S uper H igh F requency Microwave unit for the Sterilization of…

1. Mirage for Environmental Services & Waste Management PRESENTS Super High Frequency Microwave unit for the Sterilization of… Hospital Waste Infection (Tuberculosis, AIDS, etc.) Clinics Waste Lab Waste Blood Banks Waste Blood ComponentsProcessing Waste Dialysis Waste Biotechnology (Microbiology) Waste …and any potentially contaminated waste

2. SHF Mirage for Environmental Services & Waste Management Super High Frequency Microwave unit

3. SHF Mirage for Environmental Services & Waste Management Introduction • Super High Frequency Microwave units for the sterilization of Infectious Medical Waste is now on offer to the market • These units have been tested at • Ministry of Health, • Ministry of Defense, • Federal Centre for Hygiene and Epidemiology are in use since 2003 extensively throughout Russia and CIS. • Tested for Vegetative, Spores, Fungi, Viruses pathogens

4. SHF Mirage for Environmental Services & Waste Management Microwave (SHF) - how it works… • Microwave frequency (SHF) heating is • By use of electromagnetic waves of frequency 2450 MHz. • Water molecules, present in all cells, being dipolar, try to follow the electric field associated with the electromagnetic waves directed on them • This results in oscillations of molecules and the resultant molecular friction causes RAPID HEATING. • The ions in the water further help in this phenomenon.

5. SHF Mirage for Environmental Services & Waste Management …and what it does Application of Super High Frequency electromagnetic fields on waste material results in: • Rapid heat up of liquids and ions in the liquid cell material of bacteria and micro organisms, • Causes the destruction of Cellular membranes Virus protein structure of all infectious agents of the waste

6. SHF Mirage for Environmental Services & Waste Management Waste materials and Application • Intravenous catheters, blood (and components) bags and associated tubing, suction tubes etc. • Hemodialysis and Peritoneal dialysis Waste (filters, lines, catheters, bags) • Cultures, culture dishes and devices used to transfer, inoculate, or mix cultures • Surgery costumes, masks and gloves, sponges, gowns associated with waste collection • Packing Materials • …and any other potentially contaminated waste products of medicine, veterinary or laboratory

7. SHF 6 7 3 1 4 2 5 Mirage for Environmental Services & Waste Management Basics of Design 1 – Working chamber with waste baskets 2 – Magnetron 3 – Power control 4 – Timer control 5 – Door Lock button 6 – Power indicators 7 – Vent tube

8. SHF Mirage for Environmental Services & Waste Management Accessories – Disposable polypropylene waste bags – Re-usablepolypropylene wastecans – Transit lids – Processing lid with PTFE bacterial filter – Sensitizing agent – Test strips

9. SHF Mirage for Environmental Services & Waste Management Basics of Process Microwaves come out of the magnetron, They pass through the waste being processed After numerous reflections from the walls of the chamber Waves enter the new areas of the basket continuously.

10. SHF Mirage for Environmental Services & Waste Management Process Steps - 1 • Waste collected and packed in plastic bag • Bag arranged in re-usable polypropylene Can to fill around 75% volume and covered with transit lids • Test strip inserted • Bag closed but not tied • Sensitizing agent added to the bag and to the Can • Lid with filter firmly closed onto the Can.

11. SHF Mirage for Environmental Services & Waste Management Process Steps - 2 7. Filled & Closed Cans are put in Microwave for processing • 60 + 15 minute process time Test strip confirms that the process was successful. Waste typically compacts by 30% and safe to be handled

12. SHF Mirage for Environmental Services & Waste Management Capacity • 2 x 30 liter Cans • 20 kg max load with 4 lit. of sensitizing agent • 2 kg min load with 2 lit. of sensitizing agent • Cycle time 60 + 15 minutes • Approx. 4 Dialysis Sets per Can

13. SHF Mirage for Environmental Services & Waste Management Experience The product has been in operation for 6 years 800 units sold in number of clinics till date!

14. SHF Mirage for Environmental Services & Waste Management Installations in Russia and CIS • Federal TargetProgramsof Russia (8 regions incl. Moscow) – 191 units • Top 17 Medical Facilities of Ministries and Departments of Russia • Ministry of Defense, FSB, Ministry of Healthcare, • Center of Hygiene and Epidemiology, Ministry of Finances, – 19 units • Blood banks – 16 units • Dialysis centers – 16 units • Various Medical facilities, incl. various Hospitals, AIDS, Tuberculosis, Infection Skin Disease Clinics, Hospices, Orthodontic Clinics, Diagnostic Centers, Laboratories, Ambulatories, Scientific Research Institutes, etc. • Moscow region – 179 units • Regions of Russia – over 700 units • Kirgizstan and Kazakhstan – 9 units • In August 2009 – Microwave Unit registered in Ministry of Health of Ukraine

15. SHF Mirage for Environmental Services & Waste Management Sterilizing of Dialysis Waste • Dialysis waste contains residual blood • with Highest risk of contamination • from HIV, Hepatitis Band C viruses • Dialyzers and Bloodlines are very hard • to sterilize with chemical disinfectants • Use of Microwave Unit for sterilizing of • Dialysis Waste is recommended by • Fresenius Medical Care • - world's largest, integrated provider of • dialysis products & services

16. SHF Mirage for Environmental Services & Waste Management Running Cost One cycle – 15 kg of a waste for 1 hour Total expenses per one cycle : 1,43 Euro 1,43 Euro / 15 kg = 0,1 Euro for processing of 1 kg of waste

17. SHF Mirage for Environmental Services & Waste Management Running Cost (additional) Power, Amortization and Labor cost

18. SHF Mirage for Environmental Services & Waste Management Technical Advantages • Small Size 1200 x 535 x 565 • Weight 60kg • Single phase electrics • Stacking option • Stainless steel construction • Bacterial filter in the lid • 2 Door option • Fully programmable: • Disinfecting time • Adjustable power • Automatic time cycle – 60 + 15 minutes

19. SHF Mirage for Environmental Services & Waste Management Microwave vs Autoclave Comparison

20. SHF Mirage for Environmental Services & Waste Management Benefits • Low capital and operational costs • Small size allows operation adjacent to the point of the waste generation • Reduced infection risk • Established technology with over 6 years successful operation in Hospitals and Dialysis clinics. • A single microwave unit can process daily waste from 23 dialysis stations • Relatively low cost compared to alternative waste treatment methods (Autoclaving)

21. SHF Mirage for Environmental Services & Waste Management Biological Testing System proved through rigorous testing performed at: • Federal Centre for Hygiene and Epidemiology - Laboratory of especially dangerous Bacterial infections • Ministry of Health institutions • Ministry of Defense institutions Test media utilized: - Vegetative microorganisms- Spores- Fungi- Viruses

22. SHF Mirage for Environmental Services & Waste Management Spores Death Time (Minutes)

23. SHF Mirage for Environmental Services & Waste Management Vegetative Microorganisms Death Time (Minutes)

24. SHF Mirage for Environmental Services & Waste Management Fungi Death Time (Minutes) minutes

25. SHF Mirage for Environmental Services & Waste Management Viruses Death Time (Minutes) minutes

26. SHF Mirage for Environmental Services & Waste Management Environmental Studies Electromagnetic field energy measurements of Microwave Unit Research Institute of Experimental Meteorology, 2004 Air Emissions Study of Microwave Unit Sanitary and Hygiene Centre of Ministry of Defense, 2004 Also, recent comparison study of Total Microbial Count (TMC) in air emissions from devices for decontamination of medical Waste have shown better values for Microwave technology.

27. SHF Mirage for Environmental Services & Waste Management Certificate of Conformity and Registration

28. SHF Mirage for Environmental Services & Waste Management Conclusion • Effective Sterilization of Infectious waste including Dialysis Waste. • Capacity 60 Liter/hour or 20 kg/hr. • 100% effective kill of bacterial spore B. stearothemophilus • A better alternative to many traditional decontamination methods. • Complements Sharps Blaster technology perfectly …. Super High Frequency technology provides

29. SHF Mirage for Environmental Services & Waste Management Thank You General distributor and representative: Mirage Company“ Msaileh, South Lebanon Tel.: +961.7.260.560 Fax.: +961.7.260.864 www.miragewm.comE-mail: info@miragelb.com Lets’ make the world safer

30. SHF Mirage for Environmental Services & Waste Management …but just a beginning of story Recent tests with sealed ampoules containing “live” B. antracis, Y. pestis, Br. Abortus, F. tularensis and virus vaccines (Variolae, Morbillorum, H5N1, Influenza) were performed. Tests have shown effectiveness, i.e. possibility of plant application in drugstore warehouses, utilization points for immune-biological preparations without opening ampoules.