Clinical Impact Across Nepal

For years, the logistical realities of Nepal's geography made consistent high-dose-rate brachytherapy an aspiration rather than a standard. RB Merchant changed that — by pioneering the Bebig Saginova Co-60 Brachytherapy platform: miniaturised sources that remain active for five years, built for resilience, not just performance.

The Co-60 unit eliminates the supply-chain vulnerabilities of Ir-192 sourcing, giving oncology departments a dependable, long-cycle treatment platform suited to Nepal's unique operational context.

A single installation at SKPCH, Khajura now serves a catchment of over 5 million people across two complete regions — patients who previously travelled hundreds of miles for radiation oncology treatment.

Pioneered the introduction of Third-Space Endoscopy, a cutting-edge advancement in therapeutic gastroenterology, through the implementation of the ERBE VIO 3 electrosurgical system and Micro-Tech GI accessories. RB Merchant facilitated comprehensive hands-on training for clinicians at internationally recognised centres of excellence, enabling the successful adoption and performance of advanced third-space endoscopic procedures.

Peroral Endoscopic Myotomy (POEM) is a transformative procedure for patients with Achalasia Cardia. Performed entirely through the mouth — no external incisions, no general surgical risk — recovery is shortened from weeks to days.

RB Merchant's role extended to meticulous calibration, software integration, ongoing surgical-mode customisation, and proactive technical stewardship — ensuring Nepal's GI departments maintain international procedural standards.

Traditional coaching instincts alone cannot take athletes to the international stage. RB Merchant bridged this gap — supplying, installing, and commissioning Nepal's first dedicated High-Performance Sports Science Lab in Kathmandu, built around objective physiological data and biomechanical precision.

Physiological tracking: the VO2 Master wearable metabolic analyser measures peak oxygen consumption breath-by-breath under real field conditions — no cables, no restrictions.

Biomechanical diagnostics: wireless EMG sensors and multi-axis force plates track muscle firing sequences and ground reaction forces in real time, revealing kinetic asymmetries instantly.

Elite athletes have been tested and profiled through the lab infrastructure, establishing a national baseline for athletic performance data.

When the pandemic demanded immediate critical care capacity, RB Merchant demonstrated that logistics at scale and clinical precision are not mutually exclusive. From portable X-ray systems to fully commissioned ICU units, the deployment reached every province — in weeks, not months.

Portable imaging, 2021 — fully wireless portable digital X-ray enabling tablet-based imaging outside HDU wards, removing the need to move critical patients. 30 installations across 29 centres in all 7 provinces.

HDU equipment, 2020–21 — a 45-day race against the clock: a 20-bed HDU built at Covid Hospital Biratnagar, funded by the FDFA / Swiss Embassy, with full onsite training. 20 ventilators, 10 BiPAP units and 2 ABG analysers.

ICU deployment, 2020 — full ICU, HDU and Paediatric ICU setups across Provinces 1, 3 and 7, including commissioning and user training at all sites.