Hydrogen Peroxide Vapor Technology & Applications Martin Orlowski © Bioquell Inc (2010). All rights reserved. Summary of Technology 2H2O2 Gas phase Catalytic decomposition 2H2O HYDROGEN WATER PEROXIDE VAPOR + O2 OXYGEN Not a cleaning product Repeatable & validatable process No pre/ de- humidification Residue free Safe- non carcinogenic Target specific solutions © Bioquell Inc (2010). All rights reserved. History of Hydrogen Peroxide Vapor First used in 1990’s for pharmaceutical industry aseptic process isolators Isolators use HEPA filters at inlet & outlet for protection Presently, 95% of aseptic process isolators use HPV for decontamination Demonstrates great material compatibility © Bioquell Inc (2010). All rights reserved. Isolator Sterilants 174 180 13 160 Peracetic Acid 6 140 Chlorine Dioxide 4 120 Alcohol Wipe(s) 3 100 Hydrogen Peroxide & Steam 1 80 Formaldehyde 1 Other 6 Hydrogen Peroxide Vapor (HPV) Hydrogen Peroxide Spray 60 40 20 © Bioquell Inc (2010). All rights reserved. Other Formaldehyde HP & Steam Alcohol Wipes Chlorine Dioxide Peracetic Acid 0 Hydrogen Peroxide Spray Ref; ISPE Barrier Conference 208 Hydrogen Peroxide Vapor (HPV) Total Technology Development Technology transfer ISOLATORS BIOMEDICAL & BIOLOGICS ROOMS, RABS © Bioquell Inc (2010). All rights reserved. Decontamination Chambers © Bioquell Inc (2010). All rights reserved. Rooms, Facilities © Bioquell Inc (2010). All rights reserved. Micro-biological Efficacy Demonstrating Bio- Burden Reduction is Crucial to a Decontamination Process Geobacillus stearothermophilus biological indicators Micro organism resistant to HPV Same challenge as steam sterilizers (6log10) Easy to handle © Bioquell Inc (2010). All rights reserved. Micro-biological Efficacy “Superbugs” Other bacteria 1. 2. 3. MRSA1 VRE1 Acinetobacter1 Pseudomonas3 Klebsiella1 Endospores C. difficile1 G. stearothermophilus2 B. subtilis2 B. anthracis2 Virus Mouse and Rat Parvo Influenza Fungus Aspergillus spores French GL, Shannon KP, Otter JA. Survival of nosocomial bacteria dried in air and killing by hydrogen peroxide vapour. 44th ICAAC, Washington DC, 2004. Rogers JV, Sabourin CL, Choi YW, Richter WR, Rudnicki DC, Riggs KB, Taylor ML, Chang J. Decontamination assessment of Bacillus anthracis, Bacillus subtilis, and Geobacillus stearothermophilus spores on indoor surfaces using a hydrogen peroxide gas generator. J Appl Microbiol 2005;99:739-748 Cabinet bio-decontamination trial. Centre for Applied Microbiology and Research (CAMR) (now HPA Business Division), Porton Down. March 1995. © Bioquell Inc (2010). All rights reserved. Material Compatibility Hydrogen Peroxide Vapor is compatible with most materials and is used for decontamination of: Rooms Isolators RABS Computers Microscopes and precise laboratory equipment The following materials should be avoided (if possible) : Soft, absorbent materials which will absorb chemical and reduce overall efficacy © Bioquell Inc (2010). All rights reserved. Bio Decontamination Process Just 3 Stages! Conditioning Internal Safety Checks System Heat Up Typically 10 minutes No pre/de- humidification required Injection Volume Specific Times Aeration System Dependent Optimized to Client Requirements © Bioquell Inc (2010). All rights reserved. Concentration / time graph Plateau: more HPV is added, but gas concentration no longer increases, hence must be laying down condensate HPV concentration Inflection point (dewpoint implied) - onset of rapid kill Dwell starts System reaches equilibrium (no further HPV added) Aeration starts Inactivation of micro-organisms Rapid decline in HPV concentration initially (from catalytic conversion) Gas concentration initially rises fast t=0* GASSING * Conditioning phase not shown (Vaporiser reaches temperature) Starts to slow Gassing DWELL Aeration stops starts © Bioquell Inc (2010). All rights reserved. AERATION TIME Schematic of dewpoint and kill dynamics Onset of rapid kill Only slight decline in BI population prior to dewpoint (D value: c. 2 hours) Rapid inactivation of BIs (D value: c. 2 minutes) Onset of dewpoint / micro-condensation Injection of HPV into the enclosure starts (t=0) TIME © Bioquell Inc (2010). All rights reserved. Thickness of c condensate Biological Indicator* (“BI”) survivors 6 log Importance of micro- condensation Ref: JPI Published ISPE 2008 © Bioquell Inc (2010). All rights reserved. Conventional Isolator Decontamination Valve Gas out Gas in Valve Inject H202 through inlet HEPA fliter and into the chamber while then pulling H202 back through exhaust HEPA Proven effective HPV Unit Watch gas distribution, and if necessary, aid with circulating fans Measure and control critical parameters © Bioquell Inc (2010). All rights reserved. Direct Injection Decontamination Inject gas directly into work area and pull back through HEPA filters Gas out HEPA Distribute the gas while still hot Gas in Rotating Nozzle Uniform gas Distribution HPV Unit Decreased cycle times Measure and control critical parameters © Bioquell Inc (2010). All rights reserved. Isolator/ Chamber Injection Nozzles Fixed Injection Nozzle Rotating Injection Nozzle © Bioquell Inc (2010). All rights reserved. Decontamination Chamber Inject H202 from generator through ports designed into chamber Exhaust is recommended to speed up aeration cycle © Bioquell Inc (2010). All rights reserved. Room Bio- Decontamination: Fixed Installation Rotating Gas Distribution Nozzle c/w sealed enclosure and access panel Supply hose trace heated & insulated Trace heated return line Gas generator placed external to room under bio-decontamination © Bioquell Inc (2010). All rights reserved. Mobile Solution © Bioquell Inc (2010). All rights reserved. Facility Decontamination Generators are placed in strategic locations throughout facility for gas distribution Monitor Temp, RH, and H202 concentration at multiple locations Used for outbreaks, pre-commissioning, etc. © Bioquell Inc (2010). All rights reserved. Safety! Containment Vapor not gas Easy to seal During Cycle Sensors inside target area Highly sensitive sensors outside area Post Decontamination Two sensors used to confirm area safe for re-entry No dangerous residue © Bioquell Inc (2010). All rights reserved. Safety! Two Key Exposure Limits P.E.L Permissible Exposure Limit: parts per million parts of air as an 8 hour time weighted average IDLH Immediately Dangerous to Life & Health: concentration of any toxic, corrosive or asphyxiant substance that poses an immediate threat to life or would cause irreversible or delayed adverse health effects or would interfere with an individual's ability to escape from a dangerous atmosphere Definitions: www.cdc.gov/niosh/idlh © Bioquell Inc (2010). All rights reserved. Safety Exposure Limits Exposure Level Formaldehyde Chlorine Dioxide HPV PEL 0.5 0.1 1.0 IDLH 20 5.0 75 Source: www.osha.gov © Bioquell Inc (2010). All rights reserved. Thank You, Questions? © Bioquell Inc (2010). All rights reserved.