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Metan Green Environment & HealthEngineering & Consultancy Presents

ENVIRONMENTAL FRIENDLY AND ECONOMICAL

HEALTHCARE WASTE STERILIZATION PROPOSAL

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METAN & AKAR PRESENTS• MEDICAL WASTE MANAGEMENT PROJECT

PROPOSAL• Presented by ; Dr. Cemal Kaldirimci

Chemical Engineer, Managing Director• Address: Mustafa Kemal Mah. Baris Sitesi 2089 Sok.

No: 6 06690 Cankaya-Ankara/ TURKEY• Tel:+90 (312) 285 70 65 Fax: +90 (312) 285 95 30 • GSM: +90 (5325) 454 90 77• cemal@metan.com.tr, info@metan.com.tr• www.metan.com.tr

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Let Us Remember, How Hospital Waste is Segregateded

Healthcare Waste(100 %)

Non-Risk Waste( 80 %)

Risk Waste( 20 %)

Medical Waste( 14,5 %)

• Infectious w.• Hospital w.• Pathological w.

Chemical Waste( 5 %)

Recycling ( 40 %)

Other Waste( 0,5 %)

Refuse( 40 %)

• Photo-Chemicals• Pharmaceuticals•Other Chemical w.

• Radioactive w.• Cytotoxic w.

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Healthcare Waste (HCW)

Healthcare Risk Waste (HCRW) 10 - 20%

Healthcare Non-Risk Waste (HCNRW) 80 - 90%

Infectious HCRW

Sharp HCRW Biological Radioactive Chemical Toxic

Psychological Risk

InfectiousHealthcareDisposal

Route

RecognizableBody PartsDisposal

Route

RadiactiveDisposal

Route

SpecialWaste

DisposalRoute

HouseholdDisposal

Route

Wastes frommilitary and

civil activities

Hazardouswastes from

industrialactivities

Corpses All HouseholdWastes

Shredding andSterilization

BurialCremation

Special longstorage plant

RecyclingIncineration

RecyclingLandfill

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LINKS BETWEEN DEFINITIONS & DISPOSAL ROUTES ABOUT WASTES ARISING FROM HUMAN MEDECINE

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Treatment and Disposal of the hospital waste

Today, international available main treatment methods for infectious, hospital waste:

•Land filling•Incineration•Alternative and More Environmental Friendly & Economic Methods:

– Chemical disinfection– Steam disinfection/sterilization

Let us define first What Disinfection and Sterilization Are

Sterilization: Complete destruction of all form ofmicrobial life.•Accepted: ≥ 99,9999% reduction (one millionth survivalprobability)

– = 6 Log 10 or more reduction of B. stearothermophilus

Disinfection: Reduction of microbiologicalcontamination.•Accepted: ≥ 99,99% reduction (one-ten thousandthsurvival probability)

– = 4 Log 10 reduction of B. stearothermophilus

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HOSPlTAL WASTE SUITABLEFOR STERILIZATION

Infectious medical wasteSharps & Neeedles

Some of pathological waste18 01 03 & 18 02 0218 01 01 & 18 02 01

18 01 02

Steam treatment systemsToday, different alternative thermal healthcare waste treatmentsystems are available. The systems can be categorized in:• Systems without removing the air (Non-vacuum Systems)

– Microwave, Heated screw systems, Hydroclave, etc. ; Disinfection level for open and wrapped and enclosed waste streams

• Pre-vacuum systems ( non-pre-shredding type autoclaves ) – “Classical”, old autoclave cycle: remains at disinfection level for

open and wrapped and enclosed waste streams – Fractionated (several pulse system) Autoclave cycle ) Tuttnauer,

Matachana, Bondtech ) Sterilization for open waste streams but disinfection for wrapped and enclosed waste streams

• Pre-shredding type, dedicated and specilly made MedicalWaste Sterilizers (e.g. Akar, Ecodas)Guaranteed, homegeneous, sure sterilization for open andwrapped & enclosed waste streams

WHAT IS AKAR MAKINA• Akar Makina, founded in 1990, manufactures autoclaves/pressured vessels for various industries/fields

including Medical Sterilization, Glass Industry, Tire Retreading/Rubber Vulcanization, Building Materials, Composite Materials etc.

• We have the capacity to build autoclaves up to 5 meter diameter and 45 meters length. • Offers turn-key solutions according to the customers ‘ s requirements • The autoclaves are designed using advanced design tools and software meeting the highest safety and

quality standards. We approach every project as unique and as a custom-made autoclave project and can handle customer specific requests.

• The autoclaves are manufactured by using highly sophisticated technologies , engineering and fabrication expertise

• Autoclaves are tailor-made according to the customers ‘ s needs

We can supply our autoclaves with the following directives and certificates: • - Pressured Equipment Directive 97/23/EC (PED)• - ASME SEC VIII D.1.• - GOST - R• - EN 3834-2• - Other certificates that may be required by different countries and jurisdictions

• To certify the autoclaves, we work with internationally well-known certificate agencies such as Bureau Veritas, TUV, Hartford Steam Boilers

•• Akar Makina Sanayi Ltd., 14. Cadde No: 8 26110 Eskisehir, TURKEY• Tel: +90 222 236 1700 , Fax: +90 222 236 1702, Email: info@akarmak.com.tr , • Web: www.akarmak.com.tr , www.autoclave.com.tr

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Full Line of Akar Makina

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GENERAL OUTLINES OF AKAR MEDICAL WASTE STERILIZERS

» SAFE, ECONOMIC , ENVIRONMENTAL FRIENDLY , PROVEN WAY OF TREATMENT

» SURE, GUARANTEED , HOMOGENEOUS STEAM-PRESSURE STERILIZATION

» SAFETY AND EFFICACY IN MEDICAL WASTE STERILIZATION

» ALL ARE COMPETITIVE IN TECHNOLOGY AND PRICE

Akar Manufactures Medical Waste Sterilizers in Two main Categories • Post-shredding kind of medical waste

sterilizers ( Conventional autoclavetype )

• Pre-shredding kind of medical wastesterilizers in Two Different DesignConcept

* Vertical* Vertical + Horizontal ( L Type)

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L TYPE ( Vertical + Horizontal )

Post-shredding type

Photos from installationsPre-shredding kind

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Post-shredding kind

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Typical Site Plans of the Sterilization Plants

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The last but never the final stage of the project is

• To operate the entire system • To monitor the entire operation• To up-date the medical waste

management practicing

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METAN GREEN ENVIRONMENT & HEALTH SERVICES INDUSTRY & TRADE Co. Ltd.

• Address: Emek Mahallesi 29. Sokak No: 38 06510 , 06510Cankaya-Ankara-TURKEY

• Tel: +90 (312) 212 1281• Fax: +90 (312) 215 6069• E-mail:cemal@ metan.com.tr• Web:www.metan.com.tr• Contact: Dr. Cemal Kaldirimci +90 ( 532 ) 454 9077• Chemical Engineer, Managing Dir ector

We are ready to help our clients develop thecurrent hospital waste management practicingand establish a state of the art system

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