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Page 1: Stem cell details

• Congratulations for the bundle of

joy that is going to enter your life in

a matter of months.

www.CryobanksIndia.com

Page 2: Stem cell details

The Umbilical Cord

This is a structure that carries out the function of exchanging between a mother and a child.

Umbilical cord is a long “rope” like structure that connects baby with mother.

It consists of connective tissue, inside which there is an umbilical vein and two arteries.

Once thought to be a biological waste, has now been proven to have the potential to save millions of lives

from different life threatening diseases

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Page 3: Stem cell details

Why store Umbilical cord?

Part of Peri-natal tissue.

Most naive cells with high

regenerative potential.

Highest source of Hematopoietic

stem cells (HSC) & Hematopoietic

progenitor stem cells (HPCs).

The most convenient source of stem

cell retrieval.

No ethical concerns as cord is

discarded after delivery.www.CryobanksIndia.com

Page 4: Stem cell details

Umbilical Cord – The Ultimate Source Of

Master Cells

Umbilical Cord- Premiere source for stem cells by researchers and medical

fraternity :

Contains blood -Rich source for haemopoetic progenitor cells found in abundance.

The Wharton's jelly present in the inner lining of the cord is a rich source

for multipotent MSC’s found in abundance.

Painless extraction process .

Quality of stem cells extracted have higher potential compared to other adult

derived stem cells sources.

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Page 5: Stem cell details

Stem Cells & Types

The term “stem cells“ was proposed by a histologist A. Maksimov in 1908.

Every stem cell has two main characteristics:

• Self-renewable, which means that it can go through many cell division process and still remain in the same state.

• Potency, which means that it is capable of differentiating into various specific cell types.

Totipotent | Pluripotent | Multipotent | Unipotent

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Page 6: Stem cell details

Different Sources of Stem Cells

Embryonic Stem cells

For Research purpose only

Cord blood & Tissue

(HSC, HPC, MSCVSELs, Others)

Bone marrow stem cells for autologous & allogeneic use in

varied clinical applications

Peripheral Blood stem cells

(HSC, MSC)

Organs specific stem cells, Dental pulp, etc.

Adipose tissue derived stem cells for varied clinical

conditions

Others (minimally manipulated)

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Page 7: Stem cell details

Hematopoietic stem cells (HSCs)

Hematopoietic progenitor cells (HPCs)

Very small embryonic like stem cells (VSELs)

Endothelial colony forming cells (ECFCs)

Mesenchymal stem cells (MSCs)

Mixed resident cells

Wonder cells in Cord blood

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Page 8: Stem cell details

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Page 9: Stem cell details

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Page 10: Stem cell details

Wonder cells in Cord tissue

Mesenchymal stem cells (MSCs) (in

abundance)

Epithelial progenitor stem cells (EpSCs)

Mixed resident cells

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Page 11: Stem cell details

Cord blood banking & Beyond..

• Most primitive cell population with

high regenerative potential.

• Self-renewal capacity.

• Multi-potent – can differentiate into

various cell lineages.

• Immunosuppressant &

immunomodulatory effects.

• Minimal / Nil HLA representation

WJ – MSCs (Wharton’s jelly derived MSCs) possess an extensive proliferative potential and ability to differentiate into various cell types.

Key characteristics of MSCs:

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Page 12: Stem cell details

UC – Wharton’s Jelly

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Page 13: Stem cell details

Steps in cord blood banking

1

The end product is stored at -196 deg. C for 21 years

The sample quality is evaluated and all the required tests are conducted

for maximum safety

2 3

456

After birth the umbilical cord is clamped and cut

Cord blood is collected from umbilical cord vein by experts

Collected cord blood is safely packed in proprietary transfer kits and within 24 hours reach

our labs

Cord blood is processed by patented technologies to yield maximum number of stem cells

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Page 14: Stem cell details

There is an enormous data suggesting the role

of stem cells in treatment of varied heart related ailments &

have shown excellent results in improving heart functions.

Stem cell therapy in Heart disease

• Acute Myocardial Infarction• Chronic Myocardial Infarction• Dilated Cardiomyopathy• Congenital defects

Heart diseases in final stage of clinical trials with SCT

Cord blood stem cells are useful in revascularization of heart tissue.MSCs differentiate into Cardiomyocytes and replace the dead heart muscles.

Advance storage of stem cells ensures ready availability of stem cells during medical urgencies.

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Page 15: Stem cell details

The multi-potent stem cells harvested from Wharton’s jelly of umbilical cord show Immuno-Modulatory effects and can largely reduce the required dosage of insulin

among Diabetic patients.

Stem cells play significant role in modulatingthe disease progress in diabetes patients.

The cord blood stem cells (HSCs) are in particular used therapeutically for treating varied stage diabetic Ulcers and chronic wounds.

Stem cell therapy in Diabetes

•Diabetes Mellitus type 1 & 2• Diabetic neuropathy• Diabetic retinopathy• Diabetic foot • Chronic non healing ulcers

Useful protocols of SCT in diabetic patients:

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Page 16: Stem cell details

Therapeutic ablation of bone marrow using CT

Replace with healthy CB / BM derived HSC + MSCs

Hematological disorders

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Page 17: Stem cell details

Spinal cord injury

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Page 18: Stem cell details

• Incidence of CP in India is 2-3 cases per 1000 live births• Brain injury during delivery is among the common causes of CP• Current estimate is >25 lakh children living with CP in the country.

Cerebral Palsy

SCT

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Page 19: Stem cell details

Other Applications of SCT

Osteoarthritis Autoimmune diseases Ophthalmic

Bone non-union A vascular necrosis Ischemic limb Stroke

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Page 20: Stem cell details

Therapeutic Indications

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Page 21: Stem cell details

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Page 22: Stem cell details

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Page 23: Stem cell details

Cryobanks-Ultimate Solution

Services offered by Cryobanks International India:

• Collection of cord blood and tissue during delivery from locations across

the country.

• Transport of the cord blood and cord tissue to the processing centre in Gurgaon.

• Processing of cord blood to generate haemopoetic stem cells and

haemopoetic progenitor cells via automated and semi-automated process.

Processing of cord tissue to generate multipotent MSC’s which are ready to use and delivered along with proper characterization, differentiation and endotoxin and mycoplasma analysis abiding to the ISCT guidelines( global norms)

Cryogenic preservation of cord blood and cord tissue stem cells.www.CryobanksIndia.com

Page 24: Stem cell details

• Cell processing and cryo-preservation.• Cord cell lines.• Cell culture and Expansion.• Cell differentiation.• Bone marrow processing.• Varied Stem cell & Regenerative medicine

related clinical applications.• Customized therapy solutions.

Our Facility Services

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Page 25: Stem cell details

Cryobanks - At a glance .

A JV between Cryobanks International USA (presently Lifeforce cryobanks)and RJ

Corp founded in 2006.

A leader in the collection, processing and banking of umbilical cord blood stem

cells.

Provider of Private Cord Blood Storage Program for expecting families

Quality standard’s approved by USFDA ,AABB and DCGI

Reviva- Independent wing for MSC extraction in association with Da Vinci

biosciences.

International presence in Thailand, Africa, Gulf, Bangladesh and Nepal.

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Page 27: Stem cell details

Our coverageAsia

Nepal, Bangladesh,

Srilanka, Myanmar,

Laos, Vietnam,

Cambodia, Uzbekistan

Middle EastU.A.E, Oman, Qatar,

Bahrain, Kuwait

AfricaSouth Sudan, Ethiopia,

Uganda, Rwanda,

Tanzania, Malawi,

Mozambique, Zambia

Starting in 2012Asia

Malaysia, Philippines,

Indonesia, Singapore

AfricaSouth Africa, Nigeria

Our Storage Facilities:

INDIA (Gurgaon)THAILAND (Bangkok)

KENYA (Nairobi)

We serve in many parts of the world- RJ Health

care ( Cord blood banking)

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Page 28: Stem cell details

Journey of RJ Healthcare

Started in 2006 with cord blood processing technology and cord preservation

2007-Expansion of operations across the country

2008 –Expanded beyond borders as in UAE & Nepal

2009 - obtained the development of technology –SEPAX

2010 - collaboration with Da Vinci Biosciences to start up REVIVA

2010 – expansion of operations to Thailand –CRYO-VIVA

2010 – started operations in the field of Oral Stem cell rejuvenation formulations in the name of Aqua stem life.

2011 - operations of REVIVA labs processing cord tissue cells to extract MSC’s using the patented technology of EXPLANT

2011- we expanded our business horizons to cover Bangladesh

2012- launched our projects : Africare (Africa), diagnostics , and birthing center-COCOON.

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Page 29: Stem cell details

“Collaboration with BIOSAFE, a fully automated FDA approved technology for Bone marrow

processing for different clinical applications.”

“Patented technology (EXPLANT METHOD) from Da Vinci Biosciences, USA with approved & clinical

Grade media & reagents for maximum safety.”

Only Lab in the country to have International collaborations & technology exchange for cord tissue derived MSC culture.

Our Technology Partners

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Page 30: Stem cell details

Technology Milestones- Sepax

• Sepax® -An automated stem cell processing technology, a safe, sterile and fully

automated cord blood processing technology – so you get more stem cells for

maximum transplant success.

• The only fully automated available system for cord blood stem cell isolation

That claims to have processed over 2,000 cord blood units subsequently used in

transplantation

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Page 31: Stem cell details

SEPAX v/s Other Processing Methods

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Page 32: Stem cell details

Advantages of Sepax

Features of SEPAX technology Benefits to You

Swiss-made patented automated cord blood processing system

Availability of the best of technology for the processing of your babies sample

Requires no operator intervention during processing

There is constant result for all sample which is standard being automated and sensor basedAllows faster cellular processing

Able to achieve as high as 99%¹ Total Nucleated Cells (TNC) recovery rate

higher recovery of cells giving better acceptability of the sample during therapy as SEPAX processed sample result in higher cell count extraction.

Closed processing system highly sterile process

Process every cord blood unit individually

There are no chance of mix up of samples as the sample gets processed as a individual sample till the processing is completed and the stem cells are totally extracted.

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Page 33: Stem cell details

Cleared by U.S. FDA, approved by European Union (evidenced by CE Mark), and Japan MHLW (Ministry of Health and Labor Welfare)

Abides to the international standards of processing.

Complies with the highest quality standards such as AABB & FACT-Netcord³

An advanced cord blood processing technology with proven transplant track record

Proven and validated technology with reliable results across the globe for which the technology has immense acclamations.

World’s most tried and reliable automated system

Processed more than 500,000 units³ in over 38 countries worldwide

Trusted by majority of the world’s leading public and private cord blood banks

Over 70% of Netcord banks (public banks in Europe) use Sepax® for cell processing

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Page 34: Stem cell details

Explant

Benefits of Explant processing over conventional enzymatic process

:

Method Cell Count Cell Viability Cell Potency

REVIVA EXPLANTMETHOD

Akin to natural cell proliferation

Higher yield per cm of Umbilical Cord

Better viabilityCells with highest

regeneration potential proliferate

ENZYMATIC METHODChemicals used –artificial process

5 to 10 times lower yield

Viability compromised as cell

surface damage is possible

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Page 35: Stem cell details

• Time proven and highly recommendable technology.

• Patented clinical grade reagents.

• Higher cell viability and sustaining all the characteristics of stem cells.

• Efficient cell identification & differentiation into different cell lines.

• Maximum safety & therapeutic value.

Reviva cell recommends the proprietary “EXPLANT TECHNIQUE”for maximum safety

Explant Technology

The time proven technology has made it possible to store millions of multi-potent cells in advance for in-

future medical urgencieswww.CryobanksIndia.com

Page 36: Stem cell details

Our lab facility

• Over 28000 sq ft dedicated laboratory.

• cGMP, cGTP, cGLP compliant labs.

• State-of-the-art cell culture & expansion facility with patented technology in collaboration with DA Vinci Biosciences, USA.

• Cord blood sample processing on USFDA approved fully automated platform.

• Class 10,000 & class 100 clean rooms.

• Comply to National & International accreditations.

• Highly qualified and dedicated staff.www.CryobanksIndia.com

Page 37: Stem cell details

Cord blood Processing Lab

• USFDA approved fully automated SEPAX technology

• High yield of MNC & CD34+ stem cells essential for ensuring the cord blood unit has enough cells for in future therapeutic application.

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Page 38: Stem cell details

Global Standards

1) AABB accredited.

2) NABL accredited

3) DGCI approved

4) ISO certified

5) Business Biz

6) Leaders of tomorrow

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Page 39: Stem cell details

Our Stringent Protocol

• Only cord blood bank in the country which uses a double check process for the entire

processing of the cord blood as under:

• Environmental testing of processing lab ( normal management by HEPA filters)

• Swab culture

• Petri plate culture

• Sterility testing

• Gram staining

• Bact Alert automated detection

• Viability testing

• Coulter

• Facs caliber

• Maternal blood testing:

• ELISA process

• NAT testing

• Preservation process:

• Cryobags made of EVA

• LN2 overwrap on the EVA bags for further protection.

• DGCI approved public bank enabling higher quality control mechanism.www.CryobanksIndia.com

Page 40: Stem cell details

OUR OFFERINGS Free Add on sample

Cash Back offer

CRYO SAFETY :

5 lakhs transplant assistance

10 lakhs security and quality commitment

Free world wide shipment

Guarantee of sample during transport to facility

Processed MSC’s ready to use ( number dependent on plan chosen)

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Page 41: Stem cell details

Strong Financial Background.

Diversified Healthcare segments

comprising of both forward and

reverse integration of business.

Worldwide existence and technical

collaboration.

Independent association for

Technologies related to cord blood

processing ( Lifeforce Cryobanks) and

cord tissue processing( Da Vinci

Biosciences) .

Processing of cord tissue using

PATENTED EXPLANT technology.

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Page 42: Stem cell details

• Provision of MSC’s ready to use

along with all pretherapy analysis

• SEPAX technology for cord blood

processing

• Double check process for ensuring

safety of sample preserved

• Public banking operations in India

approved by DCGI

• Cash Back offer

• Free Medical guidance during

therapy requirements.

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Page 43: Stem cell details

Customer Relationship Management• Continuous interaction and updates to clients on

advancements in the field of stem cell therapies and organizational aspects.

• Dedicated 24X7 toll free assistance

• Dedicated mail for any kind of requirements of clients – [email protected]

• Dedicated club for existing customers with special loyalty program in form of Cryoclub which can be reached at [email protected].

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Page 44: Stem cell details

Our Achievements in Customer Service

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Our Service Standards in India

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Success Stories

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Page 47: Stem cell details

Cryobanks- Cord Blood Retrievals

Therapy details Disease TreatedDoctor who did the therapy Remarks

CB+ BM Therapy6/6 HLA Match of Sibling Thalessimia Dr. Dharma Choudhary Cured Declared

CB therapy used for Analogous Transfer 4/6 match Thalassemia Dr. Revathi Cured Declared

CB + BM therapy used for analogous transfer 4/6 match Thalassemia Dr. Revathi Cured Declared

CB therapy used for sibling5/6 match Cerebral Palsy Dr. Anupam Sachdev

Under observation perfromed in Jan,2011-Patient shows recovery post therapy and would be officially declared within 2 months

CB therapy used for autologoustransplant Thalassemia Dr. Arun last sitting pending

CB therapy used for sibling6/6 match Cerebral Palsy Dr. Ranade

received stem cell therapy after the expansion of MNC at NICHI centre in Chennai. The child had improvement in motor functions after one month

NOTE: Other than these therapies there are 4other thalassemia cases that are done and the patient is under observation so we have not declared that same yet as the gestation period is one year.

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Page 48: Stem cell details

Cryobanks- MSC’s retrieval

RETRIEVALS OF CORD TISSUE

Month of retrieval Therapy details Disease TreatedDoctor who did the therapy REMARKS

Nov-11MSC's of preserved tissue fpr same child Cerebral palsy Dr. B. S Rajput

considerable development , results to be declared

Dec, 2012

MSC's of preserved tissue for grand mother Spinal cord injury Dr. B. S Rajput

Development in the patient and movement possible

Feb, 2012MSC's of preserved tissue for sibling Diabetes Dr. Anant Bagul Therapy continuing

April, 2012MSC's of preserved tissue for same child Autism Dr. Himanshu

Two sittings done , 4 pending

Sept, 2012MSC's of the preserved tissue for same child Cerebral Palsy Dr. B. S Rajput

first sitting scheduled on 4th oct, 2012 and therapy to continue till march 2013 in multiple sittings

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Page 49: Stem cell details

Our Medical Board

• Dr. Naresh Trehan

• Dr. Mrinalini Chaturvedi

• Dr. Phagun Shah

• Dr. Anubhav Pandey

• Dr. Sonal Sharma

• Dr. Ashish Munjal

• Dr. Vikas Verma

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Page 50: Stem cell details

Clinical conditions supported by Cryobanks

Disease Source of stem cells

Peripheral vascular disease Autologous Bone marrow

Myocardial Infarction Autologous Bone marrow / Cryopreserved stem cells

Cerebral palsy Autologous Bone marrow/ Cryopreserved stem cells

Thalassemia Cryopreserved stem cells

Diabetes Mellitus type-1 / 2 Autologous Bone marrow/ Cryopreserved stem cells

Spinal cord injury Autologous Bone marrow/ Cryopreserved stem cells

Aplastic anaemia Cryopreserved stem cells

Leukemia Cryopreserved stem cells

Autism Autologous Bone marrow/ Cryopreserved stem cells

Diabetic foot / Ulcers Autologous Bone marrowwww.CryobanksIndia.com

Page 51: Stem cell details

Stem cell therapy centers- India

Sl No. Hospital Name City

1Nichi-In Centre for Regenerative Medicine Chennai

2 Sanjay Gandhi PGIMS Lucknow

3 Tata Memorial Hospital Mumbai

4 Inlaks Budhrani Hospital Pune

5 Armed Forces Medical College Pune

6 Army R & R Hospital Delhi

7 Christian Medical College Vellore

8Narayana Hrudayalaya Health City Bangalore

9 Manipal Hospital Bangalore

10Trinity Hospital & Heart Foundation Bangalore

11 Global Hospital Hyderabad

12 NIMS Hospital Hyderabad

13 TRICell Therapeutics Pvt. Ltd. Chennai

14 Adyar Cancer Institute Chennai

15 Apollo hospital Gandhinagarwww.CryobanksIndia.com

Page 52: Stem cell details

Stem cell therapy centers- India

16 Apollo Hospital Chennai Chennai

17 Apollo Specialty Hospital Chennai

18All India Institute of Medical Science (AIIMS) Delhi

19 Apollo Gleneagles Hospital kolkata

20 Fortis Vasant Kunj Noida

21 Fortis Hospital Noida Delhi

22 Moolchand Medcity Delhi

23 Adiva Delhi

24International Stem Cell Services Limited Bangalore

25 StemOne Biologicals Pvt. Ltd. Pune

26Chaitanya Stem Therapy Center Pune

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Page 53: Stem cell details

Cutting Edge Therapy center

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With you always..

Invest for life..!!Gift your child the power of self healing

Contact us to know more about stem cell banking:1-800-180-1217 (BSNL) I 1-800-102-2796 (AIRTEL) I +91-9582-2844-44

Head office:129, Pace City – 1, Sector- 37, Gurgaon -122001, Haryana, [email protected] I www.cryobanksindia.com

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