Ajram Industries

D OUR SLOGEN “QUALITY WITH ECONOMY”. All instruments as per technical Drawing. All instruments stamped by laser marking machine. To boost its exports to all over the world, Ajram Industries is manufacturing and exporting its products while maintaining the optimum international quality standards (ISO & CE MARKED) OF production. Ajram Industries is engaged in manufacturing and exporting all types of Surgical, Dental, Beauty and TC instruments, to the complete satisfaction of its present customers abroad. All customers are provided with the best products and are fully taken care of with reference to the matters of business secrecy and good relations at all levels. AJRAM INDUSTRIES is CE Mark Approved and ISO Certified company. It is also registered with Sialkot Chamber of Commerce and Industries & Pakistan Surgical Instruments Manufacturers Association, Sialkot Pakistan. AJRAM INDUSTRIES OWNED BY TWO PARTNERS

1). RANA MAHMOOD IQBAL KHAN

2). RANA RASHID ILYAS

Manufacturing Steps

PRODUCTION CAPABILITIES

Ajram Industries is an employee owned company of Craftsmen and has got a good reputation for quality and reliability. Our significant manufacturing steps are being described here-under briefly:

1- MATERIAL USED: Always a best quality stainless steel material is purchased from steel manufacturers. Two kinds of series i.e. 300, 410 and 420 of stainless steel is used for production of Dental Instruments.

2- MATERIAL TESTING: The purchased raw material is thoroughly tested under PQA. A rigid quality control policy is being adopted before releasing to production. This test is taken to check the standard of steel as per desired specifications and is considered the most important factor of our business.

3- FORGING & HAMMERING: After testing, the stainless steel strips/bars are divided into different sizes as per our requirements and our highly experienced craftsmen are specialized in forging (Hot/Cold Drop) to perform all standard press operations in forming and deep drawing of all type of instruments. We anneal the forging and prepare for the milling process.

4- MACHINE & TOOL WORK: Our highly skilled technicians have a great knowledge about machine milling process. We form accurately male/female portion of box-joint forceps, as well as, serrations/ retches in uniformity. We are equipped to mill, drill, bore turn and grind all type of metals. We have in house facility of custom tool and die production, maintenance and repair.

5- FILLING: We are specialized in hand–made fabrication. First, we assemble male/female portion after setting/adjusting of Extracting Forceps and Scissors, tips, serrations, ratches in uniformity and file precisely to make it semi-finish under strictly quality control specifications. We are now moving from basic hand manufacturing techniques to mechanization to production run.

6- HEAT TREATMENT: All instruments are being tempered maintaining “Rock-Well Hardness” for Extracting Forceps & Retractor 45º to 50º degree and Scalar, Gauges and Scalpel 50° to 55º degree. A test is taken to check the hardness after tempering of each lot to maintain the uniformity and, before proceeding further, we clean all instruments by various chemicals. In addition, we will buy specialized Q/C equipment in near future to meet special customer Q/C. specifications.

7- RIVETING & WELDING: We perform a wide variety of assembly operations from prototype quantities to production run. We rivet precisely each instrument such as, Extracting Forceps & Retractor, etc. But, for some kind of instruments, we use spot welding.

8- GRINDING & POLISHING: For precise grinding and excellent finish, we specialize in applying polishing wheels to belts to improve the overall finish in high uniformity utilizing best of polishing luster. We use electro-plating plants to polish serrations/ratches and joints of stainless steel instruments. For satin/matt finish instruments, we use glass heads to achieve uniformity. All instruments are being polished under rigid quality control specifications.

9- PASSIVATION: This method actually provides the instruments with its corrosion resistance properties. Passivation, which follows the final polishing step, is a chemical bath, which creates an oxidized layer on the surface of instruments. We are now equipped with most modern process.

10- ULTRASONIC CLEANING: We are full equipped with most modern ultrasonic cleaning plants imported from “Branson Cleaning Equipment Co. USA”, and all instruments are being cleaned properly utilizing various chemicals such as, Tri-Chloroethlyine etc.

11- INSPECTION & STAMPING: We inspect all instruments under rigid Q/C. specifications and give the assurance to our relative clients that all instruments shall be free from all defects such as, burrs, sharp edges, cracks, pitting, scratches, grease / excessive oil and foreign matters etc. We also guarantee for its workmanship. For stamping, we use both process i.e. die sunk and electrolytic marking and are being marked under customer’s specifications.

12- PACKING & LABELING: We pack all instruments under strictly Q/C. specifications as per customer’s demand. Normally, we pack individually in poly bag and further 12 pieces in one box mentioning outside with Part Number, Description and Lot Number. All instruments are packed in polybags with adequate desiccant in each poly bag to absorb moisture. Mostly, we are packaging and labeling as per customer demand. Process Model
QUALITY MANAGEMENT SYSTEM
INSTRUMENTS CARE:

To Our Customers:

Concerning your question on why staining, pitting or rusting can develop on stainless steel instruments; there are some basic points for the care and handling of Dental instruments which will extend the life of the instrument, eliminate staining or corrosion and lower the cost in use. These are as follow:

1- Instruments should be rinsed as soon as possible after use to remove blood, serum and saline. Do not use a sponge basin as any reside from normal saline solution can cause corrosion to develop over a period of time.

2- Instruments should be thoroughly dried after cleaning and before wrapping or storing, as moisture left in the box lock or serrations can cause rust or corrosion to develop.

3- Do not leave instruments in a cold sterilization soak solution for extended periods as these solutions tend to be corrosive (after cold sterilization, rinse the instruments in distilled or demineralized water and dry thoroughly).

4- If using cold sterilization technique, change the solution according to directions, as prolonged use will cause the solution become corrosive.

5- Do not use caustic cleaners or any other cleaner except those specified for cleaning Dental instruments

6- Do not clean instruments with steel wool or scouring powder, or use high PH detergents. If cleaning by hand, use a specific instrument cleaner or a neutral detergent soap and a soft brush (rinse with demineralized or distilled water).

7- Check your autoclave. Iron, sodium, calcium, magnesium or copper in your water can cause spotting, staining or corrosion to occur. In hard water areas, clean the lime deposits from steam lines periodically or use distilled or demineralized water for your autoclave. Install a steam filter if possible. It will remove most of dirt, rust and pipe scale.

8- Make sure your muslin wraps are rinsed sufficiently (6 to 8 times) by the laundry to remove all chlorine bleach as any residue can cause staining or corrosion during autoclaving.

9- Do not leave instruments in the following solutions for extended periods as corrosion can result: -
(a) Aluminum, Barium, Calcium, Ferrous or Stannous Chloride solutions. (b) Phenol, Lysol or Lodine. (c) Dakin’s Solution or Zephirin. (d) Any acid, Mercury or Potassium solution.

10- Do not sterilize stainless steel instruments with chrome plated instruments if possible, as any break in the surface of the chrome plate will allow an electrolytic action to develop between the dissimilar metals, causing pitting and/or a rusty appearance to develop.

11- Preheat instruments in autoclave before allowing steam to enter, if possible, to prevent an excessive amount of condensation forming on the surface of the instruments.

12- Don’t open the autoclave too quickly after the sterilization cycle as excessive condensation will develop on the surface of the instruments (crack the clave to allow drying before opening fully). If you follow the above rules and use instrument cleaners and lubricant milk such as our Ami-Clean or Ami-Tec products, your instruments should remain rust, spot and stain free. I hope this will answer any question you might have on this topic. When proper care is taken these stainless steel instruments can last for many years. STERILIZATION METHOD:

Sterilization in Autoclave:

1- After having carefully washed dried and oiled instruments place instruments that can be opened in the open position; put these instruments in sterilization packets and place in appropriate trays.

2- Be careful not to over load autoclave. When an autoclave is too full it’s possible that proper sterilization has not taken place.

3- After the sterilization cycle has taken place, follow manufacture’s suggestions for drying cycle. Cold Sterilization:

When using a solution for sterilizing instruments careful attention must made that the solution kills specific bacteria and virus, many solutions have no effect on bacteria or virus when in the presence of blood; also many solution are very corrosive on the instruments, most solutions recommend a soak time of 10 hrs. Because of the long soak time the chemical action can damage the instrument. Reduce when possible soak time; where indicated use a corrosion inhibitor. IMPORTANT INFORMATION:

To our Customer:

1- To provide “Excellent Service and Economically Price” is the motto of our business.

2- All instruments are made of Stainless Steel otherwise specified.

3- All types of “Mirror-Finish” “Satin/Dull-Finish” “Sand Blast-Finish” instruments are available in stock but choice of polishes will be supplied on demand without any extra charges.

4- All Disposable/Floor Grade Instruments are stamped with words “STAINLESS” and “PAKISTAN”. Buyer’s own brand may also be engraved on demand. “Laser Marking” procedure generally used.

5- The laser stamp is only used for “High Quality” Instruments and keep in stock as per our customer’s demand. These are also available in both “Mirror-Finish” “Satin/Dull-Finish” “Sand Blast-Finish” and are processed through boil test and passivated, which is a warranty against oxidization.

6- Each and every piece is individually packed in airtight polythene bag in order to avoid by contamination but can be packed as per customer’s demand.

7- All general items are stored in big quantities in finishes three “Mirror-Finish” “Satin/Dull-Finish” “Sand Blast-Finish” in order to fulfill the urgent requirements of our valuable customer’s immediately and price would be same for both finishes.

8- We offer Freight prepaid and collect prices as per Customer’s requirements.

9- Compromise on running inquiry is our one of the greatest characteristics of our dealing.

10- While ordering, specify quantity, catalogue number and description completely. State if order is to be dispatched by DHL,UPS, FedEx or other means of transportation.

11- Easy replacement in case of any damage.

12- Advise carrier promptly of any damage or shortage.

13- Merchandise will not be accepted for exchange or credit unless or until prior permission for its return has been granted.

14- Samples are provided at free of cost.

15- Special items can also be supplied if sketch, drawing or samples are provided to us or refer any reference from any reputed catalogue for our guidance.



1 Specification of material used production:
For Cutting Instruments Stainless Steel AISI/ASTM 410/420 Hot drop
forged
(Rock Well Hardness (50° to 55º)

For Extracting Forceps & Retractor Stainless Steel AISI/ASTM 410/420 Hot drop
forged
(Rock Well Hardness (45º to 50º)

For Scalar, Gauges and SCALPEL / Stainless Steel AISI/ASTM 420 Hot drop
forged
HANDLES (Rock Well Hardness (50° to 55º)


For Impression Trays Stainless Steel Sheet 300 series 18/8 (18% CHROMIUM
& 8% NICKEL)
(Non-Magnetic)

For Root Elevators and Pliers Stainless Steel Sheet 300/410 Hot drop
forged
(Magnetic & Non-Magnetic) (45º to 50º)


All Instruments are being produced under the supervision of highly experienced and skilled craftsmen carrying an “UNCONTDITIONAL GUARANTEE” for: -

1- Use of best steel of proper specification in the production.

2- Adequate testing in hardening/tempering.

3- Accurate adjustment of ratchets/serrations of forceps, etc.

4- Electrolytically polished, passivated and ultrasonically cleaned with best suitable chemicals.

5- Flawless workmanship and superb finish.

6- Minute inspection at every quality controlling process as per International Standard Organization specifications.

7- Immediate settlement of claim against substandard quality. This “GUARANTEE” is always maintained as all instruments are fabricated in uniform standard of samples exactly approved by the buyers. Quality Policy

1- Fair dealing, Straight Forwardness, Honesty, Sincerity, Truth

2- The Material used in the production against order is exactly as per approved samples.

3- Normally, in Cutting instrument, we use (420 Type) Japanese stainless Steel.

4- For Non-Cutting instruments like Forceps, Tweezers etc; we use (410 Type) Japanese Stainless Steel.

5- Moreover, we can also the material as per our customer requirements.

6- We always cordially welcome our valued customer’s opinions, suggestion and recommendation.

7- We give replacement against defective goods, if the malfunction occurred at our end. The best you advise us, the better we will serve you Our Goals & Objectives:

All of our goals and objectives are reviewed on a periodic basis to ensure that they are used as a means of continuous improvement for the organization. This is our family Business, so we know it better
QUALITY POLICY
QZA International is committed to Produce Quality Goods as per Customer Requirements International Standard through Continuous Improvement. Objectives:

0 To Improve customers and users expectations by reducing the complaints to below 4%.

0 To meet legal and regulatory requirements at international level.

0 To keep company rejection below 5%.

0 To Improve supplier’s performance up-to 90 – 100%.

0 To Improve workers performance up-to 90 – 100%. The quality policy is the main guiding principles that providethe focus of Quality to the whole organization and improve the effectiveness of the quality management system. Long life customers through quality while consistency in quality


History

History of the Surgical Industry In Pakistan

At the end of the nineteenth century an American Mission Hospital was established in Sialkot, India to service the poor population for whom access to health care was limited. The Dean of this Hospital became aware of the skill of local artisans who for centuries made swords and daggers for the Royal Armies. He concluded that if these artisans were given prototypes that they cold also make surgical instruments. In the beginning he commissioned a few of these artisans to make scalpels, which they did to this complete satisfaction. TC INSTRUMENTS

As a result of this demonstrated ability the Dean asked these artisans to make spatulas and knives of different types. Slowly but steadily more items were requested. Within a short time word spread of these artisans to other missionary hospitals throughout India who began sending for instruments. This type of domestic sales activity continued up until World War II. TC INSTRUMENTS

During the Second World War the British had difficulty getting surgical instrument supplies to their field hospitals. As part of an alternate source strategy they conducted a survey of potential sources for surgical instruments and found that the Sialkot artisans, with the right guidance, could make the necessary instruments. To facilitate this guidance the British established a Surgical Development Center in Sialkot bringing British instrument making technology to the industry and training some workers in the necessary skills. These skilled workers began working in small factories where many types of haemostatic forceps, dissecting forceps, knives, scalpels and other instruments were initially made with the help of this Surgical Center and sold to the British Army. By the end of the war the surgical instrument industry was firmly established in small factories in Sialkot. These factories sent their agents to various cities in India and began receiving orders for their instruments. These domestic sales continued until August of 1947 when India was partitioned and Pakistan formed. TC INSTRUMENTS

Sialkot was in Pakistan now and the industry immediately faced a serious crisis because most of the factory owners were Indian Hindus who abandoned their businesses and migrated to back to India. Event the electric Supply Co. was run by Hindus who migrated and suddenly Sialkot was without any qualified personnel to run their electric plant. Sialkot went without electric service for several years, which set back the industry’s development. TC INSTRUMENTS

With the return of electrical power the industry began to rebuild in the early 1950’s and by 1954 exports of surgical instruments began. The first export market became England seeking manicure items and Nurses Scissors. By the early 1960,s instruments were exported throughout the United Kingdom and in Germany. Later the United States was added to the list of importing countries. Pakistan, in its early years, regulated its import activity by requiring Companies to possess an import license, but with surgical instrument exports growing the Government relaxed their import regulations to help a few factories import raw materials, chiefly stainless steel. In 1968 the Government also allowed six factories to import manufacturing equipment such as Hammers, Milling Machines, Eccentric Presses, Electrolytical polishing plants and Ultrasonic cleaners to increase production and upgrade the industry’s manufacturing from manual to semi-mechanical processes. Through time more machinery was allowed entry into Pakistan. Production capability grew and as the supply and market expanded the competition began to mount with pricing the major weapon. Competitors began to under cut each other’s prices forcing the Government to set minimum export prices in 1962. This control was successful in stabilizing the industry and remained in effect until 1982. However, when price controls were lifted the price wars resumed and as prices dropped the need for inexpensive raw material grew. Substituting medical grade stainless steel with lesser steel became a cost containment strategy especially when disposable instruments were introduced and accepted into the market place. This was also the time when many Pakistani Firms began establishing offices in the United States to increase sales TC INSTRUMENTS.