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Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 11:38 AM

After working for twenty years in a hospital, I am aware that sanitation is not always optimal. It is common knowledge that cleaning of walls, ceilings, and other surfaces, aside from floors, is not ideal. CNN Money today published a story about a robot that uses pulsed xenon ultraviolet light to sanitize rooms. They report that two of these robots at $80,000 each can sanitize a 120 bed hospital. This sounds like an excellent idea to me. I have never seen walls, ceilings, and all surfaces of a room cleaned properly. I don't think it happens very often. Hospital acquired infections are common, and a major health threat to anyone admitted. The cost of hospital related infections are very high in extended stays, and in lawsuits. Is this a good idea, or do you have other suggestions that are better. There are sprays for walls etc, but I think that they would be of temporary value.

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#1

Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 12:22 PM

Note that the report used the word "sanitize" and not "clean"..... The difference is that a UV light source will kill any biological gunk which then becomes food for new bacteria to consume the junk that was just cooked.

So, if you are looking for a proper cleaning the robot is going to have to have other end effectors. That could consist of a variety of solutions. But the potential for damage to the wall or ceiling would be high. Nothing quite like hand-eye coordinated effort with a little judgement thrown in.

Over the long term, some plastics are not going to respond well to repeated exposure to UV. Makes me wonder if you would have to use outdoor paint on the inside to prevent fading.

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#3
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 1:08 PM

Good points. Visible dirt is cleaned, but hospital walls and ceilings and many other surfaces are seldom, if ever, thoroughly cleaned. I think that special paints should be used. Some have antibiotic properties, or can be coated with them. Hospitals do not pay for staff to do so. Hopefully Operating Rooms are thoroughly cleaned and sanitized. The idea of damaging expensive equipment with plastic parts is very concerning. Some hospital beds, cost several thousand dollars. Other equipment far more. Plastics usually compose large parts of all such equipment.

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#5
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 1:23 PM

Thats correct.

I designed brining systems for the food and dairy, and one customers brine operation looked like a swamp, (brown brackish brine). He wanted 100% clean up gauranteed.

Thats is impossible. I did proposed pulse ultravoilet from these guys. (http://www.xenoncorp.com/) he said something that surprised me.

That will kill the bug, but the dead bug is still there.

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#8
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 10:52 PM

Another issue with using UV for sanitation is that one needs a very specific wavelength to be effective (based on UV sanitizers used for water treatment- the wavelength of the UV light generated by most biologically rated bulbs tends to drift with age- meaning the bulb loses its efficacy long before the bulb burns out- I don't know for sure if this is true for Xenon sources).

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#2

Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 1:06 PM

This sounds like a good tool, but alone is nearly useless....What you need is a system...and to develop a system, you must characterize the threat parameters...starting with most common methods of hospital-acquired infections...

"

Main routes of transmission
RouteDescription
Contact transmissionthe most important and frequent mode of transmission of nosocomial infections.
Droplet transmissionoccurs when droplets are generated from the source person mainly during coughing, sneezing, and talking, and during the performance of certain procedures such as bronchoscopy. Transmission occurs when droplets containing germs from the infected person are propelled a short distance through the air and deposited on the host's body.

Airborne transmission

occurs by dissemination of either airborne droplet nuclei (small-particle residue {5

µm or smaller in size} of evaporated droplets containing microorganisms that remain suspended in the air for long periods of time) or dust particles containing the infectious agent. Microorganisms carried in this manner can be dispersed widely by air currents and may become inhaled by a susceptible host within the same room or over a longer distance from the source patient, depending on environmental factors; therefore, special air handling and ventilation are required to prevent airborne transmission. Microorganisms transmitted by airborne transmission include Legionella, Mycobacterium tuberculosis and the rubeola and varicella viruses.

Common vehicle transmissionapplies to microorganisms transmitted to the host by contaminated items such as food, water, medications, devices, and equipment.
Vector borne transmissionoccurs when vectors such as mosquitoes, flies, rats, and other vermin transmit microorganisms.

Contact transmission is divided into two subgroups: direct-contact transmission and indirect-contact transmission.

Routes of contact transmission
RouteDescription
Direct-contact transmissioninvolves a direct body surface-to-body surface contact and physical transfer of microorganisms between a susceptible host and an infected or colonized person, such as occurs when a person turns a patient, gives a patient a bath, or performs other

patient-care activities that require direct personal contact. Direct-contact transmission also can occur between two patients, with one serving as the source of the infectious microorganisms and the other as a susceptible host.

Indirect-contact transmissioninvolves contact of a susceptible host with a contaminated intermediate object, usually inanimate, such as contaminated instruments,

needles, or dressings, or contaminated gloves that are not changed between patients. In addition, the improper use of saline flush syringes, vials, and bags has been implicated in disease transmission in the US, even when healthcare workers had access to gloves, disposable needles, intravenous devices, and flushes.[19]

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#4
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 1:17 PM

Excellent information. Thank you. Nurses are taught all of the above. That said, physicians, nurses, patients and other personnel do not always use all the precautions that they should. We are fortunate though, to have the equipment available. Hospitals also have many visitors. Just about everything lands on surfaces however. If microorganisms remain alive, they will spread if not killed by cleaning and disinfection.

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#6
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 6:39 PM

Have you heard of or used NAV-CO2 ?

" Non-flammable Alcohol Vapor in Carbon Dioxide (NAV-CO2) systems were developed in Japan in the 1990s to sanitize hospitals and ambulances. These systems were developed in response to a need for a safe, effective, and environmentally sound way of sanitizing without the use of toxic or corrosive chemicals. It is the leading disinfectant in hospitals in the United States and is becoming more common worldwide due to its convenience.

NAV-CO2 systems use liquid carbon dioxide (CO2) as a propellant. NAV-CO2 systems combine alcohol-based sanitizing solutions with a heated stream of CO2 liquid to create a vapor capable of penetrating small crevices and gaps. As CO2 and atomized alcohol evaporate completely at room temperature, no residue remains. CO2displaces oxygen, eliminating one of the elements needed to support combustion. Sanitizing chemicals such as quaternary ammonium can be added to alcohol based sanitizers to extend the killing time on surfaces. NAV-CO2 systems are used to sanitize contact surfaces where individuals may become infected. Hand washing and sanitizing surfaces with alcohol-based solutions are effective methods for the prevention of nosocomial infection."

The Centers for Disease Control and Prevention (CDC) estimates that roughly 1.7 million hospital-associated infections, from all types of bacteria combined, cause or contribute to 99,000 deaths each year."

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#7
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 7:33 PM

Sounds like a good system also. I have never heard of it though. I doubt that either one of these systems has gained wide use so far. It will probably take some good salespeople a long time to get these adopted. The idea of being able to vacuum up the residue is very appealing. Seems like it would allow cleaning as well as killing of the microorganisms.

The farmer has a good point. Toxins may be left when cleaning is not done.

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#9

Re: Pulsed Xenon UV Light for Hospital Sanitation

01/26/2012 11:08 PM

Although I have never heard of it being used in the hospital environment, I do know that ozone is used in some sectors of the food processing industry (especially fish processing, maybe others) to sanitize working surfaces. Ozone is also used quite effectively for water treatment. Ozone degrades rapidly and, being nothing more than supercharged oxygen, should be relatively safe for such a use (one can detect very, very small concentrations of ozone in the atmosphere from the very distinct odor).

Two potential issues- being one of the most effective oxidizers known, there may be a concern with reactions with polymer materials (i.e., plastic hospital equipment). The second issue is that ozone has been associated with heavy air pollution. Although it breaks down very rapidly, under the right conditions it can accumulate in the atmosphere. I am not sure how this happens, but it would need to be addressed were one to suggest using it as a sterilizer in a closed environment, such as a hospital.

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#10
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/27/2012 1:03 AM

I mentioned a peroxide ozone system earlier this month proposed for hospitals and has many other potential uses; hotel bedbugs, airplanes (really ugly microbial issues), grocery stores, etc. Apparently, ozone peroxide is very effective. FYI.

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#11

Re: Pulsed Xenon UV Light for Hospital Sanitation

01/27/2012 5:55 AM

Lets see. $80000/120=$666

A UV lamp in each room=....a lot less I'm sure and dead easy to maintain. They can even be portable and plug in when and where required.

Hospital I attend here has UV germicidal lamps in the examination rooms that are turned on manually when the room needs to be sterilised. Its not a novel idea.

What's with the robot? Complexity for complexity's sake.

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#12
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/27/2012 10:52 AM

Very interesting. Are you saying Cambodia? I have never seen them used here except for skin treatment. Sounds good to me.

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#13
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 5:37 AM

Yes Cambodia.

I haven't seen them turned on, which is probably a pretty good thing, but they are there on the ceiling and a light switch on the wall outside the rooms labeled with a permanent marker as "UV".

The lamps had a 40W fluoro form factor with clear glass envelopes. I don't know if there are any safety interlocks to prevent patient exposure. I'll have a closer look next time I'm there.

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#14
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 4:17 PM

This would have applications in public restrooms, gyms, showers etc. I am wondering why it hasn't been more widely adopted.

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#15
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 5:02 PM

One issue is most likely cost. An anti-microbial 48 inch fluorescent UV source bulb runs for something like $78.00 (last time I purchased one), the ballasts for these are way more expensive than typical ballasts, and the bulbs are effective for only about a year, before the wavelength of the UV light output drifts outside the effective range. Then, there is the safety issue- eye damage, skin damage, etc...

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#16
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 5:11 PM

Those prices are minimal compared to other hospital expenses, and fade to nothing much when compared to the cost of nosocomial infections. Of course staff would have to be trained how to use them with appropriate warnings of all kinds etc. My son in law nearly lost his leg due to an infection from a gym. I got a hard to treat case of athletes feet from an expensive gym.

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#17
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 5:27 PM

The problem with infections, whether from a gym or, more dangerously, from a hospital, is the "super bug" issue- infectious agents developing immunity to common anti-bacterials. For your athlete's foot infection, did you try hydrogen peroxide? Similar effect as ozone- high oxidation capacity, that attacks the physical structure of the infectious agent. UV does the same thing- breaks bonds in the cell membrane. I would not recommend UV for treating body parts, however- the same damage you are causing the invaders would damage your cells- deeper than just skin.

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#18
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Re: Pulsed Xenon UV Light for Hospital Sanitation

01/29/2012 5:37 PM

I believe that UV is used by dermatologists for skin infections. I did not try hydrogen peroxide, but all the normal treatments. I had to be prescribed an oral medication, as a last resort. Will try the peroxide next time. Thanks for the tip.

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#19

Re: Pulsed Xenon UV Light for Hospital Sanitation

01/31/2012 4:29 PM

I have another thread about using negative ion technology for health. I have just learned that it is often used in burn wards, and is used in submarines and for astronauts. Apparently a high concentration of negative ions can kill off bacteria, and is helpful for asthma also.

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