Medical Waste Treatment Tech
Medical Waste Treatment Tech
Medical Waste Treatment Tech
JANUARY 2007
Acknowledgements
The authors owe a debt of thanks to the following individuals whose research efforts, expert advice and support were essential in the production of this report: Pawel Gluszynski Cesta Hrdinka Ed Reid Karolina Ruzickova Mitzi Sabando Fatou Souare Hann and Kevin Stech.
Disclaimer
Health Care Without Harm (HCWH) does not have any vested commercial interests in any of the technologies or companies listed in this inventory. Furthermore, HCWH does not endorse any specific technology or company. Even though HCWH exercised care in ensuring the accuracy of the information provided, HCWH does not guarantee, and accepts no legal liability, arising from or connected to, the reliability or currency of material contained on this inventory. Moreover, HCWH does not claim that this inventory is a complete listing of all commercially available technologies. HCWH recommends that users carefully evaluate the accuracy, currency, completeness and relevance of the data for their purposes and that users exercise their own skill and care with respect to the use of the information.
Table of Contents
Introduction Basic Types of Alternative Treatment Technologies Treatment Approaches How to Use this Inventory Global Inventory of Alternative Technologies Index Of Technologies By Country/Region Index Of Technologies By Technology Type 1 3 5 10 11 35 43
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
Introduction
In 2004, the Stockholm Convention on Persistent Organic Pollutants came into force and the World Health Organization released its Policy Paper on Safe Health-Care Waste Management. Since then more than 120 countries have ratified the Stockholm Convention, which requires the continuing minimization and, where feasible, ultimate elimination of releases of persistent organic pollutants, such as dioxins and furans, which are generated by medical waste incinerators. Annex C of the Convention states that priority should be given to technologies that prevent the formation and release of dioxins and furans, among others. In keeping with the Convention, the WHO policy paper calls for the effective, scaled-up promotion of non-incineration technologies. The purpose of this inventory is to provide a global listing of alternative technologies for the treatment of infectious waste. These alternative technologies operate under conditions that avoid formation of dioxins and furans. The inventory is intended for use by health and environment ministries, international organizations, aid agencies, multilateral lending institutions, national and local planners, policymakers, health-care professionals and nongovernmental organizations involved in health-care waste management or in the development of national and local health-care waste management plans. It is important to note that alternative treatment technologies should be part of a health-care waste management system. Such a system must include: pollution prevention; waste minimization; correct classification and segregation; proper containment; color-coding; safe handling and collection of waste; labeling and signage; proper storage and transport; and safe disposal of treated waste. Pollution prevention and waste minimization entails environmentally preferable procurement practices, source reduction, material substitution, safe reuse, recycling and composting of waste where possible. Other key aspects of a good health-care waste management system include: written policies; clear delineations of roles and responsibilities; the development of effective plans with stakeholder participation; effective implementation; regular training at all levels; motivational programs to promote process change; monitoring, periodic evaluation, and continuous program improvements; and full consideration of occupational safety and personal protection. It is in this context that any medical waste treatment technology should be considered.
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
that tends to get stuck in the shredder, and automatic shut-off to prevent damage from large hard metals. The GEF project is developing simple shredders for sharps waste. In the last few decades, a second generation of advanced steam-based systems has been developed for the purposes of improving heat transfer, decreasing the processing time, achieving more uniform heating of the waste and eliminating cold spots, rendering the waste unrecognizable, reducing waste volume significantly, making most of the operation automatic, and/or making the treatment system a continuous process. These advanced treatment technologies combine steam treatment with vacuuming, internal mixing or fragmentation, internal shredding, post-treatment drying, and compaction. Many are designed to remove odors using activated carbon or high efficiency particulate air (HEPA) filters. Often, the resulting waste is dry, unrecognizable, and compact, achieving as much as about 90% volume reduction. Unlike regular autoclaves, some of these advanced steam systems have been tested successfully for use with animal waste and could be used with pathological waste including anatomical parts. These advanced steam systems have higher capital costs than standard autoclaves of the same capacity. Microwave treatment Microwave treatment is another type of alternative technology. For years, the most common microwave device has been a medium- to large-scale, semi-continuous system using an internal shredder, rotating internal screw, and industrial magnetrons to generate microwave energy. The semi-continuous microwave unit has the advantage of low operating costs and no liquid effluent but the treated and shredded waste comes out moist. The semi-continuous system has its own steel enclosure and can be installed outside a building. Small batch microwave units are now also available and can be used in small hospitals, clinics or in departments of a large hospital. Microwave units generally have higher capital costs than standard autoclaves. Pathological and chemotherapeutic wastes can be treated using alkaline hydrolysis technology hydrolysis which combines steam sterilization with tissue digestion using sodium or potassium hydroxide. These technologies are designed to destroy anatomical parts, organs, tissues and animal carcasses, breaking down organic material into basic amino acids, sugars, soaps, salts, etc. and leaving behind a bone shadow of calcium. In principle, alkaline hydrolysis can also destroy many chemotherapeutic or cytotoxic agents, and aldehydes (such as formaldehyde and glutaraldehyde) commonly used in hospitals. There are also commercial dry heat treatment technologies Moist heat has been shown to be treatment technologies. more effective than dry heat in achieving disinfection, so dry heat systems generally require longer exposure times and higher temperatures to meet minimum disinfection levels. Other types of alternative technologies include biological and chemical systems but they are not included in this inventory except for alkaline hydrolysis. This inventory includes a few alternative technologies for sharps waste, such as needle cutters and needle melters which are also commercially available.
Treatment Approaches
There are four basic treatment approaches to consider: a centralized treatment system, decentralized (on-site) treatment, mobile treatment system, and treatment within clusters. The centralized treatment approach entails the use of one or more large-scale treatment units centralized treatment approach located at a central treatment plant. A centralized approach requires a good infrastructure of collection and transportation of untreated waste using specialized vehicles. If the central facility is not located adjacent to a landfill or dumpsite, regular waste transport vehicles will be needed to bring the treated waste to the landfill or dumpsite for final disposal as domestic waste. The centralized approach has the disadvantages of having to transport infectious waste through public roads and the added cost of transport, such as fuel costs. However, it has the advantage of the economy of scale and is the preferred approach in many industrialized countries. The opposite approach is a decentralized treatment system wherein all health facilities operate decentralized treatment their own on-site treatment unit. This approach would require that each facility prepare an adequate space for a treatment system including utilities, ventilation, and sewer drains. The location of the treatment area should be away from public areas but easily accessible to the health workers responsible for collecting infectious waste. Each facility would be required to maintain their equipment, document the treatment process, train workers on the proper operation and safety procedures, and provide workers with personal protection equipment. After the waste is treated, it can be mixed with domestic waste for pickup and disposal. The decentralized approach has the advantage of disinfecting infectious waste close to the source of generation. By avoiding the problem of transporting infectious waste through public roads, the potential for accidental release of infectious materials is reduced. A relatively new approach is a mobile treatment system In this approach, the treatment units treatment system. are mounted on trucks and are brought to different health facilities where they treat the waste. After the waste is treated, it becomes domestic waste for regular pickup and disposal. The mobile unit is then transported to the next health facility to treat their waste. Only a few vendors offer a mobile treatment system, and the capital and operating costs of mobile systems are high. A fourth approach is a combination of the centralized and decentralized system, namely, the treatment within clusters of health facilities. In this approach, a major hospital or health facility treatment is designated as a central hub for the treatment of infectious waste within an area or district. Infectious waste from the hospital itself plus waste from nearby hospitals, clinics and health centers are treated at the central hub. The central hub has to maintain one or more transport vehicles to collect waste from all the nearby health facilities. The treated waste then becomes part of the domestic waste of the major hospital and is picked up and disposed of as domestic waste. In a cluster treatment approach, a cost sharing arrangement could be set up between the major facility (the hub) and other hospitals and health facilities within the cluster.
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
Treatment Approaches
Regulatory acceptance Microbial inactivation efficacy Occupational safety and health Environmental emissions and waste residues Throughput capacity Types of waste treated Cost Space requirements Utility and other installation requirements Reduction of waste volume and mass Noise and odor Ease of use Operator training Reliability Level of commercialization/ability to fill orders Technology manufacturer/vendor background Community and staff acceptance.
Regulatory Acceptance
The treatment technology should be approved or meet the requirements under existing national and local regulations.
Level IV
Level III disinfection has been the recommended minimum criteria by STAATT. The second STAATT meeting recommended the following representative biological indicators:
Mycobacteria (6 Log10 reduction) using Mycobacterium phlei or Mycobacterium bovis (BCG) Bacterial Spores (4 Log10 reduction) using Geobacillus stearothermophilus (formerly B. stearothermophilus) or Bacillus atrophaeus (formerly B. subtilis) 6
Health Care Without Harm 2006
Treatment Approaches
Some countries simply use Geobacillus stearothermophilus spores as the main indicator.
Throughput Capacity
The capacity of the technology should match the waste generation rates of the facility. Future anticipated growth and seasonal variations in waste generation should be taken into account. The throughput rates cited by technology vendors are approximate and actual throughput rates depend on waste densities and other factors.
Cost
A comparison should be made to determine the most cost-effective option. As a general rule, the capital costs of standard autoclaves are the lowest, followed by advanced steam systems and microwave technologies. Capital cost estimates especially for large systems may include shipping, import duties, site preparation, installation, commissioning, project management, and regulatory fees. Operating costs include labor, utilities, supplies, maintenance, periodic validation testing, and landfill disposal costs.
Space Requirements
The space needed to operate the technology should fit the available space in the facility. That space should include allowances needed for opening waste entry doors, access to control panels, and enough space for moving bins. A typical layout of a large treatment facility includes: space for the treatment technology and ancillary equipment such as shredders and cart dumpers, sufficient traffic areas to move waste carts around, temporary storage section for untreated waste, temporary storage section for treated waste, area for cleaning carts and bins, room to store
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
Treatment Approaches
personal protection equipment, place to store disinfectants and clean-up materials, wash basin and eyewash station, drains, and heating/ventilation/cooling system.
Ease of Use
Automation minimizes operator errors while allowing efficient and easy control of the process, safety interlocks, diagnostics, remote monitoring, alarms, and automatic documentation to meet record keeping requirements. Most non-incineration technologies are designed for ease of use. Usually, the most labor-intensive task is introducing waste into the equipment. It is also a source of occupational injuries (e.g., back problems, blood splash, needle-stick injuries). Many technologies now include automatic feed assemblies such as cart lifters or bin dumpers to eliminate handling of waste bags by workers.
Operator Training
When selecting a technology, the level of required skills and training of the operator should be considered. Vendors of large waste treatment systems generally offer operator training when a new system is installed. Operator training should include: a basic understanding of the system, standard operating procedures, occupational safety and personal protection equipment, record keeping, identifying waste that should not be treated in the technology, recognizing technical problems, dealing with unusual conditions, periodic maintenance schedules, emergency procedures, and contingency plans. Facilities should document operator training and qualification.
Reliability
Reliability of equipment can be determined from past repair and maintenance records of facilities that have used the equipment. Some vendors provide client lists which may allow potential users to investigate the experiences of others. Many vendors of advanced technologies offer remote monitoring and diagnostics capabilities. High maintenance items include major moving parts such as shredders, grinders and feed systems. Facilities should check to see if vendors are well stocked with spare parts and staffed with technical people who can respond quickly to queries or provide urgent repair services.
Treatment Approaches
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
More information may be available in future online versions of the database. To aid the user, the technologies are listed in indexes broken down according to two sets of categories: (a) Technologies by Country/Region (b) Technologies by Type Under (a), technologies are shown based on their countries of origin. If a manufacturer or vendor has major offices or installations in other countries, the technology is also listed under those other countries for convenience. Under (b), the technologies are listed according to the following types of technologies: Autoclaves/steam sterilizers Microwave technology Dry heat systems Other: Alkaline hydrolysis, needle or syringe destroyers
Where technologies include shredders/grinders, this is also indicated. It should be noted that these may either be integral to the technology or optional. Companies that offer a waste collection/sterilization/disposal service are listed as service providers under the relevant technology type. The indexes could be used to screen technologies based on geographical location of the manufacturers or vendors, and the type of technology preferred. Future versions of the database may include other indexes such as by size and throughput capacity.
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Aegis Bio-Systems
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer, shredder/grinder USA 409 W. Centennial Boulevard, Edmond, OK 73013, USA +1-888-993-1500, +1-405-341-4667 +1-405-844-9364 [email protected] www.jyd-1500.com
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
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An-As
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As-Bi
Bensons Surgico
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 42, Dlf Industrial Area, Kirti Nagar, New Delhi 110 015, India +91-11-2593-2664, +91-11-2515-8759 +91-11-2593-2664, +91-11-2546-4251 [email protected] [email protected] www.bensonsmedical.com
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Bi-Ca
Bondtech Corporation
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL OVERSEAS INSTALLATIONS Autoclave/steam sterilizer USA 2400 N. Hwy. 27, Somerset, KY 42503, USA +1-800-414-4231 +1-606-677-2616 +1-606-676-9157 [email protected] Argentina, Brazil, Canada, China, Colombia, Costa Rica, Guam, Mexico, Philippines, Puerto Rico, Qatar, South Africa, South Korea, UK, Uruguay
CAVO
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB Dry heat/electrothermal (service provider) Brazil Rua Funchal, 160 - Vila Olmpia, CEP: 04551-903 - So Paulo - SP, Brazil +55-11-3841-5400 +55-11-3841-5404 www.cavo.com.br Health Care Without Harm 2006
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Ce-Cm
PHONE FAX
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Co-Ec
Coflex
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB Autoclaves/steam sterilizer Mexico San Ramon 140 Tlaquepaque, Jal CP:45610 Mexico +52-33-3601-1940 +52-33-3601-1939 www.calentadoresaceite.com/aclaves.htm
Crusader Engineering
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB OVERSEAS INSTALLATIONS Autoclave/steam sterilizer New Zealand 17 Lorien Place, East Tamaki, Auckland, New Zealand +64-9-2740811 +64-9-2749898 www.cruseng.co.nz Europe, Australasia and South East Asia
Crystal Cache
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE WEB Autoclave/steam sterilizer USA PO Box 240828, Douglas, AK 99824-0828, USA 1-907-364-2506. www.crystalcache.com
Ecodas
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL Autoclave/steam sterilizer, shredder/grinder France 28, rue Sbastopol - 59100 Roubaix - France +333-20-70-98-65 +333-20-36-28-05 [email protected] Health Care Without Harm 2006
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Ec-En OVERSEAS INSTALLATIONS Algeria, Argentina, Brazil, Cyprus, Denmark, Egypt, France, Guyana, Honduras, Hungary, Japan, Lebanon, Morocco, Mexico, New Caledonia, Poland, Reunion Island, Russia, Saint Lucia, Spain, Tunisia, UK
Ecolotec
TYPE OF TECHNOLOGY OFFICE LOCATIONS Kuwait ADDRESS PHONE FAX EMAIL USA ADDRESS PHONE FAX WEB Autoclave/steam sterilizer, shredder/grinder Kuwait and USA First Floor / Bahman BuildingAhmad Al-JAber Street Kuwait City Kuwait +65-965-249-7711 +65-965-249-7700 [email protected] PO Box 5046, Hunstville, AL 35814, USA +1-256-895-9363 +1-256-895-9392 www.ecolotec.com
Ecosteryl AMB
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB OVERSEAS INSTALLATIONS Microwave, shredder/grinder Belgium Avenue Wilson 622, B - 7012 Mons, Belgium +32-65-82-26-81 +32-65-82-47-98 [email protected] www.ecosteryl.be Africa, Asia, France, and Middle East
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En-Gl
Fairdeal Traders
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 14, Kanshi Nagar, Model Town, Ambala, Haryana-134 003, India +91-171-252-0016, +91-941-602-0016 +91-989-675-8880 +91-171-252-1279 [email protected] www.fairdealtraders.com
Global Corporation
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL Autoclave/steam sterilizer India A/9, Shukla Estate, Opposite Veena Dalvai Industrial Estate, Off S. Road, Oshiwara, Jogeshwari (West), Mumbai, Maharashtra - 400 102, India +91-22-26787399 +91-22-56959625 [email protected] Health Care Without Harm 2006
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Go-In
GOK Consulting AG
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB Autoclave/steam sterilizer, shredder/grinder Germany GK Consulting AG, Am Schlangengraben 20, 13597 Berlin, Germany +49-30-351-99-680 +49-30-351-99-640 www.goek-consulting.de
HMG India
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India F-201, Country Park, Opp. Tata Steel Ltd., Off Western Express Highway, Dattapada Road, Borivli (E), Mumbai - 400066, Maharashtra, India +91-932-463-7854, +91-932-854-9059 +91-932-463-7854, +91-986-733-9190 +91-222-854-9059, +91-222-840-8699 [email protected] [email protected] www.hmgind.com
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In-Kc
KC MediWaste
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL Dry heat, shredder/grinder USA 4219 University Boulevard, Dallas, TX 75205, USA +1-214-528-8900 +1-214-528-0467 [email protected]
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Ko-Ma
Komar Industries
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB Autoclave/steam sterilizer, shredder/grinder USA 4425 Marketing Place, Groveport, OH 43125, USA +1-614-836-2366 +1-614-836-9870 www.komarindustries.com
Life Steriware
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 77 A/18, Dilshad Garden, Industrial Area, Delhi-110095, India +91-11-2213-0382, +91-921-353-5699 +91-921-347-8708, +91-986-820-6285 +91-11-2212-7551 [email protected] [email protected] www.indian-autoclaves-manufacturers.com
Machinfabrik
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India B-12, Arjun Centre, B.S. Devshi Marg, Govandi, Mumbai, 400 088, Maharashtra, India +91-022-556-0947 +91-022-556-0569 [email protected] www.machinfabrik.com
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Ma-Me
Mark-Costello Company
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX WEB Autoclave/steam sterilizer USA 1145 East Dominguez Street, Carson, CA 90746, USA +1-310-637-1851 +1-310-762-2330 www.mark-costello.com
Matachana Group
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB OVERSEAS INSTALLATIONS Autoclave/steam sterilizer Spain Almogavares, 174, 08018 Barcelona, Spain +34-93-486 87-00 +34-93-309 86-92 [email protected] www.matachana.com Over 60 countries
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Me-Mw Argentina Office ADDRESS PHONE EMAIL WEB Mexico Office ADDRESS PHONE WEB 25 de Mayo 393 5th B(1002) Capital Federal, Argentina +54-11-4343-4932, +54-340-49-1814 +54-11-4246-8952, +54-340-49-1818 [email protected] www.medam.com.ar Calle Norte 79 A 235 E, Colonia Claveria, 02080, Azcapotzalco, Distrito Federal, Mexico +52-5390-0052, +52-5390-5057 www.medam.net
Meteka GmbH
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Microwave Austria A-8750 Judenburg, Viktor-Kaplan-Strae 7, Austria +43-3572-85-166 +43-3572-85-166-6 [email protected] www.meteka.com
MWTS Ambiental
TYPE OF TECHNOLOGY OFFICE LOCATIONS Autoclave/steam sterilizer, shredder/grinder (service provider) Brazil
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Mw-Op
Naugra Export
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 6148/6, Guru Nanak Marg, Ambala Cantt, Haryana, India +91-171-2643080, +91-171-5006677 +91-171-2601773 [email protected] www.naugraexport.com
Neelam Industries
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India Plot No 3735, Behind New Nirma, Phase IV, Gidc, Vatva, Ahmedabad-382 445, Gujarat, India +91-79-25840049, +91-79-25842653 +91-79-55237536, +91-98-24314469 +91-99-25170468 +91-79-25842894 [email protected] [email protected] www.neelampharmamech.com
Newster Srl
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB OVERSEAS INSTALLATIONS Dry heat, shredder/grinder Italy Via Montalbano, 1377/V - 47842 S.Giovanni in Marignano (RN), Italy +378-0549-960576 +378-0549-960585 [email protected] www.newster.sm Belarus, Bulgaria, Croatia, Greece, Kazakhstan, Dominican Republic, Poland, Russia and Tunisia
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Op-Pt PHONE FAX EMAIL WEB +91-11-2294-2133, +91-11-2294-3508 +91-981-054-8909, +91-935-056-5689 +91-931-397-1681 +91-11-2364-6703 [email protected] [email protected] [email protected] www.opbrothers.com
Oppici S.A.
TYPE OF TECHNOLOGY OFFICE LOCATIONS Chile ADDRESS PHONE FAX EMAIL WEB USA ADDRESS WEB Autoclave/steam sterilizer Chile, USA Vicua Mackenna No.98, Providencia, Santiago, Chile +56-2-222-1893 +56-2-634-3588 [email protected] [email protected] [email protected] www.oppici.cl.com Oppici USA, James E. Escuti, P. O. Box 3706, Cherry Hill, NJ 08034, USA www.oppiciusa.com
PHONE FAX
PT Grand Kartech
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE Autoclave/steam sterilizer Indonesia PJS Building Jl. Rawa Bali II No. 7, Pulogadung Industrial Estate, Jakarta 13930, Indonesia +62-21-4600228, +62-361-7470473 +62-24-7608750, +62-361-7470474 +62-31-8494911, +62-542-875360 +62-31-8492807, +62-542-878344
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Pt-Re
WEB
Pulse Medika
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Microwave India 210, Ashirwad Commercial Complex, D-1, Green Park, New Delhi 110016, India +91-11-2686-3236, +91-11-2686-3503 +91-11-2686-8878 +91-11-2686-8041, +91-11-2696-8517 [email protected] www.pulsemedika.com
Rajas Enterprises
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India Post Office Kuldeep Nagar, Nanhera Chowk, Nanhera, Ambala Cantt.-133001, Haryana, India +91-171-2611337 +91-171-2610404, +91-171-2641025 [email protected] [email protected] www.rajasenterprises.com
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Re-Sa
SafeWaste Inc.
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer (service provider) Philippines 3 Pallosapis St., Greenville, City of San Fernando, Pampanga 2000, Philippines +63 45 - 963 22 19 +63 45 - 963 22 19 [email protected] www.safewasteasia.com
San-I-Pak, Inc.
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer USA 23536 South Bird Road, Tracy, CA 95376, USA or PO Box 1183, Tracy, CA 95378-1183, USA +1-209-836-2311 +1-209-836-2337 [email protected] www.sanipak.com
Sanitec Industries
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB OVERSEAS INSTALLATIONS Microwave, shredder/grinder USA 1250 24th St. NW, Suite 350, Washington, DC 20007, USA +1-202-263-3630 +1-202-466-3079 [email protected] www.sanitecind.com Brazil, Canada, Japan, Korea, Philippines, Saudi Arabia, United Kingdom
SANYO Scientific
TYPE OF TECHNOLOGY OFFICE LOCATIONS Canada ADDRESS PHONE FAX Autoclave/steam sterilizer Canada, Japan, USA SANYO Canada, Ltd. 300 Applewood Crescent, Concord, Ontario L4K 5C7, Canada +1-905-760-4025 +1-905-760-9945
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Sa-Si
Silon Ambiental
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer Brazil Av. Anglica, 2632 8 andar - conj. 82CEP: 01228-200 ConsolaoSo Paulo - SP Brazil +55-11-3217-5777 +55-11-3217-5792 [email protected] www.silcon.com.br/autoclave.php Health Care Without Harm 2006
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Si-St
Stericycle, Inc.
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB OVERSEAS INSTALLATIONS Autoclave/steam sterilizer, dry heat, shredder/grinder (service provider) USA 28161 N. Keith Drive, Lake Forest, IL 60045, USA +1-847-367-5910 , +1-800-643-0240 +1-847-367-9493 [email protected] www.stericycle.com Canada, Mexico, Puerto Rico
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St-Te
Steritech - ECPS SA
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer France ZA du Kochersberg, 1, Rue de Furchhausen, 67700 Saverne, France +33-(0) 388-710-433 +33-(0) 388-710-152 [email protected] www.steritech.fr
Sterlix Ambiental
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer Brazil Estrada Municipal Santa Maria, S/N CEP 13800-000 Mogi Mirim Sao Paulo, Brazil +55-19-3806-3899, +55-19-9603-5719 +55-19-3862-4764, +55-19-9763-1057 +55-19-3806-3282 [email protected] www.sterlix.com.br
Swingstar
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 8 D.P.K. Compound, Khairani Road, Sakinaka, Mumbai-400 072, Maharashtra State, India +91-22-3953-4476 +91-22-2511-1217 [email protected] www.swingstargroup.com
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Te-Tu
Tempico, Inc.
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer, shredder/grinder USA 1700 West Church Street, Suite C, Hammond, LA 70401, USA +1-985-429-9929 +1-800-728-9006 (US only) +1-985-429-9740 [email protected] www.tempico.com
Toshibha (India)
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 2/2, DSIDC Community Work Centre, J-Block, Shakurpur, Delhi - 110 034, India +91-11-2718-4490, +91-11-2710-1383 +91-11-5515-4422, +91-981-123-6960 +91-981-137-7080 +91-11-27108890 [email protected] www.toshibha.com
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Ur
Urbaser
TYPE OF TECHNOLGY OFFICE LOCATIONS Dominican Republic ADDRESS PHONE FAX Egypt ADDRESS PHONE FAX France ADDRESS PHONE FAX Greece ADDRESS PHONE FAX Mexico PHONE Morocco ADDRESS PHONE FAX Portugal ADDRESS PHONE FAX Puerto Rico ADDRESS PHONE Spain ADDRESS PHONE FAX UK ADDRESS PHONE FAX Venezuela ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer (service provider) Dominican Republic, Egypt, France, Greece, Mexico, Morocco, Portugal, Puerto Rico, Spain, UK, and Venezuela Avda. Olimpica #5 - La Barraquita, Santiago de los Caballeros, Dominican Republic +1809-247-75-95 +1809-247-75-96 Garb Garage, Cornish el Nil (before Embaba Bridge, in front of Nile City Towers), Boulac, El Cairo, Egypt +202-575-6655 +202-579-7444 21, rue Jules Guesde, 69230 Saint Genis-Laval Lyon, France + 33-472-666-000 + 33-472-666-009 61 Maranthonas Av, 15344 Garakas Attikis, Greece +3021-06-048-393 +3021-06-048-393 +52662-268-11-02 50 av. Capitaine Sidi Omar Elaissaoui, Cite OLMSouissi II, 36415 Rabat, Morocco +212-376-500-11 +212-376-399-43 Av Julio Dinis, 2 - 1 Esq, 1050-131 Lisboa, Portugal +351-21-799-58-80 +351-21-795-55-63 PO Box 13487, San Juan PR, 908, Puerto Rico +1787-232-8070 C/Albasanz 16 1, 28037 Madrid, Spain +34-91-121-8000 +34-91-304-1522 103 High Street, Evesham, Worcestershire, WR11 4DN, UK +44-1386-42-5240 +44-1386-44-6757 Torre Movilnet, Piso 6, Officina 6-4, Paseo Cabriales - Sector Kerdel, Valencia, Estado Carabobo, Venezuela +58-241-823-4210 +58-241-823-4210 [email protected] www.urbaser.com
32
Va-Wr
Vaiktron
TYPE OF TECHNOLOGY OFFICE LOCATIONS ADDRESS PHONE FAX EMAIL WEB Autoclave/steam sterilizer India 218-A, Bharat Indl. Est, Lake Road, Bhandup West, Mumbai, Maharashtra, 400078, India +91-22-555-51693 +91-22-555-51694 +91-22-559-87590 [email protected] [email protected] www.indiamart.com/vaiktron
WR2, Inc.
TYPE OF TECHNOLOGY Autoclave/steam sterilizer, shredder/grinder; Other (Alkaline hydrolysis)
OFFICE LOCATIONS UK, USA UK (for Europe, Africa ,Middle East) ADDRESS WR2 Ltd., Mirren Court One, 119 Renfrew Road, Paisley, PA3 4EA, Scotland PHONE +44-141-842-4360 FAX +44-141-887-4624 EMAIL [email protected]
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
33
Wr-Ya
34
AUSTRIA
CERTOCLAV Sterilizer GmbH CMB Maschinenbau und Handels GmbH Meteka GmbH
BELGIUM BRAZIL
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
35
BRAZIL (continued)
Sanitec Industries Silon Ambiental Sterlix Ambiental Newster Srl Newster Srl ARTECH Reduction Technologies Bioservices Group Inc. Bondtech Corporation Environmental Waste International Hydroclave Systems Corp. Sanitec Industries SANYO Scientific Stericycle, Inc.
Microwave, shredder/grinder Autoclave/steam sterilizer Autoclave/Steam sterlilizer Dry heat, shredder/grinder Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Microwave, shredder/ grinder Autoclave/steam sterilizer Microwave, shredder/ grinder Autoclave/steam sterilizer Autoclave/steam sterilizer, macrowave, shredder/ grinder (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Dry heat, shredder/grinder Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer
Health Care Without Harm 2006
Acmas Technocracy (Pvt) Ltd. Tuttnauer Oppici S.A. Bondtech Corporation Hydroclave Systems Corp. Yamato Scientific Co., Ltd. Bondtech Corporation Bondtech Corporation Newster Srl Ecodas Ecodas Newster Srl Urbaser Ecodas Hydroclave Systems Corp. Tuttnauer Company Ltd. Urbaser
EGYPT
EUROPE
36
EUROPE (continued)
Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Other (alkaline hydrolysis) Autoclave/steam sterilizer, shredder/grinder Microwave, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Dry heat, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder
FRANCE
Ecodas Ecosteryl AMB Steritech - ECPS SA Technologies Environnement et Mdical (T.E.M.) Tuttnauer Company Ltd. Urbaser
GERMANY
Erdwich Zerkleinerungssysteme GmbH GK Consulting AG Logmed Technologie GmbH Stericomat Systems GmbH WEBECO Hygiene in Medizin und Labor GmbH & Co. KG
GREECE
Bondtech Corporation Ecodas Ecodas Ecodas Acmas Technocracy (Pvt) Ltd. Apothecaries Sundries Manufacturing Company Ashwani Diagnostic Equipments Manufacturing Co. (Ademco) Bensons Surgico Bioasset Technologies Pvt. Ltd. Cecon Pollutech Systems Limited Fairdeal Traders Global Corporation Haat Incinerators Pvt Ltd
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
37
INDIA (continued)
HMG India Hydroclave Systems Corp. Indian Instruments Manufacturing Company Indian Scientific Instruments Company Jain Hydraulics Pvt. Ltd. Life Steriware Machinfabrik Naugra Export Neelam Industries O.P. & Brothers Scientific Works Pulse Medika Rajas Enterprises Reliance Instruments Corporation Science Enterprises / SCIENTECH Shambhavi Impex Shiv Dial Sud & Sons Swingstar Toshibha (India) Vaiktron
Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Microwave Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Microwave, shredder/ grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer, microwave, shredder/ grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder
Health Care Without Harm 2006
PT Grand Kartech Hydroclave Systems Corp. Iran Zeb Zaeem Newster Srl Ecodas Sanitec Industries SANYO Scientific Yamato Scientific Co., Ltd.
KAZAKHSTAN KUWAIT
LATIN AMERICA
Urbaser
LEBANON
LUXEMBOURG
MEXICO
38
MEXICO (continued)
Hydroclave Systems Corp. Medam B.A. Srl Stericomat Systems GmbH Stericycle, Inc. Tuttnauer Company Ltd. Urbaser
Autoclave/steam sterilizer Dry heat, shredder/ grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, Dry heat, shredder/ grinder (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Microwave, shredder/ grinder Autoclave/steam sterilizer, shredder/grinder Other (alkaline hydrolysis) Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer, shredder/grinder (service provider) Autoclave/steam sterilizer (service provider) Microwave, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder
MIDDLE EAST
Acmas Technocracy (Pvt) Ltd. Ecosteryl AMB WR2, Inc. WR2, Inc. Tuttnauer Company Ltd.
MOROCCO
Tuttnauer Company Ltd. Ecodas Crusader Engineering Steriliser Services Ltd. Sterilisers New Zealand Ltd. Bondtech Corporation Chevalier Enviro Services Incorporated (CESI) Cleanway Technology Corporation Hydroclave Systems Corp. PAE Environmental, Inc. Pollution Abatement Systems Specialists, Inc. SafeWaste Inc. Sanitec Industries Thermal Equipment Corporation
PHILIPPINES
POLAND
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
39
PORTUGAL
Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer, macrowave, shredder/ grinder (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Dry heat, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Microwave, shredder/grinder Microwave, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizers, shredder/grinder (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Microwave, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer
Health Care Without Harm 2006
PUERTO RICO
Bondtech Corporation Ecodas Ecodas Newster Srl Stericomat Systems GmbH Tuttnauer Company Ltd.
Ecodas Sanitec Industries Saudi Gulf Environmental Protection Company (SEPCO Environment) Maschinenvertrieb fur Umwelttechnik GmbH Bondtech Corporation Compass Waste Services Logmed Technologie GmbH
Crusader Engineering Tuttnauer Company Ltd. Bondtech Corporation Sanitec Industries ARTECH Reduction Technologies Ecodas Industrial Olmar, S.A. Matachana Group
40
SPAIN
Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Dry heat, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Other (needle remover) Autoclave/steam sterilizer, shredder/grinder Other (alkaline hydrolysis) Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Microwave, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Other (needle remover) Dry heat Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Other (needle remover) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Dry heat, shredder/grinder Autoclave/steam sterilizer,
TAIWAN
Evermed Tech Co., Ltd. REXMED Industries Co., Ltd. Yamato Scientific Co., Ltd. Ecodas Newster Srl
TUNISIA
TURKEY
Metan Medikal Teknik Thermal Equipment Corporation ARTECH Reduction Technologies Astell Scientific Ltd. Balcan Engineering Ltd. WR2, Inc. WR2, Inc. Bondtech Corporation Ecodas Hydroclave Systems Corp. Sanitec Industries Tuttnauer Company Ltd. Urbaser
UK
URUGUAY
USA
Advanced Precision Fabricators, Inc. Aegis Bio-Systems Anchor Autoclave Systems Biomedical Disposal, Inc. BioMedical Technology Solutions, Inc. Bioservices Group Inc. Bondtech Corporation Crawford Diversified Services Crystal Cache Ecolotec Environmental Tectonics Corporation EnviroPack Development Corporation George K. Moss Co., Inc. Hydroclave Systems Corp. KC MediWaste Komar Industries
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
41
Liberty Welding & Iron Works Company Mark-Costello Company Market Forge Industries, Inc. McGill AirPressure LLC Medical Innovations, Inc. Melco Steel, Inc. Oppici S.A. Red Bag Solutions San-I-Pak, Inc. Sanitec Industries SANYO Scientific Stericycle, Inc. Tempico, Inc. Thermal Equipment Corporation Tuttnauer Company Ltd. Wisconsin Aluminum Foundry Co. WR2, Inc. WR2, Inc. WSF Industries, Inc. Yamato Scientific Co., Ltd. VENEZUELA VIETNAM Tuttnauer Company Ltd. Viettronics Dong Da JSC Urbaser
shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Other (syringe melter) Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Microwave, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer, Dry heat, shredder/grinder (service provider) Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer, shredder/grinder Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer, shredder/grinder Other (alkaline hydrolysis) Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer Autoclave/steam sterilizer (service provider)
42
Cecon Pollutech Systems Limited CERTOCLAV Sterilizer GmbH Coflex Crawford Diversified Services Crusader Engineering Crystal Cache Environmental Tectonics Corporation Evermed Tech Co., Ltd. Fairdeal Traders Global Corporation HMG India Hydroclave Systems Corp.
Indian Instruments Manufacturing Company Indian Scientific Instruments Company Industrial Olmar, S.A. Iran Zeb Zaeem Liberty Welding & Iron Works Company Life Steriware Machinfabrik Mark-Costello Company Market Forge Industries, Inc. Matachana Group
Country/Region Africa, Central America, Europe, India, Middle East USA India India UK India India Canada, USA Argentina, Brazil, Canada, China, Colombia, Costa Rica Guam, Mexico, Philippines, Puerto Rico, Qatar, South Africa, South Korea, UK, Uruguay, USA India Austria Mexico USA Australasia, Europe, New Zealand, South East Asia USA USA Taiwan India India India Argentina, Canada, China, Egypt, Greece, India, Iran, Lebanon, Mexico, Philippines, UK, USA India India Spain Iran USA India India USA USA Spain
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
43
Company McGill AirPressure LLC Melco Steel, Inc. Metan Medikal Teknik Naugra Export Neelam Industries India O.P. & Brothers Scientific Works Oppici S.A. PT Grand Kartech Rajas Enterprises Reliance Instruments Corporation REXMED Industries Co., Ltd. San-I-Pak, Inc. SANYO Scientific Science Enterprises / SCIENTECH Shambhavi Impex Shiv Dial Sud & Sons Silon Ambiental Steriliser Services Ltd. Sterilisers New Zealand Ltd. Steritech - ECPS SA Sterlix Ambiental Swingstar Technologies Environnement et Mdical (T.E.M.) Toshibha (India) Tuttnauer Company Ltd.
Vaiktron Viettronics Dong Da JSC WEBECO Hygiene in Medizin und Labor GmbH & Co. KG Wisconsin Aluminum Foundry Co. WSF Industries, Inc. Yamato Scientific Co., Ltd.
44
Company Ecodas
Ecolotec Erdwich Zerkleinerungssysteme GmbH George K. Moss Co., Inc. GK Consulting AG Haat Incinerators Pvt Ltd Jain Hydraulics Pvt. Ltd. Komar Industries Logmed Technologie GmbH Maschinenvertrieb fur Umwelttechnik GmbH Red Bag Solutions Stericomat Systems GmbH Tempico, Inc. Thermal Equipment Corporation WR2, Inc.
Country/Region Algeria, Argentina, Brazil, Cyprus, Denmark, Egypt, France, Guyana, Honduras, Hungary, Japan, Lebanon, Mexico, Morocco, New Caledonia, Poland, Reunion Island, Russia, Saint Lucia, Spain, Tunisia, UK Kuwait, USA Germany USA Germany India India USA Europe, Germany, South Africa Poland, Slovenia USA Germany, Mexico, Poland, Russia USA Philippines, Turkey, USA Africa, Europe, Middle East, UK, USA
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
45
DRY HEAT
Company BioMedical Technology Solutions, Inc. Country/Region USA
Stericycle, Inc
MICROWAVE
Company Meteka GmbH Pulse Medika Country/Region Austria India
MICROWAVE, SHREDDER/GRINDER
Company Ecosteryl AMB
Environmental Waste International Medam B.A. Srl Sanitec Industries Saudi Gulf Environmental Protection Company (SEPCO Environment)
Country/Region Africa, Asia, Belgium, France, Middle East Canada Argentina, Mexico Brazil, Canada, Japan, Philippines, Saudi Arabia, South Korea, UK, USA Saudi Arabia
46
OTHERS
Company
ALKALINE HYDROLYSIS WR2, Inc. NEEDLE REMOVER Balcan Engineering Ltd., Biomedical Disposal, Inc. EnviroPack Development Corporation SYRINGE MELTER Medical Innovations, Inc.
Country/Region
Africa, Europe, Middle East, UK, USA UK USA USA USA
FOR PROPER DISPOSAL: A Global Inventory of Alternative Medical Waste Treatment Technologies
47