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Hi Michael,
I enquired of Daniels Health, one of Australias larger contractors, and
they replied:
*Daniels Health advise that pacemakers are problematic and advise that:*
o *Intact bloody pacemakers cannot be disposed of as CW as Lithium
batteries places them in a different hazard category (Category 9) requiring
specific waste manifests, packaging and transport*
o *The presence of a lithium battery enacts federal Dangerous Goods
Transport regulations applicable in all states. *
o *If decontaminated, and lithium battery removed, the case can be
discarded as general waste and the battery transported to a battery
recovery plant under ADGC Category 9 hazardous waste UN shipping numbers
3090, 3091, 3480 or 3481.*
o *Most states recommend that the manufacturer be approached to take back
such products after decontamination by the HCF.*
Kind regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
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*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Michael Wishart
*Sent:* Tuesday, June 14, 2016 12:18 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposal
Thanks Terry
Where does battery waste go? Who handles it, how is it processed? I am
not really familiar with this specific waste stream. And would it be
managed the same for each facility/state?
Thanks
Michael
*Michael Wishart*
Infection Control Coordinator
*A *627 Rode Road, Chermside QLD 4032
*P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
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P *Please consider the environment before printing this email*
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Terry Grimmond
*Sent:* Tuesday, 14 June 2016 8:44 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposal
Hi Michael,
What a conundrum! I note the WA Guide does not answer your Q.
Are not pacemakers sealed. If so, what is issue with,:
Remove gross soiling and organic matter with detergent
Soak in 5,000ppm hypochlorite for 10 mins
Dispose of as battery waste in sealed bag with outer label
stating decontamination has taken place?
If above unacceptable, we need strongly urge mfger to accept them back
after the above procedures have been performed. (manufacturer
responsibility is an important avenue in healthcare sustainability)
Regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image003.gif@01D1C628.C7AC14B0]
“This email (including any attachments) is intended only for the use of the
individual or entity named above and may contain information that is
confidential and privileged. If you are not the intended recipient, you are
reminded that any dissemination, distribution or copying of this email or
attachments is prohibited. If you have received this email in error, please
notify me immediately by return email or telephone and destroy the original
message. Thank you.”
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Narrogin Infection Control
*Sent:* Monday, June 13, 2016 7:39 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposal
Hi Michael,
This WA document may be helpful.
*Kind Regards*
*Sue*
*SueSimmonds CN*
*Infection **Prevention*
*Narrogin Hospital*
WA Country Health Service – Wheatbelt
Po Box 336 | NARROGIN WA 6312
*Working together for a healthier country WA*
*Our Values: Community | Compassion | Quality | Integrity | Justice*
*The contents of this e-mail transmission are intended solely for the named
recipient(s), may be confidential, and may be privileged or otherwise
protected from disclosure in the public interest. The use, reproduction,
disclosure or distribution of the contents of this e-mail transmission by
any person other than the named recipient(s) is prohibited. If you are not
a named recipient please notify the sender immediately.*
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Monday, 13 June 2016 7:55 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Explanted Pacemakers – ? disposal
Question from my CSSD manager;
How can we safely dispose of explanted pacemakers?
What can we do with them?
VMO and suppliers do not want them back (unless specified)
We cannot clean properly unless we start to disassemble
We cannot throw into rubbish as contain batteries
Cannot throw into battery recycling as theoretically are still
contaminated
Now some CSDs are known to unofficially dispose of them in the sharps which
is probably even more dangerous!
Thoughts on this? Does anyone have a policy on disposal of explanted
pacemakers? Do any health authorities provide advice on this?
Thanks for any advice on this.
Cheers
Michael
*Michael Wishart*
Infection Control Coordinator
*A *627 Rode Road, Chermside QLD 4032
*P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
P *Please consider the environment before printing this email*
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