Functional Design Targets !Hospital Infection Control!

2017 Healthcare Surfaces Summit

Max Munn, CEO and FounderMunnworks, LLC

Problem:Sinksinhospitalbathroomsaremajorsourceofmicrobesthatcauseinfec7on.

•  7of8sinksintheisola7onroomsoftheICUwerefoundtobeCPEcontaminated.•  An#microbialResistance&Infec#onControl,•  Published:16February2017,

hBps://doi.org/10.1186/s13756-017-0182-3•  TeenSavedbyTransplant,KilledbySuperbugatNIHHospital•  Outbreakresponsibleforkillingmul#plepa#ents

atthefacility•  StudyTracksHowSuperbugsSplashOutof

HospitalSinkDrains•  NBCNews:

hBp://www.nbcnews.com/health/health-news/teen-saved-transplant-killed-superbug-nih-hospital-n225496

•  SpreadfromtheSinktothePa7ent•  UsingGreenFluorescentProtein(GFP)toModel

BacterialDispersionfromHand-WashingSink-TrapReservoirs

•  UniversityofVirginia,Mar31,2017,•  hBps://www.ncbi.nlm.nih.gov/pmc/ar#cles/PMC5377511/

Lightshowingthebacteriainahospitalbathroomsink

www.munnworks.com

EconomicImpact

•  Impactofhealthcareassociatedinfec7on(HAI)•  4to5%ofthepa#entswhoenterahealthcarefacilitywillacquireaHAI•  Resul#nginanes#mated75,000to100,000deathsperyear•  Atleast50%ormoreoftheseinfec7onsarepreventable.

•  Costcomponents•  Since2009,CentersforMedicaid/MedicareServices(CMS)nolongercoversthehealthcarecostsforHAI

•  Healthcarefacili#esareresponsiblefortheHAImedicalcostsnotcoveredbyinsurance

•  In2011,CMSbegantoalsolevyafineforhighinfec7onrates.•  HAI’sextendthepa#ent#meinthefacility,thuslossofthatbedduetoextendedstay

•  Es7mateofHAIcoststohospitals•  InU.S.hospitalsalone,HAIsinfect1in20pa#entsandtheresultisanes#mated$35.7billionto$45billioninexcessmedicalcosts(RMKlevens,2007)•  Thefinancialbenefitofusingpreven#onprac#cesises#matedtobe$25billionto$31.5billioninmedicalcostsavings.(RDScoB,2009)

www.munnworks.com

Issueswithtypicalhospitalbathroomsinkstoday

•  Impossibletocleanallareasbehindfaucetespecially#leinbackofsinkanddrain

www.munnworks.com

•  Lastbutnotleast,ourdisinfec#ngbacklitmirror,withaligh#ngcolorat2700K,enhancesone’sappearance

•  Ofentoiletlocatedwithincloseproximityofsinkandcountertopsaddingmicrobialcontamina#on

Expertcollabora7onhasresultedinauniquesolu7on

www.munnworks.com

•  Highlyregardedasaninterna#onalleaderinarchitectureforhealthcare

•  “MostAdmiredFirm”byInteriorDesignmagazine3yearsinarow

•  75awardsforhealthcareinpast10years•  Lookingforabacklitmirrorforpa#entroomsthatprovideseaseofmaintenanceandcomplieswithinfec#oncontrolrequirements

•  Designerandmanufactureroffinemirrors(www.munnworks.com)

•  Withafocusondesignandanunderstandingofthesurfacepathogenissue,thedevelopmentofthisbacklitdisinfec#ngmirrorwasenabled

•  Reduceunacceptablyhighlevelofcontamina#ononcountertops,sink,drain&backsplash•  Mirrorillumina#onthatenhancestheappearanceoftheviewer•  Designadisinfec#ngmirrorto

•  Addressthecri#calissueofinfec#oncontrol•  Createahomeorhotellikeatmospherethatwasmorehospitable

NBBJ Sea(le MunnWorks &

Objec7ves

Result:TheDisinfec7ngMirror•  Style

•  Servesasabothawallmirrorandligh#ngfixture

•  Aesthe#callypleasing•  Easytoinstall

•  Func7on•  Provides99.99%destruc#onof

pathogens(Suppor#ngdatatofollow)•  Whenusedforapproximately2

hoursovera24-hourperiod.•  Easilyaccessibleformaintenance&

cleaning•  Mirrorandelectronicchassison

hinge•  En#relysafe•  Variable#mingop#onsavailable

www.munnworks.com

UVLEDLIGHTON UVLEDLIGHTOFFwww.munnworks.com

THEPOWEROFUVLEDDISINFECTION:

•  Disinfec#onperformanceisafunc#onoftheUVdoseappliedtothemicro-organism:dosebeingtheproductofUVpowermul#pliedby#me.

•  Notallmicro-organismsrespondtoUVlightinthesameway,asshowninthegraphtotheright.Forexample,tokill99.99%(4-log)ofE.coli,roughly5mJ/cm2isrequired(or,putanotherway,5mW/second/cm2).

•  However,if#meisnoconstraint,wecankill99.99%ofE.coliwithjust0.08mW/cm2inonlyoneminute!

AbovegraphprovidedbySensorElectricTechnology,Inc.

www.munnworks.com

Result:TheDisinfec7ngMirror

•  SinkHandles•  Clostridiumdifficile(Cdiff)

•  >99.99%afer1hrexposure•  Methicillin-resistantStaph.aureus

(MRSA)•  >99.99%afer30min

•  SinkBasin•  Cdiff

•  >99.99%afer2hr•  MRSA

•  >99.99%afer1hr

•  SinkEdge•  Cdiff

•  >99%afer2hr•  MRSA

•  >99%afer1hr•  Note:E.ColidatasimilartoMRSA ResinnovaLaboratories

MaBhewHardwick,PHD

www.munnworks.com