MF #222/Rev. A

Case Medical Solutions Field Report

Confidential Communication for Date:

FACILITY / POINT OF CONTACT
ADDRESS / PHONE/EMAIL
CITY/STATE / DEPARTMENT
CORP CONTACT / CORP PHONE/EMAIL
BIOMED CONTACT / BIOMED PHONE/EMAIL
DATE INITIATED / REQUESTED BY
SALES REP / SERVICE REP
CLINICAL SUPPORT / QA ENGINEER

Initial Observations

Case Medical initially installed ______cleaners at ___ sinks, ___ sonic and ___ automated washers. Record observations here: ______For example,

(Upon arrival one sonic was drawing twice the amount of detergent needed and was adjusted to the recommended dilution rate of 0.25 oz/gal. The second sonic was drawing an excessive amount of product and could not be adjusted as the injector was malfunctioning. Our plan was to install in the second sonic once the sonic was repaired and properly calibrated. We observed that staff was applying many pumps of detergent into the sink and that the detergent was a very dark blue and devises within couldn’t be seen.

TOSI wash indicators as well as Case Soil indicators were not clearing at the automated washers indicating failurewhen the existing competitor product was used.)

As a worst case scenario for validation of sonic and washer effectiveness, the wash indicators were used when a full load of soil trays were processed. Case Medical protein detector was also applied to determine the extent of non visible protein residuals.

Pre-Installation assessment

Water Quality Analysis

Total dissolved solids (TDS) -_____

Conductivity (or specific conductance) -_____microSiemens (uS/cm)at temperature______

Hardness - __ PPM

pH – _____

Current detergents Used

______Sinks/Sonics

______Washers

SINK

Total amount of gallons of water at the sink per cycle: __ gallons

Was proportioner, hand pump or other used at the sink? Identify ______

Staff is dispensing ___ oz/gal or ___ applications at least.

SONIC A

Water used per cycle:____ gallons

Detergent used per cycle:____ ml (____US fluid oz)

____ oz / _____ gal =_____ oz/gal

SONIC B

Water used per cycle:____ gallons

Washer #1 – UNIT # ______

Washer settings:

  1. MOTOR SPEED = ______
  2. PRE-WASH1
  3. RECIRCULATION TIME =_____ min
  4. WATER TEMP = _____
  5. ENZYME WASH
  6. SOAKING TIME = _____ min
  7. WATER TEMP =_____
  8. PUMP 1 – WASH 1 (DETERGENT WASH)
  9. RECIRCULATION TIME =_____ min
  10. HEATED AT =_____ F
  11. RINSE 1
  12. RECIRCULATION TIME =_____ min
  13. WATER TEMP = _____
  14. THERMAL
  15. RECIRCULATION TIME =_____ min
  16. HEATED AT =_____ F
  17. DRYING
  18. TIME =_____ min
  19. HEATED AT =_____ F

Note: Washers dilution rate might be measured in minutes, seconds, ml/L depending on the machine

Washer #2 – UNIT # ______

Washer settings:

  1. MOTOR SPEED = ______
  2. PRE-WASH1
  3. RECIRCULATION TIME =_____ min
  4. WATER TEMP = _____
  5. ENZYME WASH
  6. SOAKING TIME = _____ min
  7. WATER TEMP =_____
  8. PUMP 1 – WASH 1 (DETERGENT WASH)
  9. RECIRCULATION TIME =_____ min
  10. HEATED AT =_____ F
  11. RINSE 1
  12. RECIRCULATION TIME =_____ min
  13. WATER TEMP = _____
  14. THERMAL
  15. RECIRCULATION TIME =_____ min
  16. HEATED AT =_____ F
  17. DRYING
  18. TIME =_____ min
  19. HEATED AT =_____ F

Note: Washers dilution rate might be measured in minutes, seconds, ml/L depending on the machine

Post-Installation assessment

Observations

For example:

(Adjustments were made to reduce the amount of product drawn. Temperature was adjusted for the detergent wash cycle in the automated washer. Cycle times were increased to attain a successful outcome. All TOSI and Case Soil wash indicators cleared. The amount of product dispensed at the sink was reduced by a factor of 4 (from 1 oz/gal to 0.25 oz/gal). The product used at the SONIC A was reduced by a factor of 4 (from 1 oz/gal to 0.25 oz/gal).

Note: SONIC B was not installed as it was drawing an uncontrolled amount of product. Once the injector is repaired and calibrated we will install.)

Case Solutions/ SuperNova products used

PentaPrep Multi-Enzyme Pre-Soak Spray___OR/Decomtam (Ready to use pre-cleaner)

SuperNova.___ Multi-EnzymaticCleaner___Sinks/Sonics/Washers

SuperNova.___NpHDNeutral Detergent___Washers

Lubricant ___Washers/manual

Wipes___Manual

Ink and adhesive remover___Manual

SchmutzOff___Descaler and reconditioner

Case Dry___CaseCarts

Case Soil Indicator___Wash monitor

Case Soil Detector___Protein residual indicator

Brushes___Manual cleaning

For NovaPlus Products, identify below:

Precleaner______EnzymaticCleaner ______Detergent______Lubricant______Wipe______Other______

SINK

Total amount of gallons of water at the sink per cycle: ___ gallons

Staff using hand pump and dispensing ____ oz/gal or ____applications.

SONIC A

Water used per cycle:____ gallons

Detergent used per cycle:___ ml (____ US fluid oz)

____ oz / ____ gal =____ oz/gal

SONIC B

Water used per cycle:____ gallons

On hold until repaired

AUTOMATED WASHERS (NEW SETTINGS)

Note: Temperature and time were adjusted to clear wash indicators.

For Example:

(In total,______additional minutes were required or reduced to achieve a successful outcome.)

New settings are notated below:

Washer #1 – UNIT # ______

Washer settings:

  1. MOTOR SPEED = ______
  2. PRE-WASH1
  3. RECIRCULATION TIME =_____ min
  4. WATER TEMP = _____
  5. ENZYME WASH
  6. SOAKING TIME = _____ min
  7. WATER TEMP =_____
  8. PUMP 1 – WASH 1 (DETERGENT WASH)
  9. RECIRCULATION TIME =_____ min
  10. HEATED AT =_____ F
  11. RINSE 1
  12. RECIRCULATION TIME =_____ min
  13. WATER TEMP = _____
  14. THERMAL
  15. RECIRCULATION TIME =_____ min
  16. HEATED AT =_____ F
  17. DRYING
  18. TIME =_____ min
  19. HEATED AT =_____ F

In summary:

A significant amount of product was reduced for the sink and sonic at a significant cost savings. Where automated washers were not passing the wash indicators at all, after installation all coupons cleared and no detectable protein residue was found.

No changes were made to existing settings. If adjustment is needed, identify.

For example:

(Temperature was increased for the detergent wash cycle. Seven minutes were added in total to the automated washer to pass replicate cycles.

All coupons tested after processing with protein detector showed no blue coloration, the marker for retained protein residuals.)

All product and equipment were adjusted for maximum effectiveness and cost savings. A projected savings of $______per year over existing product was calculated based on current spend, dosing and volume of product required.

Presented to:______Date:______

Presented by:______Date:______

Issued by: MF, SMRevision: A

First Issue Date: 01/14/2016Revised by:Revision Date:

File: QC\QC\Master Forms\MF#222Approved by: HGApproval Date: 01/14/2016