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Get the Facts Straight on UV Disinfection UVDI-360 Room Sanitizer UltraViolet Devices, Inc. uvdi.com • [email protected] • Phone: +1.661.295.8140 26145 Technology Drive, Valencia, California 91355 USA Designed and Manufactured by UVDI in California, USA

UVDI-360 Get the Facts Straight Room Sanitizer on UV ......Get the Facts Straight on UV Disinfection UVDI-360 Room Sanitizer UltraViolet Devices, Inc. uvdi.com • [email protected]

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  • Get the Facts Straight on UV Disinfection

    UVDI-360 Room Sanitizer

    UltraViolet Devices, Inc.

    uvdi.com • [email protected] • Phone: +1.661.295.8140 26145 Technology Drive, Valencia, California 91355 USA

    Designed and Manufactured by UVDI in California, USADesigned and Manufactured

    by UVDI in California, USA

  • TABLE OF CONTENTS

    UV Efficacy (Myths/Facts)

    UV Cycle Times (Myths/Facts)1

    2

    3

    4

    5

    6

    UltraViolet Devices, Inc.

    Staff & Patient Exposure to UV (Myths/Facts)

    Emission of Harmful Compounds from UV Lamps (Myths/Facts)

    Surface & Equipment Damage (Myths/Facts)

    UV Compatibility Rating System

    Multi-Emitter UV Systems (Myths/Facts)

    Mercury-Containing UV Lamps (Myths/Facts)

    Placement of a UV Device (Myths/Facts)

    UV Dose Measurement (Myths/Facts)

    UVDI-360 (Facts)

  • Myth Myth

    Fact Fact

    UltraViolet Devices, Inc.

    1

    Myth MythBroad-spectrum pulsed-xenon UV

    (200-320 nm) is more effective than single wavelength UV-C (254 nm)

    Shorter UV cycle times are always superior

    Pulsed-xenon UV devices emit broad-spectrum UV and generate

    non-useful UV energy

    Studies demonstrate that the effective UV wavelength for killing microorganisms is near 260 nm. At this wavelength, pyrimidine dimerization, the primary mechanism for microorganism inactivation by UV-C light, occurs. The EPA reports that, “Pyrimidine dimers are the most common form of nucleic acid damage, being 1000 times more likely to occur than [other mechanisms of action].” Thus, pulsed-xenon UV devices that emit broad-spectrum UV actually generate non-useful UV energy, which is a detriment to pathogen reduction. Additionally, other possible mechanisms of cellular damage, as described by pulsed-xenon manufacturers, are only marginally relevant for pathogen reduction. Furthermore, studies have shown that low-pressure mercury UV lamps operate at a significantly higher efficiency than pulsed-xenon UV lamps.1

    A clear relationship exists between UV treatment duration, distance of pathogens from the device, and the percentage of microorganisms that are killed—pathogen reduction increases as the target surface gets closer to the UV device and is exposed to UV for longer. Many UV manufacturers, however, do not accompany their short cycle time recommendations with effective distance and pathogen reduction data verified by third party laboratory testing, making it difficult to objectively compare device performance. Should you hear a particularly short cycle time claim from a UV manufacturer, investigate whether the effective distance will reach target surfaces in your facility rooms to achieve the desired efficacy. If not, additional cycles and placements may be required.

    Fact

    The UVDI-360 Room Sanitizer operates predominantly at 254 nm UV-C, ensuring maximum pathogen reduction efficiency.

    1. Schaefer, Raymond et al. Pulsed UV lamp performance and comparison with UV mercury lamps. J. Environ. Eng. Sci. Vol. 6, 2007: 303-310

    1

    11/4

    1/9

    2

    3UV Light Source Distance

    UV Light Intensity

    UV Light

    The UVDI-360 Room Sanitizer has been validated by a 3rd party micro-efficacy laboratory to kill more than 35 HAI-causing pathogens in 5 minutes at 2.44 meters.

    T CC CT T T TT

    AC GG AC A AG

    UV-C

    PHO

    TONS

    The 254 nm energy damages the DNA of the pathogens

    UV-C

    PATHOGENS

    INVERSE SQUARE LAW

    Cycle time and distance from the surface impact the level

    of pathogen reduction

    Fact

  • Myth Myth

    Fact Fact

    UltraViolet Devices, Inc.

    2

    A single placement of a UV device can disinfect all areas of a room as effectively

    as multiple placements

    Automated UV dose measurement technology ensures greater treatment

    efficiency and coverage

    Placing a UV device in several locations increases the likelihood that

    all room surfaces are disinfected

    UV measurement technology is insufficient because it does not provide information about

    the dose delivered to specific surfaces

    UV technology fundamentally operates via line of sight. While some surface materials can reflect limited amounts of UV-C, many surfaces absorb most or all UV-C energy. Thus, if a target surface is “shadowed” and not in direct line of sight of the UV device (for example, those in a patient bathroom), that surface is likely to receive little to no UV treatment, limiting pathogen reduction efficacy. UV manufacturers with single placement protocols attempt to remedy this through significantly higher UV cycle times. However, 30+ minute cycle times place greater stress on room turnover, result in lengthy restarts if the UV treatment is inadvertently interrupted, and surfaces close to the UV device may become overexposed, potentially resulting in surface discoloration or damage.

    UV devices with automated cycle time determination promising uniform, efficient distribution of UV energy are often based on measurements of reflected UV light that are not surface-specific. They do not give the operator information about the dose delivered to specific high-touch or shadowed locations, nor the required dose to kill specific HAI-causing pathogens. Typically, these devices have lengthy 30+ minute UV treatment cycles that vary widely between rooms, impacting room turnover time and challenging workflow consistency. Conversely, consistent cycle times simplify UV device usage and validation of efficacy can more accurately be accomplished by measuring UV dose delivered to specific target surfaces, ensuring that UV protocol has been optimized for the room.

    The UVDI-360 Room Sanitizer operates in 5 minute cycles in 1–3 room placements, ensuring both rapid UV treatment and complete surface coverage.

    The UV Dose Verify® cards can be placed on specific surfaces to certify that the appropriate dose to treat MRSA and C. difficile has been delivered to that location.

    HEAD

    FOOT

    WORKSTATION

    Device Serial No:

    C-DIFF99% Kill

    MRSA99% Kill

    Date:Time:

    Operator:

    Cycle Time:Target Location:

    UV Dose Verify®

    Room or Unit No:

    29-6077-01 Rev E

    UNEXPOSED EXPOSED

    Calibrated for exclusive use with UVDI’s disinfection device.

    UltraViolet Devices, Inc.

    Area of color change

  • Myth Myth

    Fact Fact

    UltraViolet Devices, Inc.

    3

    Multi-emitter UV systems provide more

    power and efficiency

    Pulsed-xenon lamps are safer because they

    do not contain mercury

    Each tower in a multi-emitter UV system outputs less UV-C energy because power is

    divided between emitters

    UVDI-360 lamps contain less mercury than typical fluorescent lamps and are certified by

    the EPA as non-hazardous waste

    While multi-emitter UV systems address shadowed areas, enhancing UV efficacy, each emitter outputs less power than a single emitter system. Single emitter systems leverage a portion of the available 15 amps in a typical hospital room circuit, while multi-emitter systems have to distribute the same amps among two or three towers, meaning that each tower outputs less UV-C energy. Thus, despite using all emitters simultaneously rather than reposition a single emitter throughout the room, multi-emitter systems typically require longer cycle times to achieve the same disinfection results. Furthermore, additional time and effort is required to transport and setup multiple emitters, extending room turnover time.

    Measures to reduce mercury in hospitals are typically aimed at high mercury content devices that contact patients, such as blood pressure monitors (70-90k mg of mercury) and thermometers (500 mg of mercury). By comparison, our UV-C lamps contain less than 14 mg of mercury per lamp, half the amount found in typical overhead fluorescent lamps. At this level, UVDI-360 lamps have been certified by the EPA as non-hazardous waste, safe for handling and disposal under federal law2. As an extra precaution, UVDI-360 lamps are polymer-encapsulated, ensuring no staff or patient exposure to mercury from lamp breakage. Information asserting that the EPA, WHO, or other regulatory and healthcare organizations require elimination of mercury-based UV-C lamps from hospitals is false3,4. While pulsed-xenon lamps do not contain mercury, they can emit toxic ozone known to cause lung damage, requiring a frequently replaced ozone filter to safely operate the UV device.

    The UVDI-360 Room Sanitizer leverages a single UV emitter with maximum-output UV-C lamps, resulting in only a few 5 minute cycles required to thoroughly disinfect a room.

    The UVDI-360 Room Sanitizer lamps are certified as non-hazardous waste by the EPA, and have a unique polymer encapsulation that prevents mercury from escaping in case of lamp breakage.

    2. Environmental Protection Agency. Method 1311 Toxicity Characteristic Leaching Procedure; 1992.3. https://practicegreenhealth.org/about/press/blog/unauthorized-mercury-communication4. https://www.epa.gov/ozone-pollution/health-effects-ozone-pollution

    Amount of mercury found in a typical T8

    fluorescent bulb

    Polymer Encapsulation on broken lamp

    15 A

    One device Split among 3 devices

    5 A 5 A5 A

  • Fact

    UltraViolet Devices, Inc.

    Myth

    Fact Fact

    Myth

    4

    UV devices can subject staff and patients to harmful

    UV exposure

    UV-C devices can be safely implemented when used according to

    manufacturer instructions

    While UV-C does not penetrate skin significantly or cause the damage associate with UV-A and UV-B radiation, excessive exposure can cause temporary skin and eye discomfort. However, when used according to manufacturer instructions in unoccupied rooms, UV-C devices with robust safety features can safely be deployed. UV-C is transmitted through air and quartz, but is absorbed by ordinary glass, so viewers behind a window are protected. Furthermore, UVDI testing has shown that exposure through typical under-door gaps does not pose a hazard. UV-C devices often include safety features to prevent UV exposure, including motion sensors that shut the device off automatically if a person enters the room during UV treatment, as well as warning signs to deter entry during use. Safety features should be a key consideration parameter when evaluating UV systems.

    The UVDI-360 Room Sanitizer features integrated 360° infrared motion sensors that shut the device off automatically upon entry and a hard case that when opened, the two halves of the case can be used separately as two independent warning signs.

    Motion Sensor

    Warning Signs

    6. EPA. 1999. “Air Method, Toxic Organics-15 (TO-15): Compendium of Methods for the Determination of Toxic Organic Compounds in Ambient Air, Second Edition: Determination of Volatile Organic Compounds (VOCs) in Air Collected in Specially-Prepared Canisters and Analyzed by Gas Chromatography/Mass Spectrometry (GC/MS).” EPA 625/R-96/010b.

    UV system lamps emit harmful compounds

    into the air

    Mercury-based lamps do not emit ozone or unsafe

    levels of VOCs

    Xenon-based lamps emit ozone, a toxic gas known to cause lung damage, at levels that are unsafe for humans to breathe in. For this reason, whole room disinfection devices containing xenon lamps require a frequently replaced ozone filter to safely operate the UV device. In contrast, mercury-based lamps do not emit ozone or unsafe levels of volatile organic compounds (VOCs) that can create ozone in the air. Every device manufacturer should provide testing results demonstrating that their system lamps do not release VOCs in the air at levels above EPA-established limits.6 In addition to chemical emissions, pulsed-xenon devices emit pulsing sound and light that has been reported to be disruptive and irritating to patients and hospital staff. Mercury-based devices do not flash or produce excess noise when in operation.

    The UVDI-360 Room Sanitizer passed EPA testing concluding that all lamp emissions are negligible, and well below EPA-established limits for volatile organic compound (VOC) emissions in the air.

    Headache, anxiety

    Irritated eyes, throat & mucous membranesWheezing, shortness of breath, cough

    Asthma, chest pain during inhalation and increased respiratory diseases

    Pulmonary inflammation Greater heart

    attack risk

    ILL EFFECTS OF OZONE INHALATION

  • UltraViolet Devices, Inc.

    Fact

    Myth

    5

    Surface and equipment damage can result from use of mercury-based

    UV devices

    Testing shows that mercury-based UV-C will not damage

    common hospital surfaces

    Surface compatibility with UV is affected by the wavelength of light that the device emits and the amount of light surfaces are exposed to. UV-C is short wavelength UV and only penetrates into surfaces with a depth less than 20 microns5. This means that UV-C will not damage common hospital surfaces since it doesn’t penetrate as far into the surface as other forms of UV light that extend further along the UV spectrum, including those generated by pulsed-xenon. While some UV devices require lengthy UV cycles that are more likely to cause surface damage, the UV-360 Room Sanitizer operates via short cycles that have been shown to have no known surface compatibility issues. Any surface changes that might occur are generally cosmetic, similar to normal fading over time, and will not impact the function of the equipment or surface. Information asserting that UV-360 Room Sanitizer has significantly damaged hospital surfaces or equipment is likely misleading and should be verified with those facilities.

    The UVDI-360 Room Sanitizer has been tested against a wide range of healthcare materials, including metals, plastics, rubber and counter surfaces, and been found to produce no damage upon prolonged exposure to UV-C.

    5. Kowalski W. (2009) UV Effects on Materials. In: Ultraviolet Germicidal Irradiation Handbook. Springer, Berlin, Heidelberg

    † Long term UV-C use is defined as more than 2 years of standard patient room terminal cleaning. Testing was conducted up to the equivalent of 13 years of standard patient room use.

    ‡Short term UV-C use is defined as 2 years or less of standard patient room terminal cleaning.

    Polymers Glass MetalsHard

    PorousSurfaces

    SoftSurface

    e.g., Mattress covers,

    Electronic screens

    e.g., Glass

    partitions

    e.g., Stainless

    steel fixtures

    e.g., Glazed ceramic

    tiles, Formica counters

    e.g., Polyester privacy curtains

    UVDI-360 COMPATIBILITY TESTING

    UV Compatibility Rating System

    No visible surface damage or effect on the material is likely to occur when used according to manufacturer’s

    instructions. Some surface aesthetic impact such as discoloration or etching may be seen with long term†

    exposure, but no change to the integrity of the material is expected.

    Some surface aesthetic impact such as discoloration or etching may be seen with short term‡

    exposure. Little to no effect on material integrity is expected. Minimizing exposure by running the device

    for the shortest manufacturer recommended cycle times can help minimize impact.

    Visible damage to the surface is likely to occur with short or long term exposure and some effect on material integrity is possible. Minimizing exposure by running the

    device for the shortest manufacturer recommended cycle times can help minimize impact. Users should

    evaluate the risk of surface damage vs. the benefits of UV-C efficacy against pathogens to determine whether the product is appropriate for use on these materials.

    3-Star System

  • UltraViolet Devices, Inc.

    twitter.com/uvdiuvdi.com • [email protected] • Phone: +1.661.295.8140 26145 Technology Drive, Valencia, California 91355 USA

    FACTSUVDI-360 Room Sanitizer...

    Proven to Reduce HAIs

    Protects Patients

    Improves Patient Outcomes

    360° of UV Radiation

    Smart Data System for Robust Data Collection

    Lightweight - Only weighs 40 kg

    Infrared Motion Sensors Ensure Safe Operation

    Intuitive Touch-Screen Operating System

    Kills more than 35 HAI-causing pathogens in 5 minutes at 2.44 meters!

    ISO 9001:2015ISO 14001:2015

    UVDI EPA EstablishmentNumber 73542-CA-001

    MKTFM 320 Rev A 101218