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Explanted Pacemakers – ? disposal

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  • #73202
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    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
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    #73203
    Narrogin Infection Control
    Participant

    Author:
    Narrogin Infection Control

    Email:
    narrogin.infecti.control@HEALTH.WA.GOV.AU

    Organisation:

    State:

    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.

    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
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    #73205
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Email:
    terry@terrygrimmond.com

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

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    *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*

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is
    for the use only of the intended recipient, and may not be duplicated or
    used by any other party without the express consent of the sender. If you
    are not the intended recipient of the Email, please notify the sender
    immediately by return email, delete the Email, and do not copy, print,
    retransmit, store or act in reliance on the Email. St Vincent’s Health
    Australia (“SVHA”) does not guarantee that the Email is free from errors,
    viruses or interference. Emails to and from SVHA or its related entities
    may be scanned and filtered in locations outside Australia.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
    NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is
    discouraged by ACIPC. If you wish to discuss specific reference to products
    or services by brand or commercial names, please do this outside the list.

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    NOT REPRESENT THE OPINION OF ACIPC.

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    or services by brand or commercial names, please do this outside the list.

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    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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