1. Field of the Invention
This application relates generally to a decontamination method and apparatus and, more specifically, to an apparatus and method for emitting ultraviolet light onto surfaces of a room for decontamination purposes.
2. Description of Related Art
Surfaces in rooms at healthcare facilities are commonly exposed to infectious organisms and other biologically-active contaminants (hereinafter generally referred to as “contaminants”) spread by the patients who occupy those rooms. These contaminants can remain viable on the contaminated surfaces to reproduce and infect others such as subsequent patients and/or visitors, for example, who enter the room and make contact with those surfaces. In an effort to prevent the spread of infections, healthcare facilities must conduct decontamination procedures in the rooms as frequently as possible.
One example of a room where such contaminants are prevalent is an inpatient hospital room. Surfaces such as tray tables, bed rails, and television remote controls frequently come into direct contact with patients during their stay in the room. These surfaces should be decontaminated frequently to avoid a buildup of contaminants and minimize the risk of spreading an infection from the patient to another person who may come into contact with the surfaces. However, manually decontaminating such rooms is labor intensive, requiring personnel to adhere to strict guidelines governing the use of liquid disinfectants. Further, depending on the surfaces being decontaminated, it may not be practical to provide the entirety of the surfaces with liquid disinfectants in compliance with those guidelines.
According to one aspect, the subject application involves a decontamination apparatus including a base, and a source that emits UVC light at a suitable intensity to at least partially decontaminate a target object and render the target object pathogen reduced. An adjustable support is coupled to the base and supports the source, the adjustable support including an adjustment mechanism that is manipulable to adjust a position of the source relative to the base. A range sensor senses a property indicative of a distance separating the source of UVC light from the target object to be rendered pathogen reduced. A controller is operatively connected to the source to control emission of the UVC light. The controller is in communication with the range sensor to receive a signal indicative of the distance separating the source from the target object as sensed by the range sensor and includes a variable component that establishes at least one of a duration of a decontamination process and the suitable intensity of UVC light as a function of the distance separating the source from the target object.
According to another aspect, the subject application involves a decontamination apparatus that includes a base, and a first arm adjustably coupled to the base to allow an orientation of the first arm to be adjusted relative to the base. The first arm includes a longitudinally-adjustable segment that allows a length of the arm to be adjusted. A first source is coupled adjacent to a distal end of the first arm, emits UVC light at a suitable intensity to at least partially decontaminate a first target object and render the first target object pathogen reduced. A controller is operatively connected to the first source to control emission of the UVC light onto the first target object.
According to yet another aspect, the subject application involves a decontamination apparatus that includes a base, and a source that emits UVC light at a suitable intensity to at least partially decontaminate a target object and thereby render the target object pathogen reduced. The source includes a UVC bulb that is operable to emit the UVC light, and a reflective shield arranged adjacent to the UVC bulb to reflect at least a portion of the UVC light emitted by the UVC bulb generally away from the target object in a focused direction, generally toward the target object. The reflective shield includes a plurality of arcuate regions, each extending about a different axis with a different orientation. An adjustable support is coupled to the base and supports the source. The adjustable support includes an adjustment mechanism that can be manipulated to adjust a position of the source relative to the base. A controller is operatively connected to the source to control emission of the UVC light by the source.
The above summary presents a simplified summary in order to provide a basic understanding of some aspects of the systems and/or methods discussed herein. This summary is not an extensive overview of the systems and/or methods discussed herein. It is not intended to identify key/critical elements or to delineate the scope of such systems and/or methods. Its sole purpose is to present some concepts in a simplified form as a prelude to the more detailed description that is presented later.
The invention may take physical form in certain parts and arrangement of parts, embodiments of which will be described in detail in this specification and illustrated in the accompanying drawings which form a part hereof and wherein:
Certain terminology is used herein for convenience only and is not to be taken as a limitation on the present invention. Relative language used herein is best understood with reference to the drawings, in which like numerals are used to identify like or similar items. Further, in the drawings, certain features may be shown in somewhat schematic form.
It is also to be noted that the phrase “at least one of”, if used herein, followed by a plurality of members herein means one of the members, or a combination of more than one of the members. For example, the phrase “at least one of a first widget and a second widget” means in the present application: the first widget, the second widget, or the first widget and the second widget. Likewise, “at least one of a first widget, a second widget and a third widget” means in the present application: the first widget, the second widget, the third widget, the first widget and the second widget, the first widget and the third widget, the second widget and the third widget, or the first widget and the second widget and the third widget.
Also disposed within the room 1 shown in
Rendering the surfaces “pathogen reduced” with the decontamination apparatus 10 does not necessarily require the subject surfaces to be 100% sterile, free of any and all living organisms that can viably reproduce. Instead, to be considered pathogen reduced, there must be a lower level of living contagions on the decontaminated surfaces capable of reproducing or otherwise causing an infection after performance of the decontamination process than the level that existed on the surfaces prior to performance of the decontamination process. For example, the exposed surfaces in the bathroom can be considered to be pathogen reduced if at least a 1 log10 reduction of such contagions on the surfaces remain infectious (i.e., no more than 1/10th of the biologically-active contagions originally on the exposed surfaces remain active or infectious at a time when the decontamination process is completed) occurs. According to yet other embodiments, the surfaces can be considered pathogen reduced once at least a 3 log10 reduction (i.e., 1/1,000th) of such contagions on the surfaces is achieved.
Generally, the decontamination apparatus 10 includes one or a plurality of sources 12 that direct a disinfecting agent toward the surface(s) to be rendered pathogen reduced, a redundant occupant sensing system that determines whether the room 1 is occupied or not, and a controller 16 that interferes with emission of the disinfecting agent by the source(s) 12 if the room 1 is, or becomes occupied based on a signal from the occupant sensing system. Each source 12 can be any apparatus that emits a disinfecting agent that, when exposed to the surfaces to render those exposed surfaces pathogen reduced. For the illustrative embodiments described herein and shown in the drawings, each source 12 is an ultraviolet source that is to be energized to emit UVC light as the disinfecting agent, and the surface to be rendered pathogen reduced is the tray table 5.
As shown, each source 12 includes at least one, and optionally a plurality of UVC bulbs 14 (
According to the embodiment in
The base 25 supports the arms 22 at a desired elevation above the floor 7 of the room 1. The base 25 supports the controller 16 that can be manipulated by a user to control operation of the decontamination apparatus 10 (e.g., independently control operation of each source 12 to emit UVC light, optionally to cause one source 12 to remain energized longer than another one of the sources 12), and optionally houses an on-board power supply such as a rechargeable battery bank 37 storing electric energy that can be used to energize the bulbs 14 and power the controller 16. Being relatively heavy, the battery bank 37 can be housed within a recess defined by a lower cap 39 of the base 25 comprising an arcuate bottom surface 41 that rests on the floor 7. The arcuate bottom surface 41 allows the decontamination apparatus to wobble, if necessary, to properly position the bulbs 14 for a decontamination process. The base 25, or another portion for the decontamination apparatus can optionally be provided with an accelerometer, tip sensor, gyroscope or other type of monitoring device that can sense when the decontamination apparatus 10 has been picked up, falls over, moved or otherwise disturbed. In such events, an active decontamination process can be terminated and a new decontamination process can be prevented from being initiated. The lower cap 39 can be threadedly connected to the base 25 so as to be removable, and optionally interchangeable. For removable embodiments, the lower cap 39 can be unscrewed from the base 25 to grant access to the battery bank 37. A depleted battery bank 37 can then be removed from the decontamination apparatus 10 and replaced with a charged battery bank 37. For embodiments where the battery bank 37 is integrated into the lower cap 39, the lower cap with the depleted battery bank 37 can be replaced in its entirety with another lower cap 39 with a charged battery bank 37. According to alternate embodiments, the decontamination apparatus can include a power cord that is to be plugged into an AC mains electric outlet supplied by an electric power utility to obtain the electric energy needed to power the decontamination apparatus 10.
The base 25 can also optionally be provided with a connector, shown in
The embodiments of the base 25 are described above as a static structure that supports the arms 22 at a desired elevation above the floor 7 of the room 1 and optionally housing a battery bank 37. However, alternate embodiments of the base 25′ are schematically shown in
The base 25′ can be converted from the stowed configuration to a deployed configuration, shown in
The reflective shield 18 in
To help with adjustment of the housing 20 and/or reflective shield 18, a focal indicator 40 can optionally be provided to the reflective shield 18 and/or housing 20. Locating the focal indicator 40 between the UVC bulbs 14 as shown in
The embodiment of the source 12 shown in
Further, one or a plurality of proximity sensors 58, interchangeably referred to as range sensors 58, can be arranged, optionally as an array, to sense a proximity of the housing, which is indicative of the proximity of the bulbs 14, to the tray table 5 or other object to be rendered pathogen reduced. For example, the proximity sensors 58 can sense light from a light source that is reflected from the tray table 5 to determine the approximate spacing of the housing and 20 and/or bulbs 14 from the tray table 5. Other embodiments of the proximity sensors 59 can utilize a sensed capacitance value to determine such a proximity. According to yet other embodiments, an ultrasonic range finder includes an ultrasonic transceiver that emits high-frequency sound waves (e.g., frequencies, such as those above 20 kHz, or otherwise above the upper limit of the human audio spectrum) and evaluates the echo which is received back by the sensor 58, measuring the time interval between sending the signal and receiving the echo to determine the distance to the object to be rendered pathogen reduced. Regardless of the technology utilized, arranging the proximity sensors 58 in an array or at least positioning one proximity sensor 58 at a known location promotes proper positioning of the bulbs 14 relative to the surface of the tray table 5 to achieve the desired level of decontamination utilizing a decontamination process with a predetermined duration. In other words, a scenario where one end of each bulb 14 is relatively close to the surface of the tray table 5 and the other, opposite end of each bulb 14 is relatively far from the surface of the tray table can be avoided through use of the proximity sensors 58. If a significant departure from the uniform spacing of the bulbs 14 from the tray table 5 is detected, a warning can be audibly broadcast from a speaker 61 provided to the controller 16, presented as the illumination of a LED on the controller and/or the offending source 12, etc. . . . to help the operator correctly orient the source 12.
According to other embodiments, the proximity sensors 58 can be utilized to ensure the source 12 is positioned close enough to the tray table 5 to achieve the desired level of decontamination during performance of the decontamination process. The controller 16 can optionally be configured to automatically (e.g., without human intervention directed specifically toward specifying the length of the decontamination process) adjust the duration of the decontamination process based, at least in part, on the distance separating the source 12 from the tray table 5. For example, the one or more proximity sensors 58 senses a distance separating the tray table 5 from the source 12, and transmits a signal indicative of this distance to the controller 16. Based on this signal, the controller 16 can determine the approximate value of the separation, and determine a length of the decontamination process such that the desired level of decontamination is achieved once the decontamination with the adjusted length is completed. As a specific example, based on the signal from the proximity sensor(s) 58, the controller 16 can determine whether the source 12, or at least the bulbs 14 are within eighteen (18 in.) inches of the tray table 5. If so, a range indicator 49 such as the LED shown in
The embodiments described above utilize one or a plurality of electronic proximity sensors 58 that use a sensed capacitance value, reflected light, reflected sound and the like to determine the distance separating the bulbs 14 from the tray table 5. However, other embodiments of the decontamination apparatus 10 can include a probe 58′ that can be used instead of, or optionally in addition to the proximity sensor(s) 58 to establish a separation of a suitable distance between the bulbs 14 and the tray table 5 surface to achieve the desired level of decontamination. The probe 58′ can be an elongated finger that is pivotally coupled to the housing 20. As the bulbs 14 supported adjacent to that housing 20 are being positioned relative to the tray table 5, the probe 58′ is pivoted relative to the housing 20 to extending toward the tray table 5, in a direction that is approximately perpendicular to a plane in which the bulbs 14 are arranged. Establishing contact between a distal tip 71 of the probe 58′ and the tray table 15 establishes a separation between the tray table 5 and the bulbs 14 that is a predetermined distance approximately equal to a length of the probe 58′.
In addition to, or instead of adjusting the duration of the decontamination process based on the proximity of the source 12 relative to the tray table 5, the controller 16 can be adapted to adjust the duration of the decontamination process based, at least in part, on the intensity of the UVC light emitted by the bulbs 14 as detected by the intensity sensor(s) 48. For example, if the source 12 is separated from the tray table 5 by a distance of less than 18 inches, but the intensity of the UVC light from the bulbs 14 has declined to a value of approximately 80% of the intensity of the UVC light originally emitted by the bulbs 14, when new, the controller cause the range indicator 49 to be illuminated yellow and set the duration of the decontamination process to be ninety (90 sec.) seconds.
For embodiments where the controller 16 is located remotely (e.g., not physically connected to or supported by the base or other portion of the decontamination apparatus 10) from the decontamination apparatus 10, the controller can optionally be supported on a wall of the room 1, for example. For such embodiments, the controller 16 can be wirelessly connected to communicate with a transceiver provided in place of the controller 16 on the decontamination apparatus.
The redundant occupant sensing system includes a plurality of sensors that each independently senses a different property indicative of the presence or absence of a room occupant. With reference once again to
Other sensors included in the redundant occupant sensing system can likewise be positioned at appropriate locations within the room 1, such as integrated into the controller 16, to detect other properties that would indicate the presence or absence of an occupant. Such other sensors can be discrete sensors, or integrated into a common sensor assembly, which can optionally be housed as part of the controller 16 as shown in
An example of another of the sensors included in the integrated sensor assembly of the redundant occupant sensing system is an immediate proximity sensor 51 that can detect the presence of an occupant within a predetermined distance from the decontamination apparatus 10 without making physical contact with the occupant. The proximity sensor can utilize any suitable technology such as an electromagnetic field or electromagnetic radiation (infrared, for instance), to determine the distance of an object such as an occupant from the proximity sensor 51 to determine whether the room 1 is occupied. Such a sensor operates by monitoring the electromagnetic field or evaluating the return signal for changes, which would be indicative of the presence of an occupant. Yet other embodiments can utilize an optical sensor that relies on reflected light or the interruption of a beam of light to detect the presence of an occupant, or a capacitive sensor that senses changes in the value of a capacitance sensed within a region of the room 1 where an occupant is likely to be located. Regardless of the sensing mechanism utilized, the proximity sensor signals transmitted to the controller 16 identify changes in the proximity sensor signal that indicate a change has occurred since an earlier proximity sensor signal was transmitted (e.g., when the proximity sensor 51 was normalized under known conditions, such as when the room was unoccupied and the decontamination apparatus 10 was initially powered on).
Another sensor that can optionally be included as part of the integrated sensor assembly is a sound sensor 55. The sound sensor can include a microphone or other sound-sensitive circuit that transmits a signal indicative of the magnitude and/or frequency of sounds audible within the room 1. Similar to the proximity sensor 51 and the other sensors of the redundant occupant sensing system, the sound sensor 55 is operatively connected to communicate with the controller 16 and transmit signals to the controller 16 that are interpretable to indicate changes in the sound level within the bathroom 1. These changes can be relative to the sound level within the room 1 at a time of an earlier sound level is measured, or when the sound sensor 55 is normalized such as when the system is initially powered on when the room is known to be unoccupied.
A light sensor 57 can also optionally be included as part of the sensor assembly to detect changes in light within the room 1. The light sensor 57 can include a photosensitive component such as a photodiode, charge coupled device, etc. . . . , that monitors the intensity of visible light and/or UVC light within the room. Again, a signal indicative of the sensed light levels within the room 1 is transmitted to the controller 16, which can determine whether a change in light level has occurred, which would suggest an occupant has entered the room 1. Contrarily, the light sensor 57 can also sense dramatic reductions in the light within the room 1, and optionally such reductions throughout the entirety of the room 1 (e.g., by utilizing a plurality of light sensors 57 facing different directions). The controller 16 can be initialized and configured to initiate the decontamination process under such circumstances, based on the assumption that the ambient lighting in the room 1 has been turned off when the last occupant has left as described below.
Further, a motion sensor 65 can also optionally be included in the sensor assembly to sense movement within the room 1. Such motion sensors 65 can be sense a property such as changes in the thermal signature at various locations within the room 1. Utilizing the temperature gradients to detect motion is advantageous in that inanimate movement in the room (e.g., a towel falling from a rack) will not trigger the motion sensor 65 to transmit a signal indicative of movement. Other embodiments of the motion sensor 65 include a photoelectric sensor that utilizes a beam of light or and laser that travels from a source to a detector. When an occupant crosses the path of light, the light is blocked and the sensor detects the obstruction. Such motion sensors 65 can optionally be positioned at particularly revealing locations such as approximately 1-3 ft. above the floor at the door 6, for example. Projecting a beam of light at such a location will almost certainly be broken if an occupant enters the room 1 through the door 6.
Certain embodiments of the decontamination system 10 will include at least one of the aforementioned sensors (door, proximity, sound, light and movement), and optionally a plurality, or all of these sensors. However, alternate embodiments can utilize any other suitable sensor(s) that can transmit a signal indicative of the presence of a living occupant within the room 1 without departing from the scope of the present disclosure. For example, a carbon dioxide sensor can be utilized to sense a change in the carbon dioxide level in the room 1 cause by an occupant exhaling. Other embodiments can utilize a heartbeat monitor that can remotely sense the pulses of a beating heart without making physical contact with an occupant. Yet other embodiments can utilize a pressure sensor operatively connected to the bed 4 to sense when an occupant is resting thereon, for example.
An illustrative embodiment of the controller 16 is shown in
According to alternate embodiments, however, the controller 16 can optionally be configured to operate in an occupied mode, in which the one or plurality of sensors of the occupant sensing system are deactivated to allow the sources 12 to remain active in the room 1 while the room 1 is occupied by a person. Under certain circumstances, personnel may where personal protective equipment (“PPE”) that shields their person from UVC light emitted by the sources 12. The PPE allows personnel to safely work in the environment of the tray table 5 or other surface being decontaminated while the decontamination apparatus 10 is operational without the risk of being exposed to significant levels of UVC light. In an effort to prevent operation of the decontamination apparatus 10 in the occupied mode, each person wearing PPE within the room 1 while the decontamination apparatus 10 is active can wear or possess a badge that can be wirelessly detected within the room 1 by the decontamination apparatus 10. Movement by personnel equipped with the badge can be ignored by the controller 16 such that the controller 16 will not prematurely terminate the decontamination cycle. If, however, movement is sensed outside of the vicinity of such a badge (e.g., movement occurs in a region of the room 1 where a badge is not also present or at least nearby), the controller 16 can determine that an unprotected occupant has entered the room and terminate the decontamination cycle. Thus, in use, personnel can optionally wear the PPE and activate the decontamination apparatus 10 in the occupied mode while continuing to safely work within the room 1 in which the decontamination apparatus 10 is located. Alternately, the decontamination apparatus 10 can be activated in a standard mode, either locally with a delay or remotely from outside of the room 1, and the decontamination apparatus 10 can remain active unless the controller 16 senses the presence of an occupant.
Following the expiration of the delay, each of the sensors included in the redundant occupant sensing system is normalized, indicating a state where it is assumed that the room 1 is unoccupied. If, at any time during the decontamination process any of the sensors senses a property that is indicative of a change from the state in which the sensors were normalized, the controller 16 determines that the room has become occupied, and immediately terminates the decontamination process. To identify the cause of termination, one or a plurality of labeled visible indicators 64 such as discrete LEDs, a liquid crystal display (“LCD”), or any other suitable notification device provided to the controller 16 can be activated. For example, the proximity indicator 66 can be illuminated to indicate that the proximity sensor triggered termination; the sound indicator 68 can be illuminated to indicate that the sound sensor triggered termination; the light indicator 70 can be illuminated to indicate that the light sensor triggered termination; the motion indicator 72 can be illuminated to indicate that the motion sensor triggered termination; and the door indicator 74 can be illuminated to indicate that the door sensor 54 triggered termination. The specific visible indicators 64 included as part of the controller 16 can correspond to the specific sensors present.
Rather than being activated remotely utilizing the fob 17 or locally with the delay, the decontamination apparatus 10 (specifically, the controller 16) can optionally be configured to initiate a decontamination process in response to sensing a change in the sensed light levels in its ambient environment according to alternate embodiments. For example, the controller 16 can optionally be initialized through pressing the start button 19 on the fob 17 three times in quick succession. In response to receiving such a communication from the fob 17, the controller 16 can enter a standby mode and sense the current light level in the room 1. In response to sensing a dramatic drop in the light level relative to the originally-sensed light level, the controller 16 can optionally sound an audible alarm during the delay before subsequently energizing the bulbs 14.
Regardless of the operational mode of the decontamination apparatus 10, if premature termination of the decontamination process occurs before the decontamination process is complete (e.g., before the UVC bulbs 14 have been illuminated for the time required to achieve the desired level of pathogen reduction), a cycle status indicator 75 can be illuminated in a manner indicative of such termination. For example, the cycle status indicator 75 can be illuminated red, and/or made to flash to call an operator's attention to the premature termination of the decontamination process. The manual pressing of a reset button 76 can be required by the controller 16 before the decontamination process can be restarted. Requiring the reset button 76 to be pushed will allow an operator to ensure that the condition resulting in termination of the decontamination apparatus has been cleared before resetting the controller 16. According to alternate embodiments, the cycle status indicator 75 can optionally be provided to the housing 20 of each source 12 as shown in
Premature termination of the decontamination apparatus can be saved in a log stored on a computer-readable medium (e.g., SD card inserted into SD card port 80 provided to the controller 16, built in hard drive or other non-transitory computer-readable medium provided to the controller 16, remote hard drive or other non-transitory medium remotely located over a hospital communication network) in communication with the controller 16. Such a log can maintain data concerning the cause of an interruption, a time of an interruption, information indicative of the specific room in which premature termination of the decontamination process occurred, and any other data pertaining to the decontaminated state of the room 1. Such data can be utilized to diagnose problems such as a faulty sensor included in the redundant occupant sensing system, and to promote regular decontamination of the room 1.
The controller 16 can optionally be configured to restart a prematurely-terminated decontamination cycle without manual user intervention. For example, once all of the conditions sensed by the sensors in the redundant occupant sensing system return to their normalized values, the controller 16 can initiate a timer to establish a restart delay. If all of the conditions remain at their normalized values for the duration of the restart delay, the controller 16 can automatically restart the decontamination process by once again activating the UVC bulbs 14 for the predetermined cycle time. This process of restarting the decontamination process can optionally be repeated until the decontamination process has been completed successfully. If an automatically restarted decontamination process is successfully completed, the cycle status indicator 75 can reflect the successful completion of the decontamination process.
In the absence of any conditions interrupting the decontamination process, the decontamination process will remain active, with the UVC bulbs 14 illuminated and the redundant occupant sensing system monitoring conditions within the room 1 for any changes that would indicate the entrance of an occupant for a predetermined cycle time. The predetermined cycle time can be manually input and programmed into the controller 16 via a timer input system 78 provided to the controller 16, or can be established through an administration terminal and delivered to the controller 16 via a portable computer-readable medium such as an SD card inserted into an SD card slot 80 provided to the controller 16.
According to alternate embodiments, actions such as adjusting the duration of the decontamination process and actions other than manually initiating the decontamination process can be carried out over a communication network from a remotely-located administration terminal. The cycle time can be independently established to a custom duration for each object to be decontaminated depending on factors such as the size of the room, the number and intensity of the UVC bulbs 14 to be utilized, the distance separating the source 12 from the surface being decontaminated, etc. . . . to achieve the level of decontamination desired to be achieved. For instance,
According to alternate embodiments, a default value that can be used for most installations can be utilized. The default value can be selected to be “overkill”, meaning that the default duration will be longer than required to achieve the desired level of decontamination for most installations based, at least in part, on assumptions about the size of the room, the number and intensity of the UVC bulbs 14 to be utilized, the distance separating the source 12 from the surfaces to be decontaminated, etc. . . . .
Once the decontamination process has been successfully completed, the cycle status indicator 75 can be illuminated as a solid (i.e., non-flashing) green color or otherwise notify an observer that the decontamination process has been successfully completed. Additionally, successful completion of the decontamination process can be logged on the computer-readable medium in communication with the controller 16, documenting a time when the room was last successfully decontaminated.
Illustrative embodiments have been described, hereinabove. It will be apparent to those skilled in the art that the above devices and methods may incorporate changes and modifications without departing from the general scope of this invention. It is intended to include all such modifications and alterations within the scope of the present invention. Furthermore, to the extent that the term “includes” is used in either the detailed description or the claims, such term is intended to be inclusive in a manner similar to the term “comprising” as “comprising” is interpreted when employed as a transitional word in a claim.
This application claims the benefit of U.S. Provisional Application No. 62/072,577, filed Oct. 30, 2014, which is incorporated in its entirety herein by reference.
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