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Disinfection Technology/Methods for Computer Equipment?

smammon asks: "I manage the IT department for a pretty average hospital. Our equipment is used everywhere, including the patient rooms, operating suites, and hallways. We expect it to move into more areas (hands) in the future with advent of more and more wireless/handheld technology. Our problem is that even with constant employee education and regular maintenance/cleaning efforts on our part - it is still very common for equipment to become contaminated with all manner of nasty goo. We have been looking for a method of disinfection that kills the bugs without killing the equipment. So far the only reasonably good looking alternative is vaporized hydrogen peroxide. Problem is that it's not known to positively kill the kind of tough bug that lives on surfaces. Anyone know of, developing, or selling a method for disinfection of sensitive equipment? Any innovative solutions from the geek collective?"

33 comments

  1. yo've been psotted by Anonymous Coward · · Score: 0

    gmaa to come...quick

  2. Hulk jokes aside... by Otter · · Score: 3, Interesting

    ...would gamma irradiation work? Normally that would be perfect for non-destructive sterilization (and you may already have the equipment) but I have no idea what it would do to microelectronics.

    1. Re:Hulk jokes aside... by crmartin · · Score: 5, Informative

      Sadly, if there's anything like a PLA or EEPROM inside, you're hosed. I went through this for just *months* some time ago, when trying to figure out why a simple little box would work in the lab at my company, but not in the field. The answer was that the box was getting x-rayed in transit, causing the EEPROM to get random extra bits....

  3. try this.... by Anonymous Coward · · Score: 0

    post a sign on each terminal saying "employees must wash hands before computer usage"

    seriously, it may work. for most of the staff anyway. enough so that you dont have to wash it as often.

  4. Goo? by GuyMannDude · · Score: 3, Funny

    Our problem is that even with constant employee education and regular maintenance/cleaning efforts on our part - it is still very common for equipment to become contaminated with all manner of nasty goo.

    Actually, a lot of people who use their computers in the privacy of their own homes for, uh, recreational purposes have the same problem. You'll probably get lots of helpful ideas from the slashdot crowd!

    GMD

  5. So, what does kill the bugs? by PD · · Score: 2, Interesting

    Will rubbing alcohol do? Or do you need to use hydrogen fluoride to kill the bugs? If you want to have a keyboard that will stand up to X antibiotic, then you need to tell us what X is.

    I'd recommend getting a waterproof keyboard and disinfect it like you'd clean a trash can. But if you're going to give it a betadine bath, you probably want something that won't discolor.

    1. Re:So, what does kill the bugs? by Otter · · Score: 1

      From the "vaporized hydrogen peroxide" it sounds like he's thinking of a bulk sterilization method where everyone's PDA is loaded on a cart at the end of the day and run through the process. I'd guess scrubbing with any particular solvent would be too labor-intensive.

    2. Re:So, what does kill the bugs? by MrResistor · · Score: 1

      I was thinking rubbing alcohol, too. I don't know how effective it actually is as a disinfectant, but every place I've worked as an electronic technician has used rubbing alcohol to clean the boards.

      Another response mentioned that it's probably some sort of automated process. I would say that as long as the devices are easily de-powered (removable batteries and such), a soak in a tub of isopropal would probably do the trick. I doubt they'd have to do much more scrubbing than they'd have to do otherwise. My stepmom is an RN, and based on what I've heard there's no way scrubbing could be completely avoided, but top priority is probably making sure whatever's on there is dead before the scrubbing takes place.

      --
      Under capitalism man exploits man. Under communism it's the other way around.
  6. Goo prevents cancer! by Anonymous Coward · · Score: 0

    But at least I won't get Prostate Cancer!

    1. Re:Goo prevents cancer! by Anonymous Coward · · Score: 0

      * 2003-07-17 10:06:36 Doing your prostate a favour (articles,humor) (rejected) Wankers!

  7. Something anhydrous, naturally by dacarr · · Score: 4, Interesting
    There is mention of drunk mouse syndrome, wherein a declared alcoholic mouse (yes, see the link) was sent to be "dried out in a CFC ultrasonic bath". As I understand it, this is not dissimilar to the anhydrous dips that they used to dunk crufty keyboards into to clean them as well.

    To wit, while this may not totally *disinfect* your gear, this will most certainly decruft it.

    --
    This sig no verb.
    1. Re:Something anhydrous, naturally by DancingSword · · Score: 1

      Problem is, it may be necessary to
      1. use a water-alcohol blend to un-goo the gear: some kinds of gunk don't dissolve in normal water ( oils ) and some don't dissolve in dry alcohol, and some don't dissolve in things like petroleum ether, either...

      Alcohol-water mixtures, though, possibly with something like Alconox ( or whatever happens to be appropriate for your setting ), is more likely to do-the-trick.

      The reason I'm thinking this may be a serious item is:
      2. what if one chemically cracks all the 'bugs' that the chemicals can reach, but there's some dried stuff on the gear, that the chemicals can't get-in-to ( 'cause it's dried ), to crack bugs in...
      ... then there's unkilled bugs still there, whereas hydrating 'em first means that they're going to be more crackable to the chemicals, I'm thinking...

      --
      Messages to/for me ( in me journal )
    2. Re:Something anhydrous, naturally by dacarr · · Score: 2, Insightful

      Point there, but what if then they did that ultrasonic bath in the stuff? The problem with hydrous mixtures is that you will have to allow your components to dry out for *days*, and even then there's no guarantee oxidation won't happen.

      --
      This sig no verb.
    3. Re:Something anhydrous, naturally by DancingSword · · Score: 1

      I've heard there's something called Forced Warm-Air Drying, that uses things like Warm Air and Fans ( coupl'a cheap electric blowing heaters, gettable from Home Hardware, costs less than $100 ea, standard plug-in )...

      Similar to the theoretical 'Dryer' thing that laundry types may use, in concept...

      I don't know why you only worked with dry-by-ageing method, but it isn't, I believe, the only drying-method 'round...

      I could be rong, though...

      ( and yes, if using ultra-sonic to get stuff clean, then a bit of 'agitation' may be necessary, say by tapping the keyboard against something, to help dislodge the bigger drops of water, but that shouldn't kill one, fer difficulty, or a simple shop-vac with .. where'd that go .. really-good filters could be used in the 'dehydrating-room' to help... )

      : )

      --
      Messages to/for me ( in me journal )
  8. Plastic by Henry+V+.009 · · Score: 4, Insightful

    Wrap up everything with plastic. Switch out the plastic.
    /low-budget

  9. Bad keyboard? Throw it away! by Micro$will · · Score: 3, Insightful

    Keep the computers and monitors in goo proof cases, and maintain a supply of disposable keyboards and mice. Keyboards and mice can be had for less than $10 retail, and much less than that online or wholesale. The other alternative is those $40 waterproof keyboards. I don't know of any waterproof pointing devices though. Perhaps some industrial strength touchpads?

    1. Re:Bad keyboard? Throw it away! by kolombangara · · Score: 1

      No kidding. A can of keyboard cleaner costs about the same as a keyboard, plus all the cleaner does is blow dust around.

    2. Re:Bad keyboard? Throw it away! by Micro$will · · Score: 1

      Well, if it's just dust, you can use a cheap (new, not used) paintbrush. I use a 1" Linzer nylon/polyester on my old Thinkpad and it looks good as new.

    3. Re:Bad keyboard? Throw it away! by Jucius+Maximus · · Score: 1
      "Keep the computers and monitors in goo proof cases, and maintain a supply of disposable keyboards and mice."

      I think this idea has merit. Back when I was taking biology, we did this experiment where we had to swab four different things onto agar and observe the bacterial growth. My group did a keyboard from a computer lab as well as a railing, a door handle and a classroom desk surface.

      The growth from the keyboard grew faster and had more types of stuff growing than all the others combined. It eventually overran the whole agar plate.

      This is why, whenever I start a new job, I alway scrub the keyboard down with soap and water. It's relatively labour intenstive and it takes half an hour or so, but it's worth it. Of course that amount of labour mutiplied by the number of keyboards in a large institution is probably large compared to the cost of having a large supply of replacement keyboards.

  10. Real Problem is several problems by MountainLogic · · Score: 4, Informative
    You need to both kill bugs AND remove the goo. The standard way to quash the bugs is either heat, radiation or chemical. With Ethylene Oxide (these links too) being common for many medical devices.

    You need to select devices that can be hosed down. That means comercial devices that almost meet NEMA 4. The only way to get rid of goo is soap and water. Retail devies are just not ment for a medical environment. And you must get rid of the goo BEFORE you sterilize. That goo can carry pirons (sp?) even after EtO so plan for soap and water. There are sources of ruggedized tools such as Symbol Technologies. You are going to pay more, but you have a responsability to do it right.

    Go to a medical or engineering school and ask for their Bioengineering department and ask for help. This is way over the head of /.

    1. Re:Real Problem is several problems by Anonymous Coward · · Score: 1, Informative

      "this is way over the head of slashdot"...

      Agreed! When I worked in a hospital environment, EVERY piece of electronic equipment had to get the stamp of approval from the Medical Engineering Department. I once brought an "unauthorized" answering machine into my office and it ended up disappearing and getting stamped and stickered as having been approved and inspected by medical engineering. I don't know if they really tested it for anything, but in the medical world, litigation and malpractice are overly prevalent.
      Another problem with hospital environments is that there is CRITICAL equipment in there, esp. in the ICUs and CCUs and the ORs (intensive care, cardiac care, operating rooms, and neonatal ICUs), and you DO NOT want radio interference to cause any problems with measurement, data transmission (some EKG machines transmit data over radio waves to the nurses station) or their activities (ventilators and infusion pumps operating exactly as intended can be the difference between life and death.)
      There are often notices outside the ORs and ICUs saying nit to use cell phones in the area, and I dread thinking what an unintentional blue-tooth or 802.11[abg] device might do in an area that should not have any stray RF noise.
      PDAs and handheld computers have their place, but if you're working in a hospital, you better be working closely with bioengineering, or there could be a lot of trouble in store.

      Doctors are often the greatest violators of these restrictions, as they must often HAVE to have the latest and greatest toys and handhelds. But that's another long winded story.

      from - been there and seen that (posting from lynx, so excuse any formatting errors)

  11. Google?? by linuxwrangler · · Score: 4, Informative
    I hate to use the so often used refrain in "ask Slashdot" questions but Try Google (tm).

    The thing you are most concerned with is the input device - everything else can be in a sealed box so type into Google "industrial keyboards" and hunt to your heart's content.

    You might, for example, discover on the first page of returns the MGR Keymate 2 which is "a sealed keyboard featuring a smooth membrane ideal for food and beverage and medical applications where wash down / sterilization is needed." (emphasis mine).

    You may even discover that many of these keyboards are rated for use in explosive environments, say where you have things like ether, oxygen and alcohol though I can't possibly think of such a place at the moment.

    --

    ~~~~~~~
    "You are not remembered for doing what is expected of you." - Atul Chitnis
    1. Re:Google?? by ninewands · · Score: 1

      Oh yes ... I would DEFINITELY recommend industrial explosion-proof keyboards.

      Ether is pretty much out of fashi9on as an anesthetic, but there are MANY other inflammable/explosive-vapor substances scattered all over a hospital. In fact, I would be surprised if one of the regulatory bodies governing hospitals didn't require that the entire system be explosion-proof (keyboard, mouse, monitor AND system unit).

      Of course an added benefit of using an explosion-proof system is that any system that is vapor-tight is going to be inherently watertight so you can just hose it down to get rid of the goo then apply high-power short wavelength UV to sterilize.

      Just my admittedly inexpert opinion.

  12. custom enclouses/cases? by BenTheDewpendent · · Score: 2, Informative

    if you spend some extra dough on custom hermeticaly sealed carriers/cases/enclosuers for these devices, be it lexan, aluminum, staneless steel, plastic wrap etc. If you are using tablets and touch screen devices how about using the hardmaterial to cover the bulk of it and a removeable replaceable plastic covering for the screen section (like some cellphone cases). Once you get the equipment back you toss the screen protecor (depening on type) and remove the device from its hermeticaly sealed protecive home and set the device someplace safe and proceed to disinfect the rest in the appropriate manner.

  13. I used to work for a company... by immanis · · Score: 0, Offtopic

    ...that did software to help manage hospital materials, so I can sympathize. We sold a lot of people handhelds that are probably running into this very problem right about now.

    I could call someone over there and get an opinion, and maybe even refer them to you and you guys could form a business relationship.

    Well, I COULD, but they fired me for asking why someone needed root access to the CVS server. So, I'm a little bitter about the whole thing. So I won't

    Man, I must be in a foul mood today.

  14. O3 by Papineau · · Score: 1

    I know ozone is already used in various water treatment plants around the world. And there's a company (TSO3) which manufactures enclosures to disinfect tools used in surgery, especially tools which cannot withstand the heat used by other enclosures. Of course, being manufactured for surgeons, it'll be quite pricier than something of more general use, but electronics will much probably withstand such a treatment.

    Disclaimer: I own some of their stock, although I'm not an employee or otherwise affiliated with them.

  15. UV? by Yarn · · Score: 1

    I used to work in a hospital, and in areas where bacterial contamination is possible the room is flooded with UV when unoccupied.

    --
    -Yarn - Rio Karma: Excellent
  16. I work for a county general hospital as well by UnrefinedLayman · · Score: 1

    ...doing IT support, for server and desktop. I've found that systems that are left out where "bad things" can happen to them tend to be in the best shape, whereas it's the computers in the offices of doctors and staff that are the nastiest things I've ever had to touch.

    It seems to me like most of these docs don't know the first thing about hygeine, let alone the first thing about spreading disease. I've gone so far as to wear the bright green latex gloves while working with someone's keyboard because it was covered in his flaked off dead skin.

    I prefer to touch the endoscopic computers that are used by the gastroenterologists while examining someone's colon than the computers in most of these offices. You'd think that at a hospital you'd wash your hands often because there are sick people around. I wash my hands often because I'm scared of what disgusting shit's going to get on me next from some doc's PC.

  17. There's no universal answer by budgenator · · Score: 1

    I work in a dental office and we have the same problems, it's a case where anything stronger enough to achieve hospital grade disinfection and or sterilization, is inherently corrosive to something.

    Synthetic phenols are the worst, they'll slowly disolve any plastic, corrode any metal except stainless steel, and build up a gunk in time that'll short out or jam any switches ect

    Quantrinary ammonium-halides in a isopropanol solution seem to be the least destructive in general at our office. Just remember it takes a 10 minute contact time to be effective and the surface MUST BE CLEAN before disinfection

    If the idea is about protecting the repair tech, forget it, just make him/her take the bbs classes and they'll have to glove before working on things, if they blow out dust, that means face mask and gogles too.

    Unless somebody makes equipment rated to survive 140C, 30PSI steam, you are stuck with spray on disintectant or ehtylene oxide gas

    --
    Apocalypse Cancelled, Sorry, No Ticket Refunds
  18. Speedball by Door-opening+Fascist · · Score: 1

    I've done some work cleaning out school computers, and I've found that Speedball is about as good as it gets. It gets damn near anything off.

  19. A dishwasher will often clean by bluGill · · Score: 2, Interesting

    You can get the goo off of most keyboards in a normal household dishwasher, so long as your water heater isn't set too high. Just make sure things are dried out properly before you try using them again. This won't sterilize things, but if you do it regularly you can at least make sure there is nothing for the nasties to eat when they do get inside. (Which does not solve all problems, but helps a great deal)

    Note that you need to do a full backup before trying this, and I'd try it with some sacrificial systems first. Wouldn't surprize me if harddrives and cdroms don't survive this treatment. See if you can re-oil all the fans. At least find out how long the average machine survives a this. If you find a machine normally last 48 cycles, then plan on once a month washings, and throw them away (recycle) after 4 years. This should help a lot A lot of labor, but I know of system admins who regularly take a keyboard home for washing.

    From what I understand about hospital breading sterilzation resistant strains of nasties, I would want you throwing everything out every few years anyway. I'm not an expert, but I would think that you are like most other IT deparments with plenty of obsolete, throw away, machines that you can expiriment with before working with machine you care about. Once you know what works and for how long you can make a plan which includes a few (statistical number of) machines not surviving.

  20. what is the sound of one hand clapping by cathouse · · Score: 1

    The best way to have an 'always clean' keyboard is to use one that never can get dirty. What about using the virtual keyboard that is now available for tablet pc's? I don't know if anyone is marketing a virtual mouse [think trackball] yet, but there is no reason why it would be nearly as difficult as the keyboard, which has gotten positive reviews.

    --
    Thelma, I'm not making ANY deals.
  21. yeah by Madcapjack · · Score: 1
    buy new equipment. but make sure to first sell the old equipment on Ebay first.

    I'm just kidding.