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Decon-X Preventing Infections

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.

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