CISA

CONCEPT
Globo with Shredding 4212
An innovative system that uses
saturated steam as a sterilization
agent to kill micro-organisms
and effectively inactivate medical
waste
CISA solution for infection control in medical waste.
A new system of managing hospital and laboratory
bio-hazard waste, with Aquazero pump integrated in-
side to reduce consumption at the lowest reachable
level today.
Overview
The CONCEPT system developed by CISA treats the
hospital medical waste, which presents a high bio-
logical risk, using saturated steam as a sterilization
agent able to kill micro organisms with a microbial re-
duction up to 10-6. It is an innovative system, totally
automatic, that combines high technology and quali-
ty. It eliminates the contamination risks for people and
the environment, reducing its volume and making it a
non-hazardous waste. After the treatment, the waste
is not recognizable, it is clean and can be disposed as
a household waste.
All medical waste, such as needles, syringes, bandag-
es, gauze, blades, glass, catheters, blood and urine
bags, tubes, cannula, cultures, placentas and others,
can be treated by the system for waste management.
The reduction of volume at the end of the treatment
process approximately equal to 60-80% of the input
volume, minimizing the disposal costs and reducing
the impact on the environment.
Highlights
• Shredding before treatment
• Recommended for hospitals and clinics
• Recommended for medium productivity
• One equipment for a complete treatment
• Pass-through design possibility
System description
The system is composed by a shredder and a sterilizer
placed in series, one on top of the other in a unique
cabinet. The wastes, packed at the source in form of
cardboard boxes or bags, are placed directly inside the
shredder’s hopper.
The treatment operations
• operator places the waste inside the loading
window directly inside the shredder’s hopper,
opening the loading door. The wastes are
processed by automatic shredding cutting
them in small pieces (in order to ease the steam
penetration inside the machine) and let fall by
gravity in the sterilization chamber. Once the
chamber achieves a complete loading (the waste
volume is measured by a sensor), the shredder
stops its activity and the sterilizer starts the
sterilization cycle.
• The operator starts the chosen cycle on the
touch screen placed on equipment frontal side.
• The system starts the sterilization cycle
automatically.
• When the cycle is over, the bottom door opens
automatically and the sterilized waste falls down
and is gathered inside a pull-out tray.
• The operator transfers the processed waste to
a containment method of his choice and can
dispose of it like urban waste or according to the
local laws.
Sterilization cycle
The waste is treated with high-pressure saturated
steam and a cycle temperature of 134°C or 138 °C.
Both cycles are pre-programmed with pressure at 3.1
- 3,5 bar (absolute pressure) and sterilization phase
time from 5 - 10 minutes. It is possible to program oth-
er types of cycles using the touch-screen panel.
AQUAZERO®
Vacuum pump system
The new technology for the steam sterilization: no wa-
ter consumption, energy savings, cost savings and
high quality process in a reduced time. A technical
solution that revolutionizes one of the cardinal points of
the traditional sterilization process.
AQUAZERO by CISA is a system for the production
of vacuum that does not require water to work and
allows the equipment to perform inactivation cycle un-
der vacuum conditions, guaranteeing extremely fast
performances.
Compared to traditional methods of liquid ring pump it
presents considerable advantages, including:
NO CONSUMPTION OF WATER FOR THE PRODUC-
TION OF VACUUM
NO EQUIPMENT DOWNTIME relative to the mainte-
nance, repair or replacement of the liquid ring vacuum
pump subject to aggression of hard water.
Shredding
The waste reduction system is composed of a two-
shaft shredder with rotating blades and spacer combs,
designed for maximum productivity and regularity of
operation, with tools in highly alloyed, highly wear re-
sistant steel. Thanks to the high torque available and
the shape of the milling unit, it is possible to shred bod-
ies of different materials.
The material coming out from the shredder is mixed
and becomes unrecognisable. In particular, the device
can treat: hospital waste (bandages, gauze, cotton,
syringes, boxes or plastic/glass bottles), small piec-
es of wood, plastic films, plastic in general, carpets,
gloves and bones.
This system does not allow treatment of the following
materials: metal pieces thicker than 1.5 mm, metal
implants (titanium, aluminium, stainless steel or resin)
and metal cylinders. To ensure effective treatment of
the waste, the introduction of liquids in higher propor-
tions of the one such as the solid wastes, is not rec-
ommended.
Shredder disinfection
the machine is equipped with an internal system for
steam disinfection of the parts that are in contact with
the waste (such as the shredder). This system is active
throughout the cycle and starts automatically in case
of alarms and/or irregular termination of a cycle.
Sterilization chamber
CONCEPT system has a capacity of 300 litres with a
production capacity of ~70 kg/h considering an aver-
age density of 0.1 kg/l (100kg/m3). The sterilization
chamber is of medical equipment grade: composed
of a vertical sterilization chamber made of AISI 316L
highly polished stainless steel of a thickness adequate
for pressure (-1 to 3.5 bar) and for high working tem-
perature (up to 148°C), resistant to corrosion and ther-
mo-mechanical stress. It has a jacket is made of AISI
316L stainless steel that guarantees solidity to cham-
ber and, at the same time, has an enhanced surface
for thermal exchange.
The chamber has two horizontal sliding doors, con-
structed of AISI 316L stainless steel, automatic opening.
Heating versions
The machine can work with built-in steam genera-
tor (model E) or external steam from external source
(model V), or combined between internal steam gener-
ator and external source (model EV).
Microprocessor control system
PLC - Microprocessor control system with external
communication ports. The equipment includes a PLC
system for complete automatic control, that manag-
es the entire treatment process and all of the system
functions.
User interface
The HMI is a colour touch screen in standard size of 7
inches. The screen enables navigation through multiple
pages.
Printer
The alphanumeric printer, installed on the control pan-
el, has 24 columns for recording messages and pa-
rameters for the execution of the cycles.
Maintenance access
The machine has a wide interior, thanks to the well-re-
searched positioning of the components, which allows
easier maintenance. The shredder, on top of the au-
toclave, can be moved easily in way to grant access
inside the chamber.
Hydraulic system
The hydraulic system is made of stainless steel pipes
and components. The main lines are made with Clamp
connections for better and proper maintenance and to
ensure a quick inspection. The pipes are insulated with
a special shielding to reduce the thermal dispersion
into the environment.
Panel enclosure
The machine is covered by a panel system to prevent
the operator getting in contact with the internal equip-
ment plant and the waste. The panels are made of
brushed stainless steel resistant to corrosion of clean-
ing detergents; the front part and the upper part are re-
movable for easy access for maintenance operations.
Drain cooling device
All discharges are conveyed in a stainless steel pipe
with thermostatic system to control the temperature at
the exhaust.
Exhaust and vent filters
In the vacuum phase, the effluent removed from the
chamber, contaminated by infective wastes, passes
through a high efficiency filter. This 0.2 micron filter that
protects the vacuum pump from waste contamination
is sterilized by steam before its removal. There is an-
other 0.2 micron filter inside the machine, used for the
injection of sterile air and for recovery of atmospheric
pressure within the sterilization chamber at the end of
the process.
Green environment
The system is completely ecological, thanks to the re-
liable functioning and it does not release polluted air
nor emits polluting substances. The system, while run-
ning is almost silent and produces low heat emissions
thanks to the enhanced insulation steam generator
and pipes.