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 in an unoccupied room.
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 contaminants are most prevalent is the bathroom located in inpatient hospital rooms. Surfaces in such bathrooms frequently come into direct contact with patients and their bodily fluids, resulting in an increased likelihood that contaminants will be present on the surfaces in bathrooms. Accordingly, the bathroom in inpatient hospital rooms should be decontaminated frequently to avoid a buildup of contaminants and minimize the risk of spreading an infection from one patient to another patient subsequently admitted to an inpatient hospital room or even a visitor or hospital personnel. However, manually decontaminating such bathrooms is labor intensive, requiring personnel to adhere to strict guidelines governing the use of liquid disinfectants. Such procedures also render the bathroom unavailable for one or more patients admitted to the corresponding inpatient hospital room for a prolonged period of time, which makes them impractical to conduct during the day when patients are most likely to use the bathroom. And conducting such decontamination procedures at night may disrupt patients, causing them to lose sleep that they may need to recover.
According to one aspect, the subject application involves a decontamination apparatus for decontaminating an enclosed room. The decontamination apparatus includes a source including a UVC bulb and a reflective shield arranged adjacent to the UVC bulb and configured to reflect UVC light emitted by the UVC bulb toward a region of the enclosed room to be decontaminated. A mounting system that is adjustable secures the source at a desired location within the enclosed room. A controller is operatively-connected to the source to terminate operation of the UVC bulb in response to a determination that an occupant is present within the enclosed room.
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 bathroom 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 a source 12 of a disinfecting agent, a redundant occupant sensing system that determines whether the bathroom 1 is occupied or not, and a controller 16 that interferes with emission of the disinfecting agent by the source 12 if the bathroom is occupied based on a signal from the occupant sensing system. The source 12 can be any apparatus that emits a disinfecting agent that, when exposed to the surfaces in the bathroom, renders those exposed surfaces pathogen reduced. For the illustrative embodiment shown in
As shown, the source 12 includes at least one, and optionally a plurality of UVC bulbs 14 coupled to a reflective shield 18 mounted within a housing 20. The housing 20 can be pivotally coupled to at least one, and optionally a plurality of mounting rods 22 or other supports that allow for pivotal adjustment of the housing 20 about a rotational axis in the directions indicated by arrow 21. At least one of the mounting rods 22 can have an adjustable length, which can be accomplished by including an external member 24 that telescopically receives an internal member 26. A spring and/or threaded member extending between the external and internal members 24, 26, or any other suitable biasing mechanism urges the internal member 26 out of the external member 24. The force exerted by the biasing mechanism is suitable in magnitude to support the housing 20 between the mounting rods 22 extending between opposing walls 28, 30 or other structures of the bathroom 1. According to alternate embodiments, brackets can extend between the ceiling 32 of the bathroom 1 and the housing 20 to suspend the housing 20 within the bathroom 1. For such installations, and any others where the decontamination apparatus 10 is added to an existing bathroom 1 instead of being installed as a built in fixture, and plugged into an electrical outlet 25 supplied by an electric power utility, the housing 20 is generally supported at an elevation vertically below the ceiling 32. However, according to alternate embodiments, the housing 20 can be integrally installed as a built-in, fixed installation at least partially recessed within the ceiling 32 (e.g., requiring adaptation or configuration of the ceiling 32 to accommodate the housing 20 as a recessed installation), and hard wired into in-wall electric circuitry and/or wiring, optionally connected to the controller 16 installed on a wall 28, 30 as a switch installation, as discussed below.
The reflective shield 18 includes an arcuate region 34 that reflects UVC light emitted upwardly from the bulbs 14 in a downward direction, generally into the bathroom 1 where the light can impinge on the surfaces to be decontaminated. The arcuate region 34 can include a curvature in multiple planes to achieve the desired light pattern for the bathroom 1. For example, the arcuate region 34 can include a plurality of regions that each have a different radius of curvature, or reflect UVC light emitted from the same source in a plurality of different directions. Accordingly, the reflected UVC light with different angles of incidence on the reflective shield 18 can be focused toward a particular region within the bathroom 1, and/or dispersed to ensure thorough coverage of the interior of the bathroom 1.
As shown in
To help with adjustment of the housing 20 and/or reflective shield 18, a focal indicator 40 can be provided to the reflective shield 18. Locating the focal indicator 40 between the UVC bulbs 14 as shown in
The embodiment of the source 12 shown in
Regardless of the configuration of the UVC bulbs 14, 44, the source 12 can optionally include an intensity sensor 48 (
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 bathroom occupant. With reference once again to
Other sensors included in the redundant occupant sensing system can likewise be positioned at appropriate locations within the bathroom 1 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 58 as shown in
An example of another of the sensors included in the integrated sensor assembly 58 of the redundant occupant sensing system is a proximity sensor that can detect the presence of an occupant 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 a bathroom occupant from the proximity sensor to determine whether the bathroom 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 a bathroom 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 a bathroom occupant, or a capacitive sensor that senses changes in the value of a capacitance sensed within a region of the bathroom 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 was normalized under known conditions, such as when the bathroom is unoccupied).
Another sensor that can optionally be included as part of the integrated sensor assembly 58 is a sound sensor. The sound sensor can include a microphone or other sound-sensitive circuit that transmits a signal indicative of the magnitude and/or frequency of audible sounds sensed within the bathroom 1. Similar to the proximity sensor and the other sensors of the redundant occupant sensing system, the sound sensor 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 bathroom 1 at a time of an earlier sound level is measured, or when the sound sensor is normalized such as when the system is powered on when the bathroom is knowingly unoccupied.
A light sensor can also optionally be included as part of the sensor assembly 58 to detect changes in light within the bathroom 1. The light sensor 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 bathroom. Again, a signal indicative of the sensed light levels within the bathroom 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 bathroom 1.
Further, a motion sensor can also optionally be included in the sensor assembly 58 to sense movement within the bathroom 1. Such sensors can be sense a property such as changes in the thermal signature at various locations within the bathroom 1. Utilizing the temperature gradients to detect motion is advantageous in that inanimate movement in the bathroom (e.g., a towel falling from a rack) will not trigger the motion sensor to transmit a signal indicative of movement. Other embodiments of the motion sensor 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 can optionally be positioned at particularly revealing locations such as approximately 1-3 ft. above the floor at the door 5. Projecting a beam of light at such a location will almost certainly be broken if an occupant enters the bathroom 1 through the door 5.
Certain embodiments of the decontamination system 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 bathroom 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 bathroom 1 cause by an occupant exhaling. Other embodiments can utilize a heartbeat monitor that can remotely sense the impulses of a beating heart without making physical contact with an occupant. Yet other embodiments can utilize a pressure sensor operatively connected to the toilet 2 to sense when an occupant is seated thereon, or a water sensor to sense when a valve provided to the sink 4 has been opened to allow water to run.
An illustrative embodiment of the controller 16 is shown in
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 bathroom 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 bathroom 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.
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.
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, a time since the last successfully-completed decontamination process, and any other data pertaining to the decontaminated state of the bathroom 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 bathroom 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.
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 bathroom 1 for any changes that would indicate an occupant has entered 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 bathroom 1 depending on factors such as the size of the bathroom, 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. . . . to achieve the desired level of decontamination to be achieved. 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 bathroom, 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 bathroom was last successfully decontaminated.
The manual procedure of initiating and conducting a decontamination process described above can be one of a plurality of operational modes. The decontamination system 10 can also optionally be configured to conduct a decontamination process according to a defined schedule. For example, a timer 82 provided to the controller 16 can be programmed to initiate the decontamination process at a set time, such as 1:00 AM, local time. At that set time, the decontamination process can proceed as described above for the manually-initiated process.
Another configuration of the controller 16 includes using the timer 82 to define a window of time during which the controller 16 will allow the decontamination process to be initiated. For example, the timer 82 can be programmed to allow the decontamination process to be initiated only between the hours of midnight and 5:00 AM, local time, each night. Thus, even if the start button 60 is pressed outside of this window, the controller 16 will not initiate the decontamination process. But within the permissible window of operation, the decontamination process can be initiated manually, and/or the redundant occupant sensing system can continuously monitor conditions within the bathroom 1 to determine when the bathroom has been unoccupied for at least a predetermined period of time (e.g., for at least 10 minutes). Once such a delay has expired, the decontamination process can be automatically initiated by the controller 16.
The decontamination system 10 can also optionally be configured to initiate a decontamination process at a predetermined frequency, and/or based on usage of the bathroom 1. For example, the controller 16 can be configured to initiate a decontamination process every X hours, where X can be any desired period of time such as 8 hours, 24 hours, 48 hours, etc . . . , conditioned on the premise that the redundant occupant sensing system determines the bathroom 1 is unoccupied. As an example of decontamination based on bathroom usage, the redundant occupant sensing system can continuously monitor the status of the bathroom 1 from a time at which the decontamination system is powered up. When an occupant enters the bathroom 1, the changes sensed by the redundant occupant sensing system will indicate that the bathroom 1 is occupied. However, the changes will eventually revert to their normalized values once the occupant leaves the bathroom 1. In response to determining the occupant has left based on the signals from the redundant occupant sensing system, or after a predetermined time has elapsed since the controller 16 determined the occupant has left the bathroom 1, the controller 16 can initiate a decontamination process. Such a use-based example can also optionally be restricted to occur only during a permissible window of time such as that described above.
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.
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20180055964 A1 | Mar 2018 | US |
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62053846 | Sep 2014 | US |
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Parent | 15209337 | Jul 2016 | US |
Child | 15790467 | US | |
Parent | PCT/US2015/051660 | Sep 2015 | US |
Child | 15209337 | US |