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Jun 14
2008
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What every Radiologist should know about PNDT ActPosted by: Team Iradix on Jun 14, 2008  |
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“The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act.”
“An Act to provide for the prohibition of sex selection, before or after conception, and for regulation of pre-natal diagnostic techniques for the purposes of detecting abnormalities or metabolic disorders or chromosomal abnormalities or certain congenital malformations or sex-linked disorders and for the prevention of their misuse for sex determination leading to female foeticide and for matters connected therewith or incidental thereto.”
* This article is for our Indian audiences.
Must be read by every Radiologist who performs Obstetric Ultrasound.
Registration:
To the Chief Medical Officer of the district; or any other medical officer constituted as an appropriate authority
Application fee:
(a) Rs.3000.00 for Ultrasound Clinic or Imaging Centre.
(b) Rs.4000.00 for an institute, hospital, nursing home, or any place providing jointly the service of Ultrasound Clinic or Imaging Centre or any combination thereof..
Displays at Ultrasound center:
1. PNDT Certificate:
It is mandatory for everybody registered under this Act to display the certificate of registration at a conspicuous place in such centre, laboratory or clinic.
2. Signage, board or banner in English & local language indicating fetal sex is not disclosed here.
Renewal of Registration
A. Every certificate of registration is valid for a period of 5 years
B. Renew registration 30 days before the date of expiry of the certificate of registration.
Mandatory Maintenance of Record:
Register showing in serial order:
1. Names and addresses of men or women subjected to pre-natal diagnostic procedure or test;
2. Names of their spouses or fathers;
3. Date on which they first reported for such counselling, procedure or test.
Preserve following duly completed forms
- Form F
- Referral Doctors forms
- Forms of consent
- Sonographic plates or slides
Record Storage:
All above records should be preserved for 2 years.
A monthly report should be submitted to the Appropriate Authority regularly, before the 5 th of every month. A copy of same Monthly reports with the signature of the Appropriate Authority acknowledging receipt must be preserved.
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On Visit of Appropriate authority at your Ultrasound Center:
:: Appropriate authority has power to search and seize.
:: Let them enter freely into the place of search
:: Let them examine and inspect registers, records including consent forms, referral slips, Forms, sonographic plates or slides & equipment like ultrasonography machines.
:: Verify whether during the search at least two independent witnesses of the same locality or different locality are present or not.
In case of seized and sealed of Ultrasound machine, it may be released on payment of penalty equal to five times of the registration fee to the Appropriate Authority concerned and giving an undertaking that it shall not undertake detection of sex of foetus.
For further Do's & Don't about following PNDT Rules at Imaging center click here to check article published in Indian Journal of Radiology & Imaging by Dr. Jignesh Thakker , PNDT Co-ordinator, IRIA, Mumbai
At last PC-PNDT Act booklet must be available in every Ultrasound Center where Obstetrics scans are carried out.
*** Iradix has made available online Handbook of Pre-conception & Pre-natal Diagnostic Techniques Act & Rules with Amendments published by Ministry of Health, Government of India in our Download Section for our Members.
Click here to visit Download Section.
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What every Radiologist should know about PNDT Act
2011-10-28 16:48:46
manisha
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Reviewed by manisha October 28, 2011
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Dr. Vikash Kumar Bhojasiya
said:
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... this article must be read by every radiologist.As in many centers preservtion of the ultrasound plates or doctors referral slips are not done!!but everywhere form F is filled up. Can anyone tell me what to write in the registration no. column when a DNB(primary) student finishes his three year training programme and intended to work outside or open his own ultrasound setup even if he had not cleared his degree;but based only in th experience??THe PNDT act says a doctotr shoeld have experience of minimum of 4- 6 weeks;but the DNB studnet has experience much more than that! |
Dr. Sham Sunder Goyal
said:
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... Registration number means your registration with state medical council which is given after MBBS. The decision to allow you for practice is separate issue and lie with CMO. |
Dr. Ankur Agrawal
said:
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... Me and many of my friends are DNB(primary) student, and finishes there three year training programme.but not cleared. we want to do work outside or in own ultrasound setup. Can we do so based on the experience ? Is there any rule in PNDT or foram to fill? |
Dr. Sham Sunder Goyal
said:
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... Yes you can start your own setup, there is no hindrance to that, Provided you have the experience certificate from the institution you have worked with. The CMO may allow on the basis of this training. As per PNDT act. there is no contravention but this act gives immense powers to CMO. But anyways you can try. |
Dr. Sham Sunder Goyal
said:
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... TOSHIBA XARIO Machine is Good but the system is fragile and service is third class and Shoddy. It happened with me they offered me a Demo system for 12 lac with 4 new probes and 2 years of warranty. but the machine broke down and i was told that the machine will need to be shifted to Delhi as engineer could not fix it. I demanded a stand by machine which they plainly refused saying that " we don't have any standby Unit and we can not provide you one" which means i need to shut down my clinic for the days the machine will be down. and you will be surprised that this happened when i have not yet paid the money. I immediately canceled my order hearing and witnessing such attitude of company. Beware before buying Machine from these companies. |
Dr.prashant
said:
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... sir, i have applied for new PNDT reg.The appro.authority has told me that we cannot give registration as we have learnt that u have 5 to 6 attachments outside.My query is i have 4 attachments and that too on sunday only! means once a week , on other days i dont go anywhere as my own clinical et up is there , where i must have to attend work.So is it justifiable or what ? |
dr priyanka
said:
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... sir can i practice legally as a sonologist with 6 months certificate course in sonology from private institute ( randhwa institute of usg , delhi ). can i purchase sonography machine after that cetificate course. regards dr priyanka |
vinod kumar garkoti
said:
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... sir I was running my ultrasound clinic but now i don't want to continue it. can i sell my machine to any manufacturer. what document i should keep with me. |
Dr. Alay bhargava
said:
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... Sir i am running my own sonography centre for last 6 years after having 6 mths of private training in sonography.Now I wish to start of with second centre around 3 km. from my present centre in the same city. but i am being denied registration reason being i dont have 6 mths training from government institute as per the amendments made in november 2010 regarding registration of new centres. Kindly provide necessary information for the same |
jessica forester
said:
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... After 6 months of offering stem cell therapy in combination with the venous angioplasty liberation procedure, patients of CCSVI Clinic have reported excellent health outcomes. Ms. Kasma Gianopoulos of Athens Greece, who was diagnosed with the Relapsing/Remitting form of MS in 1997 called the combination of treatments a “cure”. “I feel I am completely cured” says Ms. Gianopoulos, “my symptoms have disappeared and I have a recovery of many functions, notably my balance and my muscle strength is all coming (back). Even after six months, I feel like there are good changes happening almost every day. Before, my biggest fear was that the changes wouldn’t (hold). I don’t even worry about having a relapse anymore. I’m looking forward to a normal life with my family. I think I would call that a miracle.” Other recent MS patients who have had Autologous Stem Cell Transplantation (ASCT), or stem cell therapy have posted videos and comments on YouTube. www.youtube.com/watch?v=jFQr2eqm3Cg. Dr. Avneesh Gupte, the Neurosurgeon at Noble Hospital performing the procedure has been encouraged by results in Cerebral Palsy patients as well. “We are fortunate to be able to offer the treatment because not every hospital is able to perform these types of transplants. You must have the specialized medical equipment and specially trained doctors and nurses”. With regard to MS patients, “We are cautious, but nevertheless excited by what patients are telling us. Suffice to say that the few patients who have had the therapy through us are noticing recovery of neuro deficits beyond what the venous angioplasty only should account for”. Dr. Unmesh of Noble continues: “These are early days and certainly all evidence that the combination of liberation and stem cell therapies working together at this point is anecdotal. However I am not aware of other medical facilities in the world that offer the synthesis of both to MS patients on an approved basis and it is indeed a rare opportunity for MS patients to take advantage of a treatment that is quite possibly unique in the world”. Autologous stem cell transplantation is a procedure by which blood-forming stem cells are removed, and later injected back into the patient. All stem cells are taken from the patient themselves and cultured for later injection. In the case of a bone marrow transplant, the HSC are typically removed from the Pelvis through a large needle that can reach into the bone. The technique is referred to as a bone marrow harvest and is performed under a general anesthesia. The incidence of patients experiencing rejection is rare due to the donor and recipient being the same individual.This remains the only approved method of the SCT therapy. For more information visit http://ccsviclinic.ca/?p=838 |
robert taylor
said:
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... “Unnecessary risks are being taken by patients seeking the liberation treatment.” says Dr. Avneesh Gupte of the CCSVI Clinic. “It has been our contention since we started doing minimally invasive venous angioplasties nearly 6 years ago that discharging patients who have had neck vein surgery on an outpatient basis is contra-indicated. We have been keeping patients hospitalized for a week to 10 days as a matter of safety and monitoring them for symptoms. Nobody who has the liberation therapy gets discharged earlier than that. During that time we do daily Doppler Ultrasounds, blood work and blood pressure monitoring among other testing. This has been the safe practice standard that we have adopted and this post-procedure monitoring over 10 days is the subject of our recent study as it relates to CCSVI for MS patients.” Although the venous angioplasty therapy on neck veins has been done for MS patients at CCSVI Clinic only for the last 18 months it has been performed on narrow or occluded neck veins for other reasons for many years. “Where we encounter blocked neck veins resulting in a reflux of blood to the brain, we treat it as a disease,” says Gupte. “It’s not normal pathology and we have seen improved health outcomes for patients where we have relieved the condition with minimal occurrences of re-stenosis long-term. We believe that our record of safety and success is due to our post-procedure protocol because we have had to take patients back to the OR to re-treat them in that 10-day period. Otherwise some people could have run into trouble, no question.” Calgary MS patient Maralyn Clarke died recently after being treated for CCSVI at Synergy Health Concepts of Newport Beach, California on an outpatient basis. Synergy Health Concepts discharges patients as a rule without in-clinic provisions for follow up and aftercare. Post-procedure, Mrs. Clarke was discharged, checked into a hotel, and suffered a massive bleed in the brain only hours after the procedure. Dr. Joseph Hewett of Synergy Health recently made a cross-Canada tour promoting his clinic for safe, effective treatment of CCSVI for MS patients at public forums in major Canadian cities including Calgary. “That just couldn’t happen here, but the sooner we develop written standards and best practices for the liberation procedure and observe them in practice, the safer the MS community will be”, says Dr. Gupte. “The way it is now is just madness. Everyone seems to be taking shortcuts. We know that it is expensive to keep patients in a clinical setting over a single night much less 10 days, but it’s quite absurd to release them the same day they have the procedure. We have always believed it to be unsafe and now it has proven to be unsafe. The thing is, are Synergy Health Concepts and other clinics doing the Liberation Treatment going to be changing their aftercare methods even though they know it is unsafe to release a patient on the same day? The answer is no, even after Mrs. Clarke’s unfortunate and unnecessary death. Therefore, they are not focused on patient safety…it’s become about money only and lives are being put at risk as a result.” Joanne Warkentin of Morden Manitoba, an MS patient who recently had both the liberation therapy and stem cell therapy at CCSVI Clinic agrees with Dr. Gupte. “Discharging patients on the same day as the procedure is ridiculous. I was in the hospital being monitored for 12 days before we flew back. People looking for a place to have the therapy must do their homework to find better options. We found CCSVI Clinic and there’s no place on earth that’s better to go for Liberation Therapy at the moment. I have given my complete medical file from CCSVI Clinic over to my Canadian physician for review.” For more information Log on to http://ccsviclinic.ca/?p=866 OR Call on Toll Free: 888-419-6855. |
DR AMANDEEP SINGH
said:
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... hi is there anybody who can help?? i want to know whether there r any new amendments in PNDT act after 2009 any help would be really appreciated ! |
Dr. D. Rai
said:
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... is there any restriction in Haryana (Gurgaon) in setting up an ultrasound clinic in a residential area. Thanks |
Leo Voisey
said:
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... Stem cells are “non-specialized” cells that have the potential to form into other types of specific cells, such as blood, muscles or nerves. They are unlike "differentiated" cells which have already become whatever organ or structure they are in the body. Stem cells are present throughout our body, but more abundant in a fetus. Medical researchers and scientists believe that stem cell therapy will, in the near future, advance medicine dramatically and change the course of disease treatment. This is because stem cells have the ability to grow into any kind of cell and, if transplanted into the body, will relocate to the damaged tissue, replacing it. For example, neural cells in the spinal cord, brain, optic nerves, or other parts of the central nervous system that have been injured can be replaced by injected stem cells. Various stem cell therapies are already practiced, a popular one being bone marrow transplants that are used to treat leukemia. In theory and in fact, lifeless cells anywhere in the body, no matter what the cause of the disease or injury, can be replaced with vigorous new cells because of the remarkable plasticity of stem cells. Biomed companies predict that with all of the research activity in stem cell therapy currently being directed toward the technology, a wider range of disease types including cancer, diabetes, spinal cord injury, and even multiple sclerosis will be effectively treated in the future. Recently announced trials are now underway to study both safety and efficacy of autologous stem cell transplantation in MS patients because of promising early results from previous trials. History Research into stem cells grew out of the findings of two Canadian researchers, Dr’s James Till and Ernest McCulloch at the University of Toronto in 1961. They were the first to publish their experimental results into the existence of stem cells in a scientific journal. Till and McCulloch documented the way in which embryonic stem cells differentiate themselves to become mature cell tissue. Their discovery opened the door for others to develop the first medical use of stem cells in bone marrow transplantation for leukemia. Over the next 50 years their early work has led to our current state of medical practice where modern science believes that new treatments for chronic diseases including MS, diabetes, spinal cord injuries and many more disease conditions are just around the corner. There are a number of sources of stem cells, namely, adult cells generally extracted from bone marrow, cord cells, extracted during pregnancy and cryogenically stored, and embryonic cells, extracted from an embryo before the cells start to differentiate. As to source and method of acquiring stem cells, harvesting autologous adult cells entails the least risk and controversy. Autologous stem cells are obtained from the patient’s own body; and since they are the patient’s own, autologous cells are better than both cord and embryonic sources as they perfectly match the patient’s own DNA, meaning that they will never be rejected by the patient’s immune system. Autologous transplantation is now happening therapeutically at several major sites world-wide and more studies on both safety and efficacy are finally being announced. With so many unrealized expectations of stem cell therapy, results to date have been both significant and hopeful, if taking longer than anticipated. What’s been the Holdup? Up until recently, there have been intense ethical debates about stem cells and even the studies that researchers have been allowed to do. This is because research methodology was primarily concerned with embryonic stem cells, which until recently required an aborted fetus as a source of stem cells. The topic became very much a moral dilemma and research was held up for many years in the US and Canada while political debates turned into restrictive legislation. Other countries were not as inflexible and many important research studies have been taking place elsewhere. Thankfully embryonic stem cells no longer have to be used as much more advanced and preferred methods have superseded the older technologies. While the length of time that promising research has been on hold has led many to wonder if stem cell therapy will ever be a reality for many disease types, the disputes have led to a number of important improvements in the medical technology that in the end, have satisfied both sides of the ethical issue. CCSVI Clinic CCSVI Clinic has been on the leading edge of MS treatment for the past several years. We are the only group facilitating the treatment of MS patients requiring a 10-day patient aftercare protocol following neck venous angioplasty that includes daily ultrasonography and other significant therapeutic features for the period including follow-up surgeries if indicated. There is a strict safety protocol, the results of which are the subject of an approved IRB study. The goal is to derive best practice standards from the data. With the addition of ASC transplantation, our research group has now preparing application for member status in International Cellular Medicine Society (ICMS), the globally-active non-profit organization dedicated to the improvement of cell-based medical therapies through education of physicians and researchers, patient safety, and creating universal standards. For more information please visit http://www.neurosurgeonindia.org/ |
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