste run, diagnostics of executive elements and many others capabilitiesCompatible cars: SANTANA 2000/3000, Audi 100/200/80/90/A4/A6/A8, SANTANA 2000 (Age Superman), Polo(Exclude 02/03 ), Jetta, Bora, Golf, Passat, Small flag Beetle and VW/Audi carsSpecification:Dimensions: 3.43 in x 1.77 in x 0.87 in (8.7 cm x 4.5 cm x 2.2 cm)Weight: 3.56 oz (101 g)

OBDII USB Car Diagnostic Cable - Black $14.19 Overview:This cable works on all VW, Audi, Seat and Skoda vehicles with a 16 Pin Diagnostic Connector.Can not work if your car uses a protocol/bussystem like VPW, PWM or CAN-bus.Terminal K = bus of communicationTerminal L = ignition for waking up car computing system (ECU: Engine Control Unit)This K/L diagnostic interface amp; cables work on ISO/KWP (Key Word Protocol) launched after 1996 onlySupported also ISO9141 protocol; supports VAG-COM version 409.1 or olderThe Cables may work with some versions of the Carsoft, but carsoft used a lot of different interfaces during the different versions and also had some custom interfaces.Capability includes: encoding drivers, encoding key with immobiliser,service review set, drivers comparison, regulation of turn of waste run, diagnostics of executive elements and many others capabilitiesCompatible cars: SANTANA 2000/3000, Audi 100/200/80/90/A4/A6/A8, SANTANA 2000 (Age Superman), Polo(Exclude 02/03 ), Jetta, Bora, Golf, Passat, Small flag Beetle and VW/Audi carsSpecification:Dimensions: 3.43 in x 1.77 in x 0.87 in (8.7 cm x 4.5 cm x 2.2 cm)Weight: 3.99 oz (113 g)

Snap-on® Diagnostic Product Certification – Transportation, 1st Edition $59.99 The SNAP-ON DIAGNOSTIC CERTIFICATION MANUAL is intended to give you the knowledge they need to more effectively use their Snap-On diagnostic tools. As vehicles have become more complex so have the tools used to diagnose them. While many automotive programs do a great job teaching the vehicle systems, few take the time to explain in detail the sophisticated diagnostic tools needed to diagnosis them. Current market research indicates that most technicians only use about 15% of their diagnostic tools' capabilities:, this manual, designed to accompany the Snap-On Diagnostic Certification Program, will aims to boost usage to 90%. The manual begins with a physical overview of each of the tools and explains the various ports, connectors, buttons and controls. In separate sections each tool's utility menu is fully explained and all customizable features are discussed so the user will have full control to make the tool their own. Finally, every aspect of the tool including the Scanner, Lab Scope, Component Test Meter, Troubleshooter, and all other options are explained in detail. This manual will greatly increase a student's employability and a technician's productivity when either is faced with a complex diagnostic situation.

Tracer Products TRATP9370 Marksman Ultrasonic Diagnostic Tool $659.83 Features and Benefits Ultrasensitive electronic circuitry detects sound significantly beyond the range of the human ear Self adjusting AGC (Automatic Gain Control) circuitry automatically compensates for fluctuations in signal strength 10 bar LED intensity indicator helps pinpoint the exact problem source Precision engineered air and contact probes optimize receiver versatility Special emitter produces ultrasonic pulses to help receiver check for faulty seals gaskets and weather stripping in passenger cabs trailers and other nonpressurized enclosuresMarksman Ultrasonic Diagnostic Tool converts and amplifies ultrasonic sound into audible natural sound for accurate diagnosis. Finds problems before they result in major breakdowns. Detects air brake compressed air vacuum EVAP system and other pressurized leaks quickly and effortlessly. Pinpoints gear and bearing wear in wheel hubs transmissions transfer cases differentials and electric motor. Checks for electrical discharge associated with insulation breakdown carbon tracking and arcing. Factory calibrated for optimal performance does not require recalibration. Master Kit includes: Marksman receiver ultrasonic emitter headphones 12 air probe contact probe and carrying case. The Marksman with its solidstate circuitry is compact and lightweight. receiver and emiiter powered by standard 9 volt alkaline batteries (included).

Opel Vauxhall Diagnostic Interface USB CAN OBD2 OP-COM $46.99 Primary Function: Opel Vauxhall Diagnostic Interface USB CAN OBD2 OP-COMOn-Board Diagnostic connectors: - PIN6-PIN14: HSCAN - Dual-wire, High Speed CAN-BUS, 500 kbps - PIN3-PIN11: MSCAN - Dual-wire, Medium Speed CAN-BUS, 95 kbps - PIN1: SWCAN - Single-wire, Low Speed CAN-BUS, 33.3 kbps - PIN3, PIN7, PIN8, PIN12: Serial Link (ISO9141, KW81, KW82, KWP2000)The included program supports many control units such as: - Automatic Transmission - ABS - Airbag - Engine Cooling module - Instrument Cluster - Electronic Climate Control, And Many others...Note: The above mentioned protocols are merely an example of what the software application includes. The application software features many more control units, that are simply too much to list hereCompatibility: Vehicle must be OBDII compatibleOBDII Plug: 16-pin (Male)USB: 2.0Operating Software Compatibility: Windows 98SE, ME, 2000, XPDimensions: - OBD2: L:105 x W:46 x D:25 - USB Cable: 140cm LongManufacturers Ref: FUWJSYN2SAProduct NotesUser friendly software includedTune your engine with just this cable and your laptopSavings on fuel efficiency mean this cable pays for itselfIncrease the responsiveness of your vehicle at all rev rangesPackage Contents for Model CVFG-A24Opel Vauxhall Diagnostic Interface USB CAN OBD2 OP-COMUSB CableCD with softwareFAQ - Frequently Asked QuestionsHow does the connector select the appropriate pin for communication? Since Opel uses many pin in the On-Board Diagnostic connector, the diagnostic interface works as a multiplexer, and selects the appropriate pin for communicationThere are a lot of terms I don't understand, like engine control units (ECUs), brake horsepower (BHP), and flashing. What do they all mean? Please check Wikipedia for a detailed explanation of these and other terms that are new to you.

Dolphin Diagnostic Advantage Automatic Pool Cleaner w/ Remote $1349.99 Dolphin Diagnostic Advantage Remote Control Pool CleanerSuper-Efficient Cleaning, with RemoteControl Convenience! The Dolphin Diagnostic Advantage Remote Control (RC) Automatic Pool Cleaner includes the same feature as the original time-tested Dolphin, plus a direct drive system with a unique split roller brush for enhanced maneuvering and even quicker cleaning. The Dolphin RC also offers three cleaning functions: Regular, Fast and Remote modes for maximum efficiency, all the way up to the waterline. The reusable filter catches even the smallest debris without clogging. And with its own pump and filter, youll see less wear and tear on your pools filter system. The Dolphin Diagnostic Advantage can save up to 50% on electricity and backwashing costs, and up to 30% on chemicals! The Dolphin Diagnostic Advantage is also available in standard / non-remote model.Recommended for Pools up to 20 x 40Operates Independently of Pool Pump & FilterVacuums and Micro-filters Water, Its Like Adding a DE Filter to your Pool!Saves up to 50% on Electricity & Backwashing CostsSaves up to 30% on Chemical CostsSelf-Monitoring Diagnostic SoftwareExclusive Corner Cleaning MovementAir Sensor Suitable for Beach-Entry PoolsSelf-Contained, 1200 sq. inch Reusable Filter Bag Micro-filters ContaminantsWater-Cooled Motors, No Oil to LeakTransformer ETL Listed 115V AC250 Watts in Weatherproof casing, 24 Volts at UnitPower Supply is ETL Listed for Outdoor Use to UL StandardFeatures 65 ft of Self-Floating Cable with Kevlar™ Strengthener, & plug-in power supplyIncludes a 2-Year Motor Warranty /2-Year Full WarrantyConvenient caddy also available (separately)

Nasco Diagnostic Cartridges, 9/pk $104.95 Nasco Diagnostic Cartridges, 9/pk

Updates in Diagnostic Pathology $139 Updates in Diagnostic Pathology

Advances in Diagnostic Medical Physics $45 Advances in Diagnostic Medical Physics

Hickok HIC90068 NGS PC Ford#44; Lincoln#44; Mercury Diagnostic Software Kit $2416.64 Power balance misfire diagnostics. Automated EVAP monitor test. Access all module protocols including UBP. Access all modules including body control modules. Diesel diagnostic coverage 7.3L 6.0L 6.4L and 6.7L.

KMP2000 Vehicle Diagnostic Tools with Software CD for BMW $70.27 - Digital total test: It gives you a complete idea of the overall condition of the car.- Digital single test: It gives you detailed information about the appropriate control unit

Tracer Marksman Ultrasonic Diagnostic Tool. Each $468.41 Manufacturer: Tracer Products. Each. Features Benefits Ultra-sensitive electronic circuitry detects sound significantly beyond the range of the human ear Self adjusting AGC (Automatic Gain Control) circuitry automatically compensates for fluctuations i

SONIC TECHNOLOGY AT201 AUDIO ECH PROBE DIAGNOSTIC LISTENING TOOL $37.18 The AudioTech Probe Electronic Stethoscope is a precision sound amplifier diagnostic tool featuring 180 degree swivel boom and 7 stainless steel probe. Hear what you ve been missing with this professional quality electronic stethoscope for the professional and the DoItYourselfer. Professionals know that correct diagnosis is 90 of fixing the problem. However diagnosing problems in engines motors and other equipment can be time consuming and costly. Fortunately malfunctioning components usually make irregular sounds which if heard can lead to quick diagnosis. The AudioTech Probe Diagnostic Listening Tool amplifies those sounds and locates the trouble spot so the problem can be fixed right the first time. Using the tool is easy. Just put on the headphones turn on the amplifier and touch the suspected problem part. Your ears will find the problem. The AudioTech Probe is ideal for pinpointing bad spark plugs broken gears rattles squeaks clogged fuel lines bearing and bushing wear faulty valves water pipe leaks gas leaks and mechanical failures of all kinds. The AudioTech Probe can be used in any application where there is movement of parts air gas or fluid. Batteryoperated precision sound amplifier Lightweight stereo headphones 180 degree swivel boom Removable 7 stainless steel probe Air baffle to shut out fan noise Full volume control AAA battery included

Hickok NGS PC Ford, Lincoln, Mercury Diagnostic Software Kit. 1 Kit $1585.74 Manufacturer: Hickok. 1 Kit. Features and Benefits: Power balance misfire diagnostics Automated EVAP monitor test Access all module protocols including UBP Access all modules including body control modules Diesel diagnostic coverage 7.3L, 6.0L, 6.4L, an

Freestyle Control Solution $9.99 2 Vials/4.0 ml. For use with the Freestyle Blood Glucose Monitoring System. For in vitro diagnostic use only. Home Medical Supplies & Equipment , Diabetes Management , Diabetic Monitors , Control Solutions

Marksman? II Ultrasonic Diagnostic Tool Kit $419.95 Features advanced heterodyne circuitry and ?Sound Signature Technology? to convert and amplify inaudible ultrasonic sounds into audible ?natural? sounds Provides quick diagnosis of leaks and defects before they become major breakdowns Convenient, easy-to-use, touch-control sensitivity pad and power switch 5-LED signal-intensity indicator and audible alarm easily pinpoint the exact problem source Internal Noise Control (INC) ensures tool is unaffected by ambient noise. Ideal for use in extremely noisy environments Self-adjusting Automatic Gain Control (AGC) circuitry enhances sensitivity and simplifies operation Precision-engineered hollow air probe helps isolate leak sources in cramped areas Solid contact probe quickly pinpoints wear or damage to internal components, without disassembly! Unique ultrasonic emitter helps locate faulty seals, gaskets and weatherstripping in passenger cabs, trailers and other non-pressurized enclosures Comes complete with ultrasonic receiver, ultrasonic emitter, hollow air probe, contact probe, headphones and rugged carrying case.   Specifications Sensitivity: Detects leaks from orifices as small as 0.004 in (0.1 mm) at 5.0 psi (34 kPa), from distance of 12 in (30 cm) Weight (with batteries): 1.5 lb (680 g) Housing: Chemical-resistant ABS Battery life: 165 hours (approx.) Power requirements: Two ?D? cell alkaline batteries (included) Frequency response: 36,000 - 44,000 Hz Circuitry: Solid state Headphones: Full-size, noise attenuating   Applications: Automotive Heavy-duty trucks Marine Railroad Air conditioning Refrigeration   Ideal for detecting: Air brake leaks Compressed air leaks Vacuum leaks Tire leaks EVAP system leaks Gear and bearing wear Electrical discharge Exhaust leaks Refrigerant leaks Cabin seal and gasket integrity

VACUTEC VCTEELD601 EVAP Diagnostic Smoke Machine $1346.09 Features and Benefits:EVAPApproved TechnologyUses smoke vapor with dye trace to identify and locate leaks in EVAP intake exhaust crankcase and most systems on any make of vehicle.Connects to vehicle s battery and to shop air or nitrogen.Uses STARlicensed OEMApproved Technology.No manual flow control valve to worry about turning off.EVAP General Purpose applicationsAuto shutoff safety valve stops gas fumes from potentially filling work bay.Nitrogencapable for added EVAP testing safetyAutoCorrect EVAP pressure not adjustable to avoid possible pressure damage.UltraTraceUV Flourescent DyeUses shop air or nitrogen in order to meet all OEM testing requirements.Full scale flow meter detects all leak sizes.Does not harm EVAP components. Does not void vehicle warranty.

VAG-COM 908 Diagnostic Cable Tool $70 Manufacturer's description:VAG com 908 Supports Measuring Values, Output Tests, and Adaptations on control modules using the new UDS/ODX/ASAM protocol.VAG 908 Adds new UDS addresses and updated ODX data for 2010 models.VAG com 908 Includes support for TP1.6 protocol which is required for the 6J Ibiza and speeds up access on many modules in other models.The Select Control Module screen now shows Installed Modules rather than Common Modules if the car being worked on is new enough to have a proper CAN Gateway.Modified SRI Screen to show more info and force user to select a job before proceeding.VAG 908 Adds drop-box function selection in Basic Settings and Adaptation.VAG 908 Reads Mileage stored in many EDC16 ECUs.New CODES file, now with over 13, 000 fault code and measuring value texts.New USB drivers for enhanced PC compatibility and stability.New firmware for HEX interfaces required for compatibility with 6J IbizaUpdated Label files; better documentation for new and existing models.Compared with the 812, VAG 908 has its biggest advantage. It lies in that VAG 908 can match Airbags under the protocol of UDS while the 812 can only read code, erase code and do coding, and it cannot match airbags. Pls check the comparence in the following pictures. The icons of 908 are activated while the ones of 812 are not.In one word, if you want to match Airbags of new models, VAG 908 is your only choice. The new models that the VW launches now or in the future, such as New Bora and Lavida, will all use UDS protocol. Besides, the VAS5054 in the market nearly doesnt support UDS protocol.

Welch Allyn 97150-M Diagnostic Set with Standard Ophthalmoscope, MacroView Otoscope, Handle $582.65 Features and Benefits: The Welch Allyn 3.5v Standard Ophthalmoscope uses Halogen light for true tissue color and consistent, long-lasting illumination. It comes with 6 apertures for general and specialist use and 28 lenses from -25 to +40 diopters for better resolution. Otoscope uses Halogen HPX™ lamp and fiber optics for cool light with no reflections, no obstruction. It comes with a wide-angle viewing lens for instrumentation under magnification. Universal handle accepts all Welch Allyn 3.5v instrument heads. Chrome-plated brass handle rests comfortably in the hand. It comes with an adjustable rheostat control; smooth, knurled finish; and safety switch to prevent accidental battery drainage. *Halogen light for true tissue color.*Long-lasting illumination.*Comes with 6 apertures for general and specialist use.*28 lenses from -25 to +40 diopters for better resolution.*Otoscope uses Halogen HPX™ lamp and fiber optics for cool light with no reflections.* Convenient set with Welch Allyn's high-quality diagnostic instruments. Key Components:* 3.5v Standard Ophthalmoscope Head with Halogen Lamp (Model 11710). * 3.5v MacroView Otoscope with Specula and Halogen Lamp (Model 23810). * 3.5v Direct Plug-in Style Handle (Model 71000-A). * 3.5v Nickel-Cadmium Rechargeable Battery. * Hard Case for 3.5v Set.* Reusable Polypropylene Diagnostic Otoscope Specula, Set of Four (2, 3, 4, 5 mm).The Welch Allyn Warranty:Welch Allyn will repair or replace, any parts of its own manufacture proven to be defective through causes other than misuse, neglect, damage in shipment, or normal wear.

OBD2 OBD II Diagnostic USB Cable KKL409.1 VAG-COM 409 $12.99 Description This diagnostic cable is usable for ISO9141 and KWP2000 transmission protocol like used. For example by: --Volkswagen --Skoda --Audi --Seat Reference Data 1.This cable can not work if your car uses a protocol ssystem like VPW,PWM or Can-bus. 2. Bus of communication 3.Terminal L= Ignition for waking up car computing system (ECU: Engine Control Unit) 4.Existed 3 different protocols with same OBD2 connector incl. ISO/KWP, VPW, PMW 5.This K/L Diaqnostic interface amp; cables work on ISO/KWP (Kev Word Protocol) Iaunched after 1996 only 6.Supported also ISO9141 protocol 7.The cables may work with some versions of the Carsoft, but carsoft used a lot of different intercaces during the different versions and also had some custom interfaces. 8.Product running as virtual comport, like many products it usees a USB to Rs232 converter chip .But under special circumstances this can give some problems regarding time especially on the handshake lines. 9.Read amp; erase error code, log data e. g. speed, gasoline, consume engine-rotating(RPM: Rotation Per Minutes).

Lincoln Industrial Corp. MYMV8500 Silverline Elite Automotive Repair and Diagnostic Kit $81.01 Kit includes everything for performing hundreds of automotive diagnostic and mechanical tests. Used for oneperson brake bleeding. Produces vacuum or pressure at the turn of a switch. Comfortable ergonomic design. Onefinger trigger vacuum/pressure release. Pressure and vacuum are created on the squeeze stroke for superior accuracy and control. Includes durable accurate diaphragm style compound pressure/vacuum gauge. Pump Displacement: 25 in Hg (85kPa). Max.Vacuum: 30+ psi (207+ kPa). Includes:. Silverline Elite hand vacuum/pressure pump with 2 (50 mm) compound gauge with rubber boot. 4.5 oz.(135 ml) fluid reservoir bottle with fluid transfer and storage lids. 4 Tapered adapters for connecting to tubing from.09 (2.3 mm) to.50 (13 mm) ID. 2 Tapered manifold plugs. 4 Universal bleed screw adapters. 12 Vacuum cap plugs. Vacuum line Tadapter. (2) (6.4 mm) ID x 24 (610 mm) long connection tubes. 5/32 (4 mm) ID x (6.4 mm) ID tubing adapter. 3 Connection tubes. Rubber cupped adapter. Master Cylinder Refill Kit (model no. MVA6825). Custom Molded Case. User s Manual (English French Spanish German).

American Diagnostic 421 Digital Ear Thermometer $47.79 The Adtemp 421 ear thermometer measures temperature with clinical accuracy in just one second. The simple one touch operation of this thermometer provides all the information you need on a large, easy to read display.Measures core temperature instantly from the ear reliably and accuratelyCompact (5 inches long) ergonomic design fits comfortably in operator's hand and patient's earLarge 6-mm display is easy to readFever alarm at 99.5-degrees F Audible alert12 reading memoryComplete with Lithium battery, storage/travel case, and operating instructionsMeasures temperature with clinical accuracy in just one secondEardrum shares its blood supply with the temperature control center in the brain, making it an excellent site to measure feverScans the eardrum 512 times per secondQuickest, most reliable and most accurate thermometerSimple one touch operation provides all the information you need on a large, easy to read displayWaterproof probe cleans easily after use, and eliminates the need for costly probe coversComes complete with a hard cover storage caseQuick, non-evasive ease of use makes this thermometer ideal for infants or childrenMode: Switchable from Fahrenheit to Celsius