Measuring UV-C Dose on Healthcare Surfaces

LumaSim, Updates

Previously, we wrote about how to “see” UV-C reflection or absorption. We’ve found that UV imaging can help us visualize how UV is scattered around a hospital room and, therefore, better understand which areas are being properly treated (and which may not be). While this is certainly useful, what we really need to know is the actual UV intensity on a given surface. In other words, how much UV light energy per square centimeter is hitting every surface in a room?  This is the value that truly determines how much disinfection takes place. Scientists long ago correlated UV energy per area to germicidal performance, often expressed as log reduction.

UV intensity can be measured in a few different ways. Here we’ll discuss two: radiometric sensors and photochromic indicators.

Radiometric Sensors

Simply put, a radiometric sensor measures electromagnetic radiation. In our case, we are interested in the relatively narrow UV-C portion of the electromagnetic spectrum. Ideally, our sensor responds to UV-C wavelengths and ignores everything else. For example, we don’t care about the intensity of visible light, since those wavelengths are not germicidal.   What is normally done is to add a filter that blocks out any wavelengths that we are not interested in.

Because germicidal irradiation is so prevalent in other industries, several companies make systems to measure UV-C intensity (usually referred to as “irradiance”).  Normally, these consist of a sensor combined with a meter which converts the output from the sensor to a numerical value for irradiance in energy per area per time (e.g. Joules per square centimeter per second) .   Below is the ILT1700 from International Light Technologies, which is the meter we use for most of our measurements.

ilt1700

The sensor can be placed anywhere in the room and the results used to map out the UV distribution. It is especially important to understand how much UV is hitting areas that are not in direct line of sight of the device.  In our experience, most surfaces that can see the device will get adequately disinfected in a few minutes.  It is the shadowed areas that truly dictate how long a given device should run, but, unfortunately, most device manufacturers ignore this fact.

Photochromic indicators

A less exact, but simpler, method is to use a photochromic indicator. These typically are small adhesive labels containing special pigments that change color as they are exposed to UV.  For example, they may change from an initial yellow color to a dark green.  In the case of a product called Spectrify from Spectra254, the label is initially white and gradually turns to a dark pink color.  The darker the color, the greater the UV exposure.  Calibration standards have been created to show how the color corresponds to a particular level of exposure.

Spectrify

 

The advantage of this approach is that the labels are relatively inexpensive, so numerous labels can be placed around the room to measure UV in many locations simultaneously.  The information received is only semi-quantitative, but, nonetheless, provides valuable insight into which areas of the room are being properly disinfected. Also, because of their size, these labels can be put into tight spaces in which a radiometric sensor may not fit.

The importance of UV measurements

UV device effectiveness data provided by manufacturers typically only includes surfaces that are directly illuminated by the device.  This ignores the large number of surfaces that are illuminated only indirectly, or are completely shadowed. To understand the entire picture and to establish a more effective device cycle time, it is necessary to take additional measurements of these indirect surfaces.

However, we can’t ignore an important variable- the location of the device in the room.  Changing the device location slightly may significantly change the UV dosage on some surfaces, as they move in or out of shadows.  An important benefit of Lumacept is that the diffuse reflectance of the paint helps make the dependence on the device location less significant by providing much more indirect light and essentially “smoothing” out these differences.

To properly optimize the device location, many UV intensity measurements must be taken while systematically moving the device.  This can be time intensive and tedious, which is why we developed LumaSim.  Through computer simulations, we can take thousands of virtual measurements and easily study the effect of adjusting the device location until the best location is found.  The combination of Lumacept coatings and an optimized device location can not only make your disinfection protocol more effective, it can also save significant time.

Have any technical or not-so-technical questions about UV?  We’re happy to help.  Contact us at info@lumacept.com.

Lumacept at Sanford Health in Fargo

LumaSim, Updates

Lumacept teamed up with Sanford Health in Fargo to help design its new Special Care Unit for highly infectious patients.  The new unit is equipped with UV fixtures and Lumacept’s UVC-Max coating on the walls and ceiling in order to rapidly disinfect the room.  An adjacent anteroom also uses UV to help disinfect healthcare worker’s personal protective equipment (PPE) prior to doffing.  The diffuse reflective properties of UVC-Max helps to disperse the UV light and ensure indirectly illuminated areas of the room receive an adequate dose of UV.  Lumacept’s LumaSim technology was also used to help design the layout of the light fixtures in both the patient room and anteroom.

http://www.kvrr.com/news/local-news/sanford-health-preps-for-infectious-diseases-video/32289208Foxnews

LumaSim Study Presented at APIC

LumaSim, Studies, Updates

A study demonstrating the effectiveness of LumaSim for predicting UV irradiance in healthcare facilities was presented at the APIC 2014 Conference in Anaheim, CA.

The study was conducted in two locations. An initial proof-of-concept study was performed at the University of North Carolina in the same rooms used in previous studies of Lumacept.  UV-C irradiance measurements were taken in 10 locations throughout the room. Measurements were taken both with and without the presence of Lumacept-painted walls.  A 3D model of the room was constructed and LumaSim was used to predict the intensity of UV-C in these locations. Good agreement was found between the measured and predicted values. Below is a rendering from the 3D model for the room containing UV-reflective walls.

UNC LumaSim model

A second, more detailed, study was then conducted at Sanford South University Hospital in Fargo, ND.  This study included measurements of 20 high-touch surfaces. In addition, 5 different device locations were studied and the UV-reflectivity of the walls was adjusted by painting the room with various grades of Lumacept.  Control measurements were also taken in the room using traditional non-UV-reflective paint.  The image below shows the locations of several of these target surfaces (red) and the locations of the device (blue):

Sanford Device Location

The results were as follows:

  • Over a very wide range of UV intensities, LumaSim demonstrated excellent predictive capabilities. For more details, download the APIC Presentation.
  • The effect of device location is pronounced.  The total time necessary to achieve a targeted dose depended heavily on the location of the surface relative to the location of the device.  This highlights the need to select device locations carefully.
  • The effect of Lumacept was to significantly increase the overall level of UV intensity, especially for surfaces not in direct line of sight of the device.  Further, Lumacept greatly reduced the amount of time necessary to achieve a target dose on all surfaces.

To learn more about LumaSim contact us.