Copyright 2007 Fiberlock Technologies

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1 Copyright 2007 Fiberlock Technologies

2 You are the healthcare provider. Your mission is simple; provide the highest quality of care and service for those who need it while protecting your patients, staff and the public. Achieving this mission though can be far from a simple task. With a sea of regulations and compliance issues that your funding and certifications rely on, it can be difficult to stay focused on the primary goal; helping your patients and workers. Kontrol Kube Mobile Containment Solutions can help you to satisfy not only the compliance requirements set by the CDC (Centers for Disease Control) in regards to Hospital Operations and Maintenance and Infection Control, but can also help you achieve JCAHO(Joint Commission on Accreditation of Healthcare Operations) certification in regards to infection control, emergency responsiveness and infection containment. By incorporating Kontrol Kube into your ICRA (Infection Control Risk Assessment) you satisfy many of the recommendations of CDC (Centers for Disease Control), CSA (Canadian Standards Association), HICPAC (Healthcare Infection Control Practices Advisory Committee) for Environmental Infection Control Health-Care Facilities and APIC (Association for Professionals in Infection Control and Epidemiology). Kontrol Kube from Fiberlock Technologies, Inc. is the ideal solution for hospital O&M (Operations & Maintenance) as well as surge capacity. The Kontrol Kube Topsider TM and Abacus offer numerous features such as ceiling and HVAC access points, solid locking wheel bases, durable construction, dual side access panels and a great environment for working under negative pressure containment. These features are just a few of the many that Kontrol Kube Mobile Containment Solutions possess that help maintain a compliant and safe environment in your health care facility. CDC Guidelines Regarding Infection Control THE MISSION IS SIMPLE, THE GOAL IS CLEAR THE SOLUTION IS KONTROL KUBE JCAHO Joint Commission On Accreditation Of Healthcare Organizations Declare the past, diagnose the present, foretell the future; practice these acts. As to diseases, make a habit of two things to help, or at least to do no harm. Hippocrates Epidemics, Bk. I, Sect. XI

3 FROM LOW RISK TO HIGHEST TYPE D KONTROL KUBE RISK & TYPE A TO IS THE BEST SOLUTION To quantify risk in various situations, infection control professionals are faced with the challenge of weighing numerous variables in order to engineer a comprehensive ICRA to address all possible risks and issues. By assessing who may be affected by work being done and what level of particulate disturbance will be involved, the ICRA team can develop a safe and effective plan to maintain compliance. The Kontrol Kube Containment Method is cited in APIC guidelines and is an effective method for infection control in hospital O&M. APIC has developed a Patient Risk Group Matrix that has been adapted from reputable hospitals across the United States. The Kontrol Kube Containment Method is cited in APIC guidelines as an effective method for infection control in hospital O&M. More information on the APIC Patient Risk Group Matrix can be found at: CLASS I THREAT: EVEN MINOR JOBS REQUIRE ATTENTION Example: Removal of ceiling tiles or painting in a non-critical areas such as offices. Low to high risk Type A situations are daily occurrences in hospitals. While the APIC Guidelines do not require containment for these O&M situations, many hospitals and health care facilities see the need to implement infection control procedures for these frequent projects regardless of the risk. Kontrol Kube Topsider is often found in use when tackling these daily O&M situations. Kontrol Kube Mobile Containment Solutions are the safest, easiest and most effective method for meeting and often exceeding this required part of APIC recommended ICRA compliance. CLASS II THREAT: ACTIVE MEANS OF PARTICULATE CONTROL Example: Installing telephone and computer cabling in general patient areas, laboratories or patient care units. Low to high risk Type B situations or even highest risk Type A situations require that you provide active means to prevent airborne dust from dispersing into the atmosphere. Kontrol Kube Mobile Containment Solutions are a faster and more effective method of containing light dust. CLASS III THREAT: SERIOUS CONCERNS, SERIOUS SOLUTIONS Example: Installing telephone and computer cabling in an emergency room or ICU. Medium to highest risk Type C situations or even highest risk Type B situations require that complete AII (Airborne Infection Isolation) critical barriers and negative air pressure is maintained. Kontrol Kube Mobile Containment Solutions are the safest, easiest and most effective methods for meeting and often exceeding these required portions of APIC recommended ICRA compliance. CLASS IV THREAT: AN EXTREME BUT REALISTIC SITUATION Example: Multiple shifts installing cable systems in an emergency room or OR. Requiring internal containment as well as an external anteroom configuration, Class IV situations can involve some of the most extreme cases encountered in a health care facility. The Kontrol Kube Topsider together with The Kontrol Kube Abacus can allow you to obtain containment suitable for this extreme but realistic situation.

4 KONTROL KUBE & YOUR ICRA APIC has set a solid baseline as a guide for healthcare facilities to use as a model for ICRA. Some facilities however, have deemed a higher standard as necessary to better serve and protect the public, their patients and their staff. In following the CDC guidelines addressing ICRA and standards regarding infection control, stating that any construction and/or renovation and repair activities have the potential to increase the airborne Aspergillus spp. spore count in indoor air, many leading hospitals have mandated that containment must be built in every O&M (Operations & Maintenance) situation. From light bulbs & cable pulls to wall access and elevator repair, minimizing particulate distribution throughout the facility is a key element in preventing some of the estimated 5,000 American deaths and 90,000 infections annually that stem from aspergillosis and other nosocomial disease. Increasing the standards for ICRA in your facility can only further your cause in providing the cleanest, most efficient and safest health care facility possible. The Kontrol Kube Mobile Containment Solution is one tool that can not only enable this higher standard within your health care facility, but can make it more cost effective and easier than ever. INFORMATION AND SOLID INSPECTION PRACTICES LEAD THE WAY TO A HIGHER STANDARD OF INFECTION CONTROL. Proper training and education in the development of your ICRA can have significant advantages for your everyday O&M. By including Kontrol Kube into your ICRA you can reduce time needed for team member training as well as site inspection. Kontrol Kube Mobile Containment Solutions not only save time and money, but they also make your healthcare facility a safer place. STREAMLINED TRAINING SAVES TIME The Kontrol Kube Mobile Containment Solution is one tool that can not only enable this higher standard within your health care facility, but can make it more cost effective and easier than ever. Simplify your ICRA and maximize efficiency with Kontrol Kube. The Kontrol Kube method of containment minimizes training time by offering a simple solution to most containment challenges. Always constructed in the same way so there is no need for complex variable training, Kontrol Kube can be set up by just about anyone in minutes. INSPECTION MADE EASY APIC recommends that an Infection Control Professional examine containment each time it is erected. With traditional methods of containment this inspection process was complicated. The Kontrol Kube works the same way every time so the inspection process is quick and easy and can be standardized without jeopardizing APIC, CDC and JCAHO compliance. The Kontrol Kube can also be used with a data logging manometer, which makes measuring constant air pressure simple. The time that would have been spent checking countless square feet of plastic sheeting or temporary walls can be better spent verifying other aspects of hospital safety. Kontrol Kube Mobile Containment Solutions help minimize time spent training and inspecting.

5 CONTAINMENT THEN AND NOW THEN The CDC, APIC and JCAHO leave the final method of containment up to you. Kontrol Kube style containment is actually cited in the APIC Description of Required Infection Control Precautions by Class Diagram. Kontrol Kube Mobile Containment Solutions offers JCAHO, CDC and APIC compliant solutions. The CDC, JCAHO and APIC leave some room for interpretation on how containment is defined and how it can be obtained. While Kontrol Kube style containment is actually cited in the APIC Description of Required Infection Control Precautions by Class Diagram, in Class III and Class IV cases; it is not the only method of containment available. The CDC, APIC and JCAHO leave the final method of containment up to you, the healthcare facility to decide how to satisfy containment requirements. For many years constructing and subsequently tearing down drywall, wood or plastic barriers repeatedly was the most common method of achieving containment. This laborious task was riddled with issues ranging from high material costs, high labor cost and frequent breach of containment due to improper construction. Many hospitals require containment for Class I & II situations; these every day jobs would require construction of temporary walls or even closure of entire areas of the health care facility. Kontrol Kube Mobile Containment Solutions effectively changed how Infection Control Containment was obtained. NOW Kontrol Kube Mobile Containment Solutions were originally developed in 1984 in conjunction with Harvard University, to address problems that traditional containment presented. Because the guidelines set by JCAHO, APIC and the CDC are quite specific as to the criteria that containment must meet, Kontrol Kube Mobile Containment Solutions were subjected to stringent testing to verify full compliance to suggested guidelines. As a results of extensive research, development and testing, The Kontrol Kube Topsider and Abacus are able to offer a unique and effective solution for temporary isolation and hospital O&M infection control. Solid Wheel Base for Complete Mobility Quick & Easy Set Up and Tear Down JCAHO, CDC, CSA, APIC Compliance Versatility Rugged Solid Construction Minimal Training Necessary Simple Solution to Complex Problems California Fire Marshal Registered - Fire Retardant Reinforced Vinyl Satisfies Related Sections of NFPA 101 Life Safety Code

6 KONTROL KUBE SOLUTIONS FOR SURGE CAPACITY, BIO-TERRORISM AND HRSA FUNDING The HRSA National Bio-Terrorism Hospital Preparedness Program Critical Benchmark 2-2 states: Ensure that all participating hospitals have the capacity to maintain, in negative pressure isolation, at least one suspected case of a highly infectious disease (e.g., smallpox, pneumonic plague, SARS, influenza and hemorrhagic fevers) or febrile patient with a suspect rash or other symptoms of concern who might be developing a highly communicable disease. Recipient must identify at least one regional healthcare facility, in each Recipient defined region, that is able to support the initial evaluation and treatment of at least 10 adult and pediatric patients at a time in negative pressure isolation within 3 hours post-event. EVERY HEALTHCARE FACILITY NEEDS AII - KONTROL KUBE CAN ASSIST The ability to contain potentially infectious patients in AII is a must for large and small healthcare facilities alike. While the needs of every facility are different, The Kontrol Kube Abacus versatility makes it the right solution. For smaller facilities where fixed AII rooms are either cost or space prohibitive, The Abacus works as temporary containment. The added features and uses for The Abacus in O&M only add to the cost effectiveness of the unit. For larger facilities that have fixed AII rooms, The Abacus offers additional mobility and surge capacity. Abacus is also a perfect solution for situations where patients cannot be moved to a fixed AII room. KONTROL KUBE OFFERS SPEED, EASE OF USE, MOBILITY AND FUNCTIONALITY INFECTIOUS DISEASE, NO ONE IS EXEMPT The The spread of airborne infectious disease on college campuses, small rural townships and major metropolitan areas demonstrate that no region of the country is exempt from the need for emergency AII rooms. Fixed AII rooms are costly and in some cases not possible. The Kontrol Kube offers a convenient solution to securing a protected environment. The Abacus can be set up in just minutes, and when kept under negative pressure helps satisfy HRSA Critical Benchmark #2-2 requirements. Some of the primary advantages of the Kontrol Kube Abacus deal with the response time in case of an emergency. The Kontrol Kube Abacus can be set up in minutes by a single individual and can be rolled from storage to location on its solid wheel base improving response time in an emergency. Kontrol Kube Satisfies HRSA Critical Benchmark 2-2 Requirements. With an increase in drug resistant cases of Tuberculosis, outbreaks of Measles and Mumps, and Meningoccal Disease to name a few; need for emergency anteroom containment methods is on the rise. The Abacus can be used as an anteroom to contain larger room sized renovation, as negative air containment for elevator shaft repair, or even as an entry vestibule as cited in APIC s State-of-the-Art Report Volume 28 Number 2 to facilitate clothing changes and tool storage between the clean and dirty areas.

7 KONTROL KUBE SOLUTIONS FOR HOSPITAL OPERATIONS AND MAINTENANCE Healthcare is an ever changing and developing industry. As technology advances, and awareness of infection and infection control becomes more acute, the responsibilities of healthcare facilities mount. For this reason a hospital or healthcare facility is almost organic in that it is constantly growing, changing and adapting. Most every day there is some level of construction or renovation. To ensure all healthcare facilities are up to standards on infection control, organizations such as the CDC, JCAHO, APIC and AIA have set guidelines and requirements. In many instances accreditation and funding is directly tied to a facilities performance under these recommendations. A large part of these guidelines are in reference to renovation, construction and demolition. All of the aformentioned associations and organizations are in agreement with the fact that containment of contaminated materials is a necessity. Kontrol Kube offers a unique solution to many of the cited issues that hospitals face regarding these guidelines. KONTROL KUBE CEILING ACCESS Specifically designed for Hospital Operations and Maintenance, The Kontrol Kube Topsider is the leader in mobile containment. Allowing construction crews unrivaled and unprecedented access to most any area as well as quick and easy mobility, The Topsider is a must have tool for any renovation job. Reaching heights of up to 10 feet (while on wheel base) The Topsider can accommodate efforts to repair HVAC, lighting and wiring. The Topsider is also an ideal solution for cable pulls. The Kontrol Kube offers a side access port and ceiling opening to facilitate cable pulls while maintaining containment. Specifically designed for Hospital O&M, The Kontrol Kube Topsider is the leader in mobile containment. KONTROL KUBE ABACUS With a design quite similar to The Topsider, The Abacus is an exceptional addition to your IC efforts. Having all the same features as The Topsider, The Abacus can be used to build containment over a broad area such as wall surfaces, sinks and plumbing areas and vertical HVAC vents. The Abacus can be used as an anteroom to contain larger room sized renovation; as negative air containment for elevator shaft repair; or even as an entry vestibule as cited in APIC s State-of-the-Art Report Volume 28 Number 2 to facilitate clothing changes and tool storage between the clean and dirty areas. In addition to internal O&M in your healthcare facility, there are often external construction or demolition projects at your facility or the structures around it. These situations often call for containment measures on windows, HVAC systems and doors. The Topsider is large enough to accommodate an 8 ladder and tools, and can be moved safely on its solid wheel base from job site to job site. The solid wheel base also allows for better control over the disposal of waste, as well as when and where tools are cleaned, minimizing the risk of contamination of surrounding environments. The CDC recommends the caulking of unused doors and windows, and dust control methods on necessary entrances. By constructing the The Kontrol Kube Abacus in its anteroom configuration on exterior doors, it can greatly reduce the influx of particulates and fungi from the outside air. This helps maintain a higher level of indoor air quality in situations where demolition can increase outdoor air contamination to levels greater than 20,000 CFU/m3 for all fungi and 500 CFU/m3 for Aspergillus fumigatus respectively, to the normal average of 19 CFU/m3 and 4 CFU/m3 as found in a study done by the CDC. * Class IV containment needs (According to APIC guidelines), require internal containment of the work area as well as anteroom containment separating the clean area from the dirty area. The Abacus and Topsider collectively are a must when addressing Class IV Containment situations. * From the CDC guidelines for Environmental Infection Control in Health-Care Facilities Box 6 e.

8 FLAME RETARDANT CEILING ACCESS Unique four-zipper system provides easy adjustment to various-sized ceiling openings. The Kontrol Kube s durable vinyl reinforced nylon is listed by the California Fire Marshall as a flame retardant material. Kontrol Kube also meets JCAHO s Element of Performance EC ensuring that temporary construction partitions are smoke-tight and built of noncombustible or limited combustible materials that will not contribute to the development or spread of fire. SIDE ACCESS/ ANTEROOM Able to be used as an entry vestibule, wall access point, or temporary anteroom for isolation or increase in surge capacity in the event of an emergency; Kontrol Kube offers unrivaled versatility with it s dual side access panels. Kontrol Kube Abacus side flanges enable you to form an air tight seal against walls and are perfect for work requiring wall access or as an entry vestibule for whole room O&M containment. The side flanges are also key in developing a HRSA compliant anteroom as cited in HRSA Critical Benchmark 2-2. Kontrol Kube is cost effective, easy to use and helps satisfy JCAHO, APIC and HRSA recommendations for containment. CONVENIENCE Kontrol Kube Abacus unique beveled flange base offers stability as well as ease of use, allowing for easy roll over without compromising structural integrity.

9 HIGHLY ADJUSTABLE Kontrol Kube s spring loaded frame provides a tight, and compliant seal against ceilings, even if surfaces are not perfectly level. PORTHOLES Kontrol Kube s side portholes are perfect for cable pulls, power cables, compressed air lines or any other hose or wire needed for your O&M projects. The portals are sized to permit insertion of a variety of negative air machines, HEPA vacs, air canisters as well as manometer hoses. MOBILITY Now you can leave tools, parts and even a ladder in the unit while moving from location to location reducing risk and saving time. Four locking casters on a solid aluminum wheel base make Kontrol Kube perfect for mobility and a stable working platform. The exceptional mobility is also a benefit after the work is complete. By allowing transport of waste materials to the disposal site inside the unit. On site clean up after the job is minimal helping maintain a safe, clean and compliant environment. The Kontrol Kube s mobility also assists in meeting The NFPA 101 Life Safety Code which prohibits the obstruction of walkways and exits. Easy to move, easy to store, Kontrol Kube helps maintain a clear and safe path in case of an emergency. INDEPENDENTLY TESTED AND PROVEN TO MEET OSHA, ACGIH S TLV-TWA, CDC AND CSA SPECIFICATIONS STURDY CONSTRUCTION Tough, rugged and adjustable, Kontrol Kube s frame and enclosure are built to last. Industrial zippers, extra strong vinyl reinforced nylon material and a solid framework that can reach up to 10 ft ceilings are just a few of the reasons Kontrol Kube is the most trusted Mobile Containment Unit on the market. Independent testing done at MIT shows Fiberlock Technologies Kontrol Kube Unit meets or exceeds guidelines set by OSHA and The ACGIH for permissible nuisance dust. The Kontrol Kube also proved capable of meeting all CDC & CSA recommendations on minimum airflow in one direction. Meets APIC OSHA ACGIH CDC CSA Standards INDEPENDENTLY TESTED INDEPENDENTLY TESTED

10 FREQUENTLY ASKED QUESTIONS How was The Kontrol Kube developed and has it been independently tested? In 1984 Fiberlock Technologies, in conjunction with Harvard University, set out to develop a new and innovative method for mobile containment to address the many issues that faced health care facilities regarding nosocomial disease. The solution was The Kontrol Kube Mobile Containment Solution. The Kontrol Kube was the first of its kind, and underwent extensive independent testing to prove that it could effectively satisfy all required standards set by the CDC, JCAHO, APIC and for HRSA funding. The results proved that The Kontrol Kube from Fiberlock met or exceeded all requirements and quickly became the leader in mobile containment solutions. Can The Kontrol Kube Abacus help meet HRSA Critical Benchmark 2-2? Yes. The Kontrol Kube Abacus, while being very useful in hospital O&M, was designed specifically for use as an Anteroom to help meet HRSA Critical Benchmark 2-2. In the event of pandemic flu, or bio-terrorism The Kontrol Kube Abacus can be a significant part of your emergency response process. Independent testing has shown that The Kontrol Kube maintains sufficient negative pressure to prevent the escape of infectious particulates; this fact coupled with the quick set up time make The Abacus the perfect tool for creating a temporary AII Room. How can The Kontrol Kube Abacus help during an infectious disease outbreak or Bio-terror event? In the event of an airborne infectious disease outbreak or infectious bio-terror situation, The Kontrol Kube Abacus can assist health care facilities by increasing surge capacity and allowing for temporary isolation areas. As an anteroom under negative pressure, The Abacus can help prevent the escape of particulates like Tuberculosis, MRSA, SARS, H5N1, Whooping Cough (Bordetella pertussis) and many other airborne infections. Does The Kontrol Kube meet CSA Standard Z ? Yes, by establishing a solid particulate barrier and maintaining no less than 7.5 Pa (0.03 in wc) Kontrol Kube Mobile Containment Solutions used with appropriate negative air and HEPA filtration meet Sections 6.62 (Dust Control) and Sections 8.3 Preventive Measure III: During Construction, & Does The Kontrol Kube satisfy all JCAHO, CDC, CSA, APIC and HRSA requirements? While containment and particulate control is a substantial part of maintaining a safe and compliant facility, it is still only a portion of a good IC plan. The Kontrol Kube is the most effective and easiest method for this key portion of compliance regarding infection control, and when used in conjunction with other effective steps in your ICRA can help to maintain compliance with all JCAHO, CDC, CSA, APIC and HRSA guidelines and requirements. Can I use a HEPA vac, canister vac or negative air machine with The Kontrol Kube? Yes, provided the machine in use can maintain the required negative air movement and filtration. The Kontrol Kube s multiple sized portholes allow for a variety of negative air sources including most HEPA vacs, air canister and negative air machines. Negative air machines should have a variable speed control. What are the differences between The Abacus and The Topsider? The Kontrol Kube Abacus and Topsider were created using the same technology and have many of the same features. The solid wheel base, sturdy construction, side access panels and fire retardant enclosure make these two units seem almost identical. The key differences are in the application for which they were designed. Extending to heights of up to ten feet and allowing use of an eight foot ladder, The Topsider was developed exclusively for operations and maintenance and is perfect for jobs involving ceiling repair, HVAC access, lighting systems or above ceiling tile cable pulls. The Abacus, while most commonly known for its applications as an anteroom and achieving HRSA compliance, is also a multifaceted O&M unit. The Abacus offers a perfect solution to containment for work areas, elevator shafts, wall access, and HVAC wall vents. For more information see comparison on the back cover.

11 GLOSSARY OF TERMS (ACGIH) American Conference of Governmental Industrial Hygienist - A member-based organization and community of professionals that advances worker health and safety through education and the development and dissemination of scientific and technical knowledge. 1 (AIA) American Institute Of Architects - Established 1857, the AIA has represented the professional interests of America's architects. The AIA is also the author of The Guidelines for Design and Construction of Hospitals and Health Care Facilities which contains the current guidelines for construction design for federal and state health care providers. 2 (APIC) Association for Professionals in Infection Control and Epidemiology - APIC was conceived in 1972 in recognition of the need for an organized, systematic approach to the "control" of infections acquired as a result of hospitalization. 3 (CDC) Centers For Disease Control and Prevention - One of the 13 major operating components of the Department of Health and Human Services (HHS), which is the principal agency in the United States government for protecting the health and safety of all Americans and for providing essential human services. 4 (CSA) Canadian Standards Association - A not-for-profit membership-based association serving business, industry, government and consumers in Canada and the global marketplace. 5 (HICPAC) Healthcare Infection Control Practices Advisory Committee - A federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the Centers for Disease Control and Prevention (CDC) and the Secretary of the Department of Health and Human Services (HHS) regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities. 6 (HRSA) The Health Resources and Services Administration - The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable. 7 (ICRA) Infection Control Risk Assessment - A standardized term for the procedures involved in identifying, addressing and controlling the risk of the spread of infection during certain processes. (JCAHO) Joint Commission on Accreditation of Healthcare Operations - An independent, not-for-profit organization, the Joint Commission is the nation s predominant standards-setting and accrediting body in health care. Since 1951, the Joint Commission has maintained state-of-the-art standards that focus on improving the quality and safety of care provided by health care organizations. 8 (OSHA) Occupational Safety and Health Administration - The Occupational Safety and Health Administration aims to ensure worker safety and health in the United States by working with employers and employees to create better working environments. 9 (TLV-TWA) Threshold Limit Value / Time Weighted Average - The average concentration under which most people can work consistently for eight hours, day in, day out, with no harmful effects. Gas or vapors are expressed in Parts Per Million (ppm), while solids, mist or floating dust particles are expressed in Milligrams Per Cubic Meter (mg/m3). 10 (AII) Airborne Infection Isolation (PE) Protected Environment (ICP) Infection Control Professional (O&M) Operations & Maintenance 1,10 Reference official ACGIH website for more information on ACGIH 2 Reference official AIA website for more information on AIA 3 Russell B. Excerpt from APIC history. Infection Control and Hospital Epidemiology 1995;16: Reference official CDC website for more information on The CDC. 5 Reference official CSA website for more information on the CSA. 6 Reference official CDC website for more information on HICPAC. 7 Reference official HRSA website for more information on HRSA. 8 Reference for more information on JCAHO. 9 Reference official OSHA website for more information on OSHA.

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