Plasma generated ozone for decontamination of surfaces Innovative technology for rapid, safe and chemical-free decontamination using ozone Declan Diver, School of Physics & Astronomy, University of Glasgow & a Founding Director, Anacail Dekontamineringsdagene 2016 Oslo Structure of presentation Topic slides Background to our research: plasmas and ozone 6 Applications to food decontamination 12 Applications in medical sector 10 Environmental applications 3 Summary & Acknowledements 3 Total: 34 2 Anacail: origins Anacail is a University spin-out from the Astrophysical Plasma Group, School of Physics & Astronomy, University of Glasgow, Scotland Our technology was a serendipitous find from the development of a plasma loud speaker……. Plasma: gas mixture of neutrals, ions and free electrons - Created by the partial electrical breakdown of a neutral gas (an extended ‘spark’) Dekontamineringsdagene 2016 Oslo Plasma creation involves localised heating – a pressure wave. Modulate at right frequencies: sound! 3 Anacail: concept development the loud speaker was built as a sparetime curiosity research project (Hugh Potts) It was found to produce ozone copiously and quickly on demand (less desirable feature of a domestic loudspeaker system…. despite the flawless frequency response ) It quickly became apparent that the device was more useful as an ozone source than a loudspeaker… Dekontamineringsdagene 2016 Oslo The plasma source is an atmospheric pressure dielectricbarrier discharge (DBD) plasma, designed to generate ozone and other radicals inside a sealed package, using a patented electrode system that operates from the package exterior. The system operates at 8 kV, modulated at 1050kHz, & consumes 20-30W power 4 What and Why : Ozone Why Ozone? The ideal sterilising agent Very powerful germicide (better than Chlorine) Created from oxygen in air – no chemical additives Unused ozone decays to oxygen – no toxic residuals In our device it’s created on demand and in situ – no storage or handling problems….Sustainable and repeatable Dekontamineringsdagene 2016 Oslo 5 Ozone production: detail Plasma creates low-energy free electrons e (and positive ions) Electron attachment to oxygen molecule causes it to split: e + O2 -> O + O- (nb this isn’t ionization, but dissociation) Negative oxygen ion can combine with oxygen molecule to produce ozone: O- + O2 -> O3 + e Ozone is also destroyed by interaction with atoms and electrons (and indeed, bacterial cells) Trick is to get the right balance between creation and destruction of O3 Note our technique is entirely indirect: the target surface is not exposed to charged plasma species Dekontamineringsdagene 2016 Oslo 6 Anacail – Plasma Head with Sealed Package (1) Before: Sealed package placed under head (2) Treatment: Head attached, ozone generated inside pack Ozone head Ozone head O2 N2 N2 O2 N2 O2 N2 air N2 N2 N2 O2 (3) Decontamination: Ozone diffuses through pack O2 N2 N2 air + ozone O 2 N2 O3 Dekontamineringsdagene 2016 Oslo O2 N2 O3 N2 N2 N2 O2 O2 N2 O3 O2 N2 N2 O2 O3 N2 N2 N2 N2 O2 (4) Completed: All unused ozone decays back to oxygen O2 N2 N2 O2 N2 air N2 O2 N2 N2 N2 O2 7 Short video showing Anacail operation please see www.anacail.com for this movie The device has been designed with high volume manufacture in mind and uses standard manufacturing techniques. Dekontamineringsdagene 2016 Oslo 8 Anacail Targets Medical and Food Market Applications Food Medical Food waste reduction through shelf life extension treatment for: • Fruit, Vegetable • Ready-Meals • Bakery • Fish Point of use high level decontamination and sterilisation of small instruments • Sterilisation in pack for storage • Multiple market segments Dekontamineringsdagene 2016 Oslo 9 The Food Story Food Medical Dekontamineringsdagene 2016 Oslo 10 $bn food wastage: extending shelf life is one solution The Problem: Wasted Food 15m tonnes £5b 90m tonnes Target problematic/high value markets: Soft Fruit* One Key Solution: Shelf Life Extension Additives • $300m market MAP&CAP** • >$10b market Target areas where MAP&CAP cannot compete * Table Grapes, blueberries, snacking tomatoes, which will represent 40-50% of European tomato market in 2015 **Modified Atmosphere Packaging & Controlled Atmosphere Packaging Dekontamineringsdagene 2016 Oslo 11 What are the mechanisms for food waste and which of those is Anacail addressing? Spoilage Mechanism Dekontamineringsdagene 2016 Oslo Anacail Addresses Mould √ Yeast √ Bacteria √ Goes Dry x Goes Soggy x 12 MAP is dominant packaging competitor but has issues MAP&CAP • Dominant Tech • Introduction or removal of gases (varies by food type); infrastructure and gas cost • Often requires specialised packaging • Major players include: Other Tech • Food additives: industry wants to remove or reduce • Packaging technology eg “fresh’n smart” Fresha bags In many cases ozone can work alongside the above technologies for enhanced shelf life extension Dekontamineringsdagene 2016 Oslo 13 Bakery Fruit Anacail can double shelf life After 20 days Anacail treated bags are all mould free Almost all the untreated tomato bags have mould Day 1 Un-treated Dekontamineringsdagene 2016 Oslo Treated Day 17 Un-treated Treated All untreated muffins mouldy All Anacail treated muffins mould free http://www.anacail.com/anacail_muffin_demo.mpg 14 Anacail in operation – bakery treatment please see www.anacail.com for this movie Dekontamineringsdagene 2016 Oslo 15 Anacail – iterative process for parameters We have had significant success in extending the shelf-life of packaged berries and fruit, by inactivating the spoilage organisms Number of completely mould-free bags controls controls Dekontamineringsdagene 2016 Oslo controls controls 16 Anacail – iterative process for parameters Proportion of mouldy tomatoes (based on individual counts) Dekontamineringsdagene 2016 Oslo 17 Anacail in operation – Table Grapes Grapes (green). Thompson seedless, stored at room temperature Dekontamineringsdagene 2016 Oslo 18 Anacail in operation – strawberries, peaches Strawberries: Pack quality 3.5 Average pack quality 3 2.5 Control 2 1.5 Anacail Treated 1 0.5 0 0 2 4 6 8 10 Peaches: Ambient : Quality 12 days since treatment C Q Average quality score NB ‘quality’ scores are produced by retailer, not Anacail 3.5 3 2.5 2 1.5 1 0.5 0 0 5 10 15 20 days since treatment C Q Dekontamineringsdagene 2016 Oslo 19 Anacail – food applications unit First prototype Latest in-line machines Ceramic electrode head Plasma is the pink-purple glow note – a thin layer, not a jet! Dekontamineringsdagene 2016 Oslo 20 The Medical Story Food Medical “Anacail offers a unique holistic cleaning, disinfecting and storage capability ideally suited to healthcare challenges “ Professor Andrew Smith – Consultant Microbiologist and Lead Consultant for Medical Device Decontamination, Institute of Infection, Inflammation and Immunity, NHS Glasgow Dekontamineringsdagene 2016 Oslo 21 The Market Opportunity Relevant Global Market Facts 2017 Infection Control Market: $14b Sterilisation Equipment Market: $3b Low Temperature Sterilisation Devices sold: ~57,000 units/p.a. – CAGR:10% driven by 4 major players 10% 4% Advanced Sterilisation Products Getinge 3M 25% 61% Steris However: A $3bn market plus unsatisfied demand to treat complex instruments Dekontamineringsdagene 2016 Oslo 22 Anacail’s Medical Value Proposition Known Sterilisation Challenges Complex, high value instruments cannot be treated effectively Ozone is a powerful germicide safe for eg heat labile surfaces Centralised treatment centres: slow turnaround times & duplicate instruments stock Distributed Treatment Solution at point of use - small footprint Other distributed solutions put operators at risk eg harsh chemicals Operator safety by avoiding aggressive chemicals Storage difficult: air drying racks mean once opened, instruments must be used immediately Safe storage: in sterile package until needed (cf endoscope air drying cabinets) Difficult to monitor and demonstrate compliance with regulations Confirmed decontamination level data to satisfy regulations Dekontamineringsdagene 2016 Oslo 23 Prototype medical applications machine high-level decontamination machine for medical device applications One such machine is in Glasgow Dental School labs for trials Designed for small-scale activity, rather than production line High level decontamination is > log 6 kill Dekontamineringsdagene 2016 Oslo 24 Effective decontamination of liquid drops Drops containing bioluminescent Salmonella Enteridis 4 to 128 microlitre drops of LB broth laced with bacteria (grown in cultures to OD600nm of 0.8 ) (model for food and instrument contamination) Salmonella Enteritidis was transformed to express a bioluminescent phenotype by electroporation with the plasmid pGLITE. This plasmid encodes the luxCDABE operon of Photorhabdus luminescens under constitutive control of the lac promoter and contains a kanamycin (Km) resistance cassette as the selective marker Dekontamineringsdagene 2016 Oslo Sealed lid 25 Effective decontamination of liquid drops Inactivated cells collect at centre Time lapsed light signal from the largest treated droplet; guide lines showing the approximate diffusion speed of ozone into liquid water -6 cross section (mm) -4 -2 0 2 4 6 -15 -10 -5 0 5 10 time (min) 15 20 25 30 Dekontamineringsdagene 2016 Oslo Ozone is effective at decontamination even if present in droplets 26 Initial (un-optimised) trials at Dental School Treatment of dental forceps • Three sets put individually into small 50 μm zip-lock bags, in ambient air. • Inoculated with Pseudomonas aeruginosa (50ml at 107 /ml) & allowed to dry • Non-control treated for 100 s (c 4mg ozone); all sonicated In 10ml PBS • Liquor syringed out, plated and incubated Decimal value log10 avg sample 333 2.52 avg ctrl 4,400,000 6.64 avg log kill 4.12 max sample min ctrl min log kill 600 750,000 min sample max ctrl max log kill 100 9,900,000 Dekontamineringsdagene 2016 Oslo 2.78 5.88 3.10 Controls at different dilutions Treated (undiluted) 2.00 7.00 5.00 27 Current Status and Decontamination Data Target Trial 1 log kill Trial 2 log kill Test Soil Inoculate: P Aeruginosa 6.47 n/a Endoscope Inoculate: P Aeruginosa 5.3 5.24 Contrast between controls and Anacail treated inoculated samples: test soil and non-lumened endoscopes (Andersen Caledonia) Experimental data from various trials (Andersen Caledonia and Glasgow Dental School Dekontamineringsdagene 2016 Oslo 28 Current Status and Decontamination Data Surrogate Trial 1 lumens log reduction Trial 2 log reduction PA 9.51 9.36 CA 9.02 9.0 SA 9.5 >8.92 BS 10.44 >9.6 Dekontamineringsdagene 2016 Oslo Contrast between controls and plasma treated lumens, for a variety of pathogen inoculants. Figures in red denote total kill – ie no recoverable organisms in the treated sample (Andersen Caledonia). 29 Medical: D-values in air discharge Process development Process developed against Most Resistant Organism (MRO), which presents high resistance to sterilant Bacillus Stearothermophilus recognised as MRO for ozone Biological Indicators (BI’s) of this species obtained from different suppliers to check for consistency. Bionova and Excelsior are different manufacturers of open BI’s (Stainless disk in Tyvek envelope) Treatment was 100s plasma in air, followed by delay shown on graph D-value is approx. 8-9 mins/log (unoptimised process) 7.0 log 10 remainig spore count 6.0 5.0 4.0 Bionova 3.0 2.0 Excelsior y = -0.1156x + 5.9726 R² = 0.9653 y = -0.138x + 5.651 R² = 0.9501 1.0 0.0 0 Dekontamineringsdagene 2016 Oslo 10 20 30 40 50 60 time in bag post treatment/min 30 The Anacail Medical Value Proposition • Time and money saving by avoiding instruments being sent to centralised sterilization location (nb – washing is still necessary) • Operator safety by avoiding aggressive chemicals • Safe storage solution: in a sterile container until needed (different to endoscope air drying cabinets for example) • Confirmed decontamination level data to satisfy regulations • Potential to de-nature prions: Recent studies have shown molecular ozone could de-nature prions (major implications in dental and neuro surgical instruments) • Ozone disables antibiotic traces on surfaces* – useful environmental aspect • Small footprint for conveniently locating equipment in hospital/laboratory/other environments • Compatibility of treatment with instrument surface materials, including screens Dekontamineringsdagene 2016 Oslo *Lange et al Chemosphere 65 17-23 31 Environmental applications Drain decontamination Dekontamineringsdagene 2016 Oslo Biofilms in drain wells are a source of re-infection: – Listeria in food factories – Norovirous in Hospitals (and other buildings) Liquid chemicals not effective in key problem area (drain well wall) Gasesous ozone can control build up and re-infection Anacail has IP filed on innovative solution (patent now granted) Prototypes being built and evaluated 32 Decontamination of drains and pipes log reduction compared to control 7 log reduction: biofilms on pipe interiors Biofilm grown on standard plastic plumbing pipe is destroyed by our ozone treatment– even under water! 6 Wet pipe sections 5 4 No recoverable organisms on dry sample 3 Biofilms are resistant to liquid biocides, but are gas-permeable… Possible areas of application: drains, taps, shower heads… Pipe sample subjected to Anacail ozone treatment 2 1 0 Dry Fresh stop end Horizontal rep 1 Horizontal rep 2 Investigation funded by Biomedical Catalyst, InnovateUK + MRC Dekontamineringsdagene 2016 Oslo 33 Summary Plasmas are used to generate ozone, a gaseous biocide Generation inside a sealed package, from outside, ensures safety and enduring decontamination Plasma is confined to thin layer on container surface – does not impinge on target Ozone inactivates surface contamination Ozone decays back to normal oxygen in a short period Ozone gas penetrates where liquids cannot Ozone generation uses only the air in the package or sealed container Plasma generated ozone is a simple and effective surface cleaner Anacail Team Executive team Ian Muirhead (CEO): 20 years in VC backed university spin-out companies CEO and BD roles in a wide range of technology markets Hugh Potts (Founder Director & Principal Scientist): 15 years in plasma experimentation and modelling Since 2009 focussed on commercialising Anacail’s technology Declan Diver (Founder Director & Scientific Advisor) Reader in Plasma Physics at Glasgow University, 25 yrs experience theory & modelling Non executives & Advisory panel Gareth Voyle (Chair): previously CEO Geest, now NED Oscar Mayer Jonathan Lintott (Sterilisation Advisor) CEO of Andersen Caledonia, (Medical Device Sterilisation Service company) Liz Kynoch (Food Advisor) previously Technical Director, Tesco PLC Dekontamineringsdagene 2016 Oslo 35 Thank you for listening – Takk for lytting! Acknowledgements £: Grant funding SUPA (Scottish Universities Physics Alliance) STFC IPS (follow-on fund) , InnovateUK (Biomedical Catalyst), TSB (Food manufacturing) Scottish Enterprise (SMART awards) ££:Our investors: IP Group, Scottish Investment Bank, Sussex Place Ventures Plus Andrew Smith (Glasgow Dental School), Meg Pajak & Tony Buckley (P&A, Dental School), Hugh Potts, Ian Muirhead & Dick Barton (Anacail), Dann Turner & Darren Reynolds (UWE). www.anacail.com Dekontamineringsdagene 2016 Oslo 36
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