Decon-X Preventing Infections
Intelligent Disinfection Technology
Intelligent Disinfection Technology
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PREVENTING<br />
INFECTIONS<br />
INTELLIGENT DISINFECTION TECHNOLOGY
THE STORY<br />
To become infected and seriously ill<br />
due to a hospital-acquired infection<br />
is a nightmare scenario both for the<br />
patient and for the healthcare institution.<br />
Bjørn Platou, general manager at <strong>Decon</strong>-X International, experienced<br />
this himself in 2009 after surgery at a Norwegian hospital. His surgery<br />
was performed as a minimally invasive procedure for a previous<br />
shoulder injury. The infection he got sent him to the hospital isolation<br />
ward for six weeks, with antibiotic treatment and new surgical procedures<br />
– all to avoid amputation of his arm.<br />
This experience triggered his interest in hospital-acquired infections and<br />
the search for new, automated methods to reduce infections and<br />
document the removal of infectious agents. This resulted in the <strong>Decon</strong>-X<br />
DX1 robot, which is developed for the disinfection of rooms and<br />
equipment.<br />
Since 2014, <strong>Decon</strong>-X has developed 3 different robotic solutions – all<br />
specialized in their specific area of disinfection, and all made to ensure<br />
the safety of the user and the patients. Good cleaning routines is a key<br />
element in the process of breaking the chain of infection, and combined<br />
with intelligent disinfection of the area, this will ensure a better working<br />
environment for the healthcare workers, cleaning staff and the patients.<br />
Good routines are also key to a healthy economy, and healthcare<br />
institutions can achieve great savings when they avoid isolation and<br />
infections.<br />
Bjørn Platou has his background in management of satellite communication<br />
companies, and the communication from the <strong>Decon</strong>-X technology to the<br />
user is a key factor to secure and verify the result. “This communication<br />
ensures that the operator always is alerted when an area can be used after<br />
disinfection, and that an electronic report submitted to the user verifies<br />
this”.<br />
It is always inspiring when new technology works with the user to ensure<br />
results and prevent harm to the patients – and the healthcare workers.<br />
Prevention always beats treatment.<br />
Bjørn Platou<br />
<strong>Decon</strong>-X International
WHY<br />
WHO: Hundreds of millions of patients are<br />
affected by healthcare-associated infections<br />
worldwide each year, resulting in significant<br />
mortality and financial losses for health systems.<br />
<strong>Decon</strong>-X is a Norway-based research<br />
company, developing intelligent technology<br />
that helps reduce the number<br />
of healthcare-associated infections (HAI). This<br />
is achieved by introducing technology that<br />
verifies the process and communicates directly<br />
with the user. The desired result is improved<br />
safety for the workers, less infections for patients<br />
and reduced cost for the healthcare<br />
institution. Our aim is to improve quality of life in<br />
healthcare for both patients and staff.<br />
The annual cost of HAI for the healthcare institutions<br />
and the cost carried by society is measured<br />
in the billions of EURO – and it also has a<br />
substantial impact on the individual patient.<br />
Worldwide, these infections are the most frequent<br />
adverse side effect of hospital treatment<br />
and care. In high-income countries, approximately<br />
30% of all patients in intensive care units<br />
(ICU) are infected with at least one incidence<br />
of hospital infection. The European Centre<br />
for Disease Control (ECDC) estimates that 4<br />
million patients acquire a HAI each year in EU<br />
member states, and that approximately 37,000<br />
deaths are a direct result of these infections.<br />
This costs about 7 billion EURO in direct costs<br />
(calculated based on 16 million extra room<br />
nights in hospitals).<br />
The corresponding figures for the United States<br />
show that the annual cost of hospital infections<br />
is somewhere between 35 and 45 billion US<br />
dollars. RD Scott’s report (link) published in the<br />
CDC (Center for Disease Control and Prevention)<br />
looks at the direct costs of healthcareassociated<br />
infections in the United States and<br />
finds that there is a calculated and possible<br />
saving of between 5.7 to 6.8 billion US dollars<br />
by a 20% reduction of HAI (Computas report).<br />
Adding to the current challenge is the rise in<br />
Multi Drug Resistant Organisms (MDROs), a<br />
global challenge with a rapid increase in incidence.<br />
<strong>Decon</strong>-X wants to contribute to the reduction<br />
of these challenges, by preventive actions and<br />
by communication, based on information that<br />
is raising awareness about the seriousness and<br />
scope of this issue.
METHOD &<br />
<strong>Decon</strong>-X has developed an automated<br />
disinfection method that safely and<br />
effectively removes all bacteria, viruses<br />
and spores from surfaces and equipment. This<br />
method uses a dry gas containing hydrogen<br />
peroxide. The gas is filled into any enclosed<br />
area, without causing any harm or damage<br />
to the room, equipment or surfaces.<br />
<strong>Decon</strong>-X has one of the most advanced<br />
robots for disinfecting and combating infection<br />
and has delivered robots to more than<br />
150 healthcare institutions.<br />
The technology removes 99.9999 percent of<br />
all viruses, bacteria and spores, and by using<br />
integrated sensor and communication technology,<br />
the robot controls and documents the<br />
automated process.<br />
The <strong>Decon</strong>-X technology will also turn itself off<br />
if there are measured deviations in the area<br />
to be disinfected (open window, door,<br />
ventilation, temperature or humidity) and<br />
sends an alarm report by SMS and e-mail<br />
about the deviation to the operator, and to<br />
the <strong>Decon</strong>-X support centre.<br />
The robot is developed and manufactured in<br />
Norway, does the entire job itself and alerts<br />
the user when the room is completely disinfected<br />
and when it is safe to enter.<br />
The entire process is stored in a cloud server,<br />
and a report is sent to the customer’s e-mail<br />
and SMS and to the <strong>Decon</strong>-X support centre.<br />
The combination of sensors, data storage and<br />
the built-in algorithm ensures that the<br />
disinfection process is carried out with verified<br />
and controlled efficiency, as well as automatically<br />
generated process documentation.
TECHNOLOGY<br />
All <strong>Decon</strong>-X products have integrated<br />
communication technology<br />
• IoT – Internet of Things. The core systems<br />
have technology that monitors and ensures<br />
process control - which via wireless communication<br />
and data collection - automatically<br />
generates documentation that is sent directly<br />
to the user’s phone and PC.<br />
• Sensors – Measures and collects data from<br />
temperature, relative humidity and parts per<br />
million (ppm) of hydrogen peroxide in the air.<br />
• GSM – Mobile transmission technology to ensure<br />
that alarms and completion-reports are<br />
transmitted in real-time to the end user, also<br />
enabling live monitoring of the process.<br />
• RFID – Radio frequency identification secures<br />
the correct use of the <strong>Decon</strong>-X disinfection<br />
fluid.<br />
• BLE (Bluetooth low energy) – enables communication<br />
between the <strong>Decon</strong>-X robot<br />
and the room - reducing human error.<br />
Summaries, statistics and reports are available on your<br />
mobile phone, PC or tablet.
FACTS<br />
Computas (https://computas.com/en/) published a report in 2015<br />
focusing on the scope and the cost of hospital infections in<br />
Norway.<br />
The report was updated in 2017. It illustrates the extent of hospital infections,<br />
their direct cost for the institutions and the potential impact of prevention<br />
and reduction of the number of hospital infections.<br />
The Computas report provides updated figures for costs associated with<br />
hospital infections and clearly demonstrates the potential savings to society<br />
when measures are implemented to reduce the number of patients who<br />
are infected.<br />
All <strong>Decon</strong>-X technology solutions are based upon research and development<br />
in Norway and the technology is produced by Tronrud Engineering<br />
at Hensmoen outside of Oslo. This ensures the highest control, quality and<br />
sustainability within production.<br />
All solutions delivered by <strong>Decon</strong>-X comes with a 10 year operational<br />
warranty.<br />
Example from Germany. The cost for treating hospital-acquired<br />
infections was € 1.3b in 2016. This is 1.2% of the annual German<br />
hospital spending.<br />
Key facts<br />
• Infection of the lower respiratory track is<br />
the most common HAI in Germany<br />
• The treatment of HAI costs around €1.3b<br />
annually (2016)<br />
• Estimated predictions indicate that approx.<br />
30% of HAI is preventable<br />
• Prevention amounts to savings of €600m<br />
per year<br />
Lower respiratory track<br />
Postop wound infection<br />
Urinary track infection<br />
C. difficile infection<br />
Catheter assiciated blood infection
PRODUCTS<br />
DECON-X DX1<br />
The <strong>Decon</strong>-X system provides multiple essential features<br />
and combines them all into one complete solution for<br />
room disinfection.<br />
Experts find that the most interesting features are:<br />
Integrated sensors<br />
Constant measuring of<br />
the environment<br />
Communication<br />
Complete control of<br />
the process<br />
Automated<br />
documentation<br />
Report submission<br />
after disinfection<br />
Nozzle design<br />
Homogenous<br />
dispersion<br />
10 year uptime guarantee includes<br />
CLICK FOR VIDEO<br />
• Change and repair of naturally worn parts<br />
• Yearly service and calibration of robot<br />
• Completion report submitted by SMS and e-mail from<br />
all disinfection processes<br />
• Alarm directly to the operator via SMS and e-mail in<br />
the event of anomalies<br />
• Visual confirmation on PC, tablet or smart phone when<br />
area is safe to use<br />
• Support & service on the customer robot, using GSM to log<br />
on to the unit<br />
• Support centre and customer portal for all customers<br />
• Yearly training of new personnel
PRODUCTS<br />
DECON-X DX1F – FLEXIBLE<br />
<strong>Decon</strong>-X DX1F is mobile and has a flexible nozzle<br />
on a 5 meter extended hose. Both nozzle and<br />
sensors are placed at the end of the hose.<br />
This unique feature makes it perfect for usage<br />
inside small contained areas.<br />
The robot is placed on the outside of the small<br />
room where disinfection is needed, and the<br />
retractable hose is pulled out of the robot and<br />
placed inside the area.<br />
The sensors embedded in the nozzle will control<br />
and detect the procedure as usual and send<br />
completion report or alarms to the user.<br />
The <strong>Decon</strong>-X web interface gathers information<br />
and saves historical data. Historical reports<br />
can be accessed by the owner by logging in<br />
to view user history of all units belonging to the<br />
same healthcare business.<br />
To see <strong>Decon</strong>-X solutions in action, click on the<br />
video links or visit www.deconx.com.<br />
CLICK FOR VIDEO<br />
AMBULANCE<br />
<strong>Decon</strong>-X DX1F is frequently<br />
used for disinfection of<br />
ambulances. The flexible<br />
hose can easily be passed<br />
in through the window.<br />
The inside of the ambulance<br />
and all areas where<br />
air flows will be disinfected.<br />
The method does not harm<br />
fabric or technical equipment;<br />
everything can be<br />
left in side the ambulance.
PRODUCTS<br />
DECON-X DX3 – FIXED<br />
<strong>Decon</strong>-X DX 3 is a fixed system for infection<br />
rooms at hospitals.<br />
At Sunnaas hospital outside Oslo (Norway’s<br />
largest state owned rehabilitation hospital),<br />
the first fixed in-room disinfection solution<br />
from <strong>Decon</strong>-X was delivered - and officially<br />
launched in January 2019.<br />
Once the patient has left the room, hospital<br />
staff makes simple preparations and visually<br />
confirms that there is no patient in the room.<br />
Then the system automatically locks the room,<br />
closes the ventilation system and disables the<br />
fire alarm sensor. The staff responsible does a final<br />
confirmation on the checklist on the system<br />
touch screen – outside the room – and starts<br />
the process. Sensors measure and report the<br />
process in real-time, and the built-in communication<br />
unit sends a report via SMS and e-mail<br />
to the user when the process is completed.<br />
Documentation and user safety<br />
The robot sends alarms and status reports<br />
directly to the user’s mobile phone (or e-mail),<br />
thereby eliminating user or system errors, and it<br />
documents that the process has been successfully<br />
completed. Unlike traditional disinfectants<br />
that are used by manual cleaning – and which<br />
rarely remove all microbes from the surface –<br />
the <strong>Decon</strong>-X method is also environmentally<br />
friendly and leaves no residues.<br />
CLICK FOR VIDEO<br />
INFECTION ROOMS<br />
<strong>Decon</strong>-X DX3 can be<br />
programmed from a panel<br />
outside the infected room.<br />
System illustration.
RESEARCH &<br />
Nofima (Norwegian Institute of Food, Fisheries and<br />
Aquaculture Research) tested the <strong>Decon</strong>-X method<br />
on Listeria in 2018.<br />
PARTNERS<br />
Preliminary Conclusions: “Full-room disinfection with H2O2<br />
mist produced by <strong>Decon</strong>x DX1 machine to eliminate<br />
L. monocytogenes has been validated in environments<br />
relevant to food production: The prototype was effective<br />
(> 99,999% killing) against four Listeria monocytogenes<br />
strains applied as humid droplets on stainless steel, under<br />
temperatures relevant to food production, in model<br />
experiments in Nofima’s experimental hall.”<br />
The report was published in International Journal of Food<br />
Microbiology in December 2018.<br />
Read the report at https://www.sciencedirect.com/science/article/abs/pii/S0168160518309322?via%3Dihub<br />
Link here.<br />
<strong>Decon</strong>-X focuses on sustainability, and local production,<br />
and complies with three of the United Nation’s Sustainable<br />
Development Goals:<br />
• Good Health and Well-Being<br />
• Safe Food-Production<br />
• Responsible Consumption and Production
DEVELOPMENT<br />
In January 2016 <strong>Decon</strong>-X was awarded<br />
research funding sponsored by the Research<br />
Council of Norway (https://www.forskningsradet.no/en/).<br />
The 4-year project was named<br />
“Next generation disinfection machine and<br />
new areas for automated disinfection” and<br />
was awarded within the programme of<br />
“Innovation Projects in Business” - BIA.<br />
The main partners in the project are Nofima<br />
(https://nofima.no/en/), Christian Michelsen<br />
Research (https://www.uib.no/en/<br />
research/75380/christian-michelsen-research-cmr),<br />
Gexcon (https://www.gexcon.<br />
com), and Sunnaas hospital (https://www.<br />
sunnaas.no/sunnaas-rehabilitation-hospital).<br />
The research projects have focused on<br />
verification and confirmation of the reduction<br />
effect on microbes in cold and moist areas –<br />
and to ensure optimal droplet size and even<br />
distribution of droplets within enclosed areas.<br />
The projects confirm and document a consistent<br />
removal of 99,9999% (Log6) of all bacteria,<br />
spores and viruses.<br />
During the research programme the method<br />
and the disinfection fluid has been tested and<br />
verified in Hamburg, Germany by Dr. Brill + Dr.<br />
Steinmann Institut für Hygiene und Mikrobiologie.<br />
«The documentation demonstrates that the product is effective against gram positive and gram<br />
negative bacteria, spores, viruses and fungi.»<br />
- The Norwegian Medicines Agency
CONTACT<br />
©DigitalSkap.no 2020<br />
Norway<br />
<strong>Decon</strong>-X International AS<br />
Vollsveien 13c<br />
1366 Lysaker<br />
+47 22 16 51 60<br />
post@deconx.com<br />
www.deconx.com<br />
Business registration number: 989 730 282<br />
We have representative offices throughout Europe.<br />
Please contact us for more information.