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

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SHF Super High Frequency Microwave unit MIRAGE for Environmental Services & Waste Management

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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 SHF MIRAGE for Environmental Services & Waste Management

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Microwave (SHF) - how it works SHF 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. MIRAGE for Environmental Services & Waste Management

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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 and what it does SHF MIRAGE for Environmental Services & Waste Management

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Waste materials and Application SHF 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 MIRAGE for Environmental Services & Waste Management

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

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Accessories SHF Disposable polypropylene waste bags Re-usable polypropylene waste cans Transit lids Processing lid with PTFE bacterial filter Sensitizing agent Test strips MIRAGE for Environmental Services & Waste Management

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Basics of Process SHF 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. MIRAGE for Environmental Services & Waste Management

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1.Waste collected and packed in plastic bag 2.Bag arranged in re-usable polypropylene Can to fill around 75% volume and covered with transit lids Process Steps - 1 3.Test strip inserted 4.Bag closed but not tied 5.Sensitizing agent added to the bag and to the Can 6.Lid with filter firmly closed onto the Can. SHF MIRAGE for Environmental Services & Waste Management

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8.60 + 15 minute process time7. Filled & Closed Cans are put in Microwave for processing Test strip confirms that the process was successful. Waste typically compacts by 30% and safe to be handled Process Steps - 2 SHF MIRAGE for Environmental Services & Waste Management

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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 SHF MIRAGE for Environmental Services & Waste Management

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

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Installations in Russia and CIS Federal Target Programs of 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 SHF MIRAGE for Environmental Services & Waste Management

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Sterilizing of Dialysis Waste Dialysis waste contains residual blood with Highest risk of contamination from HIV, Hepatitis B and 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 SHF MIRAGE for Environmental Services & Waste Management

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One cycle 15 kg of a waste for 1 hour Disposable materialsNumberPrice per 1 pc, EuroPrice, Euro (subtotal) Plastic bag20,38 Euro0,76 Euro Plastic Can with lid20,10 Euro (8 Euros / 80 loads) 0,20 Euro Lid with PTFE filter20,08 Euro (80 Euros / 1000 loads) 0,16 Euro Sensitizing Solution, 20 %, ml 20,075 Euro (15 ml x 5 Euros / 1000ml) 0,15 Euro Test strip (Farmatest)40.04 Euro0,16 Euro Total expenses per one cycle : 1,43 Euro 1,43 Euro / 15 kg = 0,1 Euro for processing of 1 kg of waste Running Cost SHF MIRAGE for Environmental Services & Waste Management

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OverheadsAmountPrice, EuroPrice, Euro (subtotal) Power supply, kWt / Hour 2 hours0,07 Euro0,14 Euro Salary (based on working hours) 1 hour 333,33 Euro (med. salary) / (25 days x 8 hours) 1,67 Euro Running Cost (additional) Power, Amortization and Labor cost SHF MIRAGE for Environmental Services & Waste Management

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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 Technical Advantages SHF MIRAGE for Environmental Services & Waste Management

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Comparison ParametersMicrowaveAutoclave Electric power supplySingle phase 220 V3 phase 380 V Power (consumption)2.5 kW8 kW (VK 75) Process load60 l - 20 kg75 l - 20 kg Equipment Weight60 kg80 kg (VK 75) Pressure requirementsNoyes Water and drainagenoyes VentilationAir ventProcess gases Requirement for dedicated facilityNo - worktop mounted unit Dedicated process room Equipment certification requirementnoAnnual Skilled operators requirednoyes Possibility of opening the door in the course of work to do additional manipulations yesno Ergonomics (convenience of loading)Horizontal loadingFrequently, vertical loading Microwave vs Autoclave Comparison SHF MIRAGE for Environmental Services & Waste Management

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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) SHF MIRAGE for Environmental Services & Waste Management

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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 SHF MIRAGE for Environmental Services & Waste Management

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Spores Death Time (Minutes) SHF MIRAGE for Environmental Services & Waste Management

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Vegetative Microorganisms Death Time (Minutes) SHF MIRAGE for Environmental Services & Waste Management

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Fungi Death Time (Minutes) SHF minutes MIRAGE for Environmental Services & Waste Management

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Viruses Death Time (Minutes) SHF minutes MIRAGE for Environmental Services & Waste Management

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Work frequency, MHz Power, kW Normative EMF, mkW/cm 2 Distance, m EMF at height from ground, mkW/cm 2 PersonnelCommon0,5 m1,0 m1,7 m Test 1 24501,533100,5 5,248,156,3 Test 2 6,269,056,7 Electromagnetic field energy measurements of Microwave Unit Stages of processBenzpiren, ng/m 3 SO 2, mg/m 3 NO 2, mg/m 3 Beginning2,80,0230,08 Mid4,60,0250,082 End2,50,0160,065 Normative (industrial)1500,050,04 Air Emissions Study of Microwave Unit Sanitary and Hygiene Centre of Ministry of Defense, 2004 Research Institute of Experimental Meteorology, 2004 Environmental Studies SHF 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. MIRAGE for Environmental Services & Waste Management

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Certificate of Conformity and Registration SHF MIRAGE for Environmental Services & Waste Management

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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 . SHF Super High Frequency technology provides MIRAGE for Environmental Services & Waste Management

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

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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. SHF but just a beginning of story MIRAGE for Environmental Services & Waste Management