WATER PURIFICATION SOLUTIONS FOR HEALTHCARE

REACTION TANKS

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TABLE OF CONTENTSMEETING YOUR HEALTHCARE FACILITY NEEDS .............................................. 3

CLINICAL ANALYZER FEED SYSTEMS ................................................................4

LABORATORY WATER PURIFICATION ............................................................... 5

ENDOSCOPE REPROCESSING ..............................................................................6

CENTRAL STERILIZATION AND SURGICAL SUITES .......................................... 7

FACILITIES ..............................................................................................................8

SERVICES ................................................................................................................9

REFERENCE TABLES — ASTM, CLSI, AAMI TIR34 .............................................11

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MEETING YOUR HEALTHCARE FACILITY NEEDSEvoqua works with you to provide comprehensive solutions to meet your high purity water needs.

With over 40 years of experience in water purification system design and development for a broad range of healthcare applications, Evoqua is your single source for healthcare water solutions. We’re also there when you need us with 24/7 service and comprehensive water management solutions for complete peace of mind.

As a single source provider, we can manage your facility’s water purification requirements from clinical diagnostic and research laboratories to central sterile processing, as well as products for cooling towers and boilers - even the building’s main potable water supply.

Evoqua’s approach is to determine your individual needs, understand your goals and design and implement the best integrated solution to meet your objectives, within your scope and budget.

Evoqua can provide comprehensive water system management with a Water One® service agreement, designed to provide water quantity and quality guarantees. We provide the water treatment equipment, preventative maintenance, service, spares and consumables for a monthly fee including an option that does not require the purchase of equipment, thus saving precious capital funds.

MEETING YOUR HOSPITAL’S WATER REQUIREMENTS WITH COMPLETE SYSTEMS AND SERVICES

HEALTHCARE TECHNOLOGY SOLUTIONS

• Potable water treatment• Utility water treatment• Humidification• Central sterile processing• Clinical diagnostics

• Research laboratories• Preventative maintenance

and parts• 24/7 local service with

remote monitoring

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UTILITY WATER TREATMENT

UTILITY WATER TREATMENT HUMIDIFICATION

STERILE PROCESSING

CLINICAL ANALYZER FEED WATER

LABORATORY WATER PURIFICATION

POTABLE WATER PRETREATMENT

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CLINICAL ANALYZER FEED SYSTEMSMEDICA® analyzer feed water systems provide CLSI (Clinical Laboratory Standards Institute) CLRW quality water to feed clinical analyzers.

Consistent delivery of high quality water means no interruptions or compromised results. Combined technologies minimize risk of bacterial contamination and ensures ionic purity with low TOC water. Systems can be validated for compliance.

MEDICA® R/S/D 7/15 SYSTEMS

• Combined purification technologies remove trace organics, bacteria, inorganics, and particulates providing high purity water consistently

• Recirculation of pure water ensures consistent high quality water and maintains a low bacterial specification (R/D models only)

• Icon screen technology provides efficient operation and easy to read water quality setting and monitoring menus

• Flexible make-up rates allow for easy upgrade for higher water demand situations

• Audio-visual alarms alert users when to change consumables for peace of mind

• Degas system models remove carbon dioxide prior to analyzer

MEDICA® PRO SYSTEMS

• Designed to feed multiple clinical analyzers or a single analyzer up to 4 liters per minute for flexibility and efficiency

• Long life deionization cartridges reduce exchange frequency and running cost

• UV and microfiltration technologies together with recirculation and easy sanitization regime, maintain bacterial contamination to less than 1 cfu/mL

• Emergency by-pass provides an uninterrupted supply of pure water to the analyzer in an emergency

MEDICA® R 200 SYSTEMS

• Designed to supply high purity water to high volume clinical analyzers and labs with multiple analyzers

• Space saving design houses all technologies in a single cabinet

• Alert alarm and safety features ensure system is operating effectively and water quality is never compromised

• Integrated by-pass ensures a constant water supply in an emergency

CLSI (CLINICAL LABORATORY STANDARDS INSTITUTE)Clinical Laboratory Reagent Water (CLRW)

Resistivity @ 25°C (megohms-cm) ≥ 10

Conductivity @ 25°C (micromhos/cm) 0.1

Bacterial Growth (cfu/mL) < 10

Organics (TOC) < 500 ppb

Particulate Matter 0.22 µm Filter* * The specification is a process specification, and not measured by the end-user.

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LABORATORY WATER PURIFICATION Evoqua’s range of industry-leading ultra pure water systems are designed to meet your application needs

PURELAB® WATER PURIFICATION SYSTEMS

• Worker/polisher purification design reduces annual running costs by 50%• Low bacteria — < 1 cfu/mL• Ultrafiltration and UV oxidation technology reduces endotoxin levels to

< 0.001 EU/mL• System performance monitoring with data download capability• Optional biofilter protects against biological contaminants• Full service packages available for worry free operation

CENTRA® LABORATORY PURIFICATION AND DISTRIBUTION SYSTEMS

• Incorporates RO, UV, filters, storage reservoir and distribution pump in a single unit

• Purified water is distributed via a loop to multiple labs and points of use• Flow rates of 5 and 10 GPM• Compact design for space utilization• Integrated by-pass ensures a constant water supply in an emergency

WATER ONE® SERVICE DEIONIZATON

• Reliable water quality to meet your application needs• 24/7/365 remote monitoring with system alerts• Real-time data analytics for water system optimization• Proactive service and rapid response from local service team• Simple, flat-rate billing with no emergency service fees

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ENDOSCOPE REPROCESSINGWater is a key element to endoscope reprocessing.

Evoqua offers a range of filtration products - including reverse osmosis and ultrafiltration - to condition feedwater to Automatic Endoscope Reprocessors (AERs). Our products are designed to remove particulates, dissolved solids, bacteria and other contaminants that compromise endoscope reprocessing and rinsing. Evoqua’s products also help control replacement costs of expensive filters inside your reprocessing equipment.

FILTRATION PRODUCTS

• Prefiltration, high-efficiency media removes particulates, colloids, silt, dirt and gross contaminants

• Absolute rated microfiltration products minimize bacterial contamination

• Ultrafiltration provides a barrier to bacteria and pyrogenic substances• Filtration extends the life of high cost internal reprocessor filters• Reduced operational cost with less frequent exchanges• Water softeners to reduce hardness and prevent scaling

REVERSE OSMOSIS SYSTEMS

• RO systems offer flexibility and reliability• Microprocessor controlled for easy programming and monitoring• Reject recycle feature minimizes waste and maximizes water utilization• Designed to meet the needs of endoscopy washing and rinsing

Reverse osmosis system

Water Softener

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CENTRAL STERILIZATION AND SURGICAL SUITESWATER FOR CENTRAL STERILIZATIONOur reverse osmosis and deionized water purification systems provide high purity water for the washing, rinsing and decontamination of surgical instruments and medical devices used in the hospital. The small footprint design maximizes floor space while offering a complete treatment system for central services that aligns with the latest AAMI TIR34 guidelines.

• Extends the life of equipment and instruments• Reduces pitting and cracking on surgical instruments• Removal of bacteria, particulates and organics that can compromise

decontamination of instruments and devices• Lowers maintenance costs increasing savings to the hospital• Lowers hospital costs by increasing detergent efficiency

SURGICAL SUITE HUMIDIFICATION Proper humidification is essential for controlling the environmental conditions in surgical suites. Humidifiers can clog and run inefficiently when the water feeding the humidifier contains impurities.

Our high efficiency filtration media and reverse osmosis technologies are designed to remove bacteria, particulates, and other water impurities that can compromise the humidification process. Evoqua provides equipment, design recommendations and product servicing to ensure the equipment is running at peak performance.

• Reduces impurities from hospital main water supply• Removes bacteria, colloids, dust, dirt, particulates• Reduces the risk of surgical instrument damage due to humidity

contamination

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FACILITIES

POTABLE WATER TREATMENT

Filtration and disinfection technologies are designed to remove unwanted contaminants from your potable water source.

• Removal of dirt, silt, taste and odors• UV disinfection for bacteria and microorganism

control

WATER FOR COOLING TOWERS

Evoqua provides high removal capacity filters, softeners, and bacterial removal microfiltration products for use in cooling tower applications. Our reverse osmosis systems are designed to provide prepurified water with 90–99% removal of bacteria, particulates, dissolved inorganics, organic material, and contaminants larger than 200–300 molecular weight.

• Increases cooling tower operational efficiency and reduces energy costs

• Reduces the risk of Legionella in cooling towers• Reduces water hardness to prevent scaling

WATER FOR BOILER FEED

Evoqua‘s complete range of pretreatment filters, softeners and reverse osmosis systems are designed to prevent common scaling, foaming and corrosive effects in boiler feed applications.

• Increases heat transfer and boiler efficiency• Softened water reduces the risk of scaling• RO removal of organic matter and impurities

reduces foaming and deposits that can clog piping and cause corrosion

• Clarification filters remove sediment and turbidity that can cause sludge carryover

• Cost savings from reduced chemical treatment

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WATER ONE® SERVICES FOR HEALTHCARE

Water quality is critical to healthcare applications that contribute to operational efficiency and expedient patient care. Water quality issues can cause a significant impact on meeting surgical instrument demand, providing accurate and timely diagnostics and can affect critical facility infrastructure, such as cooling tower, boilers and humidifiers. This can result in substantial downtime, safety concerns, lost productivity and more.

With Water One® services from Evoqua, you can protect your facility’s critical applications from contaminants, while also maximizing efficiency. Combining Evoqua’s water expertise, proactive service and proven technology, Water One ensures reliable water quality with 24/7 monitoring. Evoqua’s highly trained service professionals will proactively manage your water system, including maintenance and troubleshooting. This maximizes uptime and ensures you have the water quality you need for optimal efficiency.

Water One Service Advantages:

• Reliable water quality• 24/7/365 remote monitoring• Real-time data analytics for water system

optimization• Proactive service and rapid response from local

service team • Simple, flat-rate billing with no emergency

service fees With Water One services, your water management challenges virtually disappear, allowing you to focus on your core objectives.

Water One.® And done.

SERVICES Evoqua offers a compliment of services to manage your healthcare facility’s water treatment system.

Customized plans allow you to decide the level and frequency of service that best suits your needs. And our team of service experts provide peace of mind that your water will be the quality you require every time you need it.

• Service support available 24/7• Emergency hot line provides access to

immediate service• Customer tailored preventative maintenance and

service contracts• All inclusive Water One® service offering

• Installation and start-up• Consumable change-out• System Sanitizations• 70+ local service branches in North America • Analytical water testing services• Validation and calibration services

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REFERENCE TABLES — ASTM AND CLINICAL STANDARDSAMERICAN SOCIETY FOR TESTING AND MATERIALS (ASTM)Standard Specifications for Reagent Water

ASTM TYPE I II III IV

Conductivity @ 25°C (micromhos/cm) 0.056 1.0 0.25 5.0

Resistivity @ 25°C (megohms-cm) 18 1.0 4.0 0.2

Total Silica (µg/L) 3 3 500 —

Total Organic Carbon (µg/L) 50 50 200 —

Chlorides (µg/L) 1 5 10 50

Sodium (µg/L) 1 5 10 50

pH* — — — 5.0–8.0

TYPE A TYPE B TYPE C

Max Heterotropic Bacteria Count (cfu/mL) 10/1000 10/100 100/10

Endotoxin, EU/mL 0.03 0.25 N/A

* The measurement of pH in Type I, II, and III reagent water has been eliminated because these grades of water do not contain constituents in sufficient quantity to alter pH.

CLINICAL LABORATORY STANDARDS INSTITUTE (CLSI)

CLSI TYPE

CLINICAL LABORATORY

REAGENT WATER (CLRW)

SPECIAL REAGENT WATER (SRW)

AUTOCLAVE & WASH WATER

INSTRUMENT FEED WATER (IFW)

Resistivity (megohms-cm) ≥10 ≥10–18 (AS) ±1

Manufacturer Specific 

Bacteria (cfu/mL) ≤10 AS ND

pH NA NA ND

Particulate** 0.22µ filter AS or needed ND

TOC (ppb) ≤500 AS ND

AS = Application Specific NA = Not Applicable ND = Not Determined NS = Not Specified

** Specification is a process specification, not measured by end user

AAMI TIR34: CATEGORIES AND RECOMMENDED LEVELS OF WATER QUALITY FOR MEDICAL DEVICE REPROCESSING

TYPE OF WATER UTILITY WATER1 CRITICAL WATER

WATER USE FLUSHING/WASHING/RINSING FINAL RINSE2/STREAM

SpecificationsUNITS

Hardness mg/L < 1503 < 1

Conductivity (mg/L = ppm)

µS/cm < 500 < 10

pH4 6 - 9 5 - 7

Chlorides mg/L < 250 < 1

Bacteria cfu/mL n/a < 105 < 10

Endotoxin EU/mL n/a < 205 < 10

Note 1 – This is the quality of water that might come from the tap but might need some form of treatment to achieve these specifications. Note 2 - If this is the final rinse prior to sterilization of a critical device. Note 3 - If hardness is greater than 150 mg/L, a water softener is recommended unless used for washing and the cleaning chemistry is capable of handling higher levels of hardness. Note 4 - For boiler-treated steam, most boilers are treated to maintain a pH of 7.5 or 8.5. Any treatment of water that goes into boilers should be in accordance with the sterilizer and boiler manufactures’ written IFU. Note 5 - After high-level disinfection.

REFERENCES - 2AAMI TIR34:2014/®2017 - Water for the reprocessing of medical devices

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CENTRA, PURELAB and MEDICA are trademarks of ELGA LabWater.

All information presented herein is believed reliable and in accordance with accepted engineering practices. Evoqua makes no warranties as to the completeness of this information. Users are responsible for evaluating individual product suitability for specific applications. Evoqua assumes no liability whatsoever for any special, indirect or consequential damages arising from the sale, resale or misuse of its products.

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