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Safe water at all times in
our dental units
FAMDENT, May 23 2014, Mumbai
by
Dr. M. Sathish Kumar
AQUAGUARD BIOSAFE
WORLD’S FIRST COMPLETE DENTAL WATER PURIFIER
Our Belief
Strictly Confidential 3
• A strong team of over 8000 committed ‘Eurochamps’ operating
from 132 cities & towns of India from 220 branch offices
‘Customer Response Centres’
• 324 EuroPartners (Franchisee Operations in the same tows as
above) help increase our reach.
• 402 EuroSathis (Franchisee Direct Operations) in as many towns.
• 600,000 new consumer homes added to the family each year.
Our Direct presence in over 500 towns
Strictly Confidential 4
Our Pillar of Success – Customer Service
• ISO 9000-2008 certification for after sales in key Cities
– 1100 service partners
– 5800 trained technicians
• Over 3.9 Million customers covered under AMC
– 85 % of service revenue is thru annual maintenance contract
• Customer Confidence Center – Unique initiative
– Call 3988 3434
– Customers can check the authenticity of Service technician
• 12 hour National Call Centre – Eurohelpline
– Telephone
– Web support
Strictly Confidential 5
30 years of leadership across technologies
Strictly Confidential 6
4 State of the art ISO Certified factories with a capacity of 100,000 units per month
Green Factory of Dehradun
•LEED INDIA GOLD rating, Indian Green Building Council
•100% Green Power (Windmill Power)
•Thermal Insulation (Fly Ash Bricks &
Hollow Brick Construction)
•Geo-Thermal Air Ventilation System
•Rain Water Harvesting
•Natural Light Harvesting
•Turbo Ventilators
•Reed Bed Waste Water System
•Solar Outdoor Lighting
Our Manufacturing Facility…our pride
Strictly Confidential 7
Investment in World Class Research
• Over 16water labs manned by qualified microbiologists
• Water mapping proving product efficacy
Strictly Confidential 8
Water lines in Dental Chair
Gun/ Treatment Unit
Water Bottle
Spittoon/Gargling
Unit
9Strictly Confidential
Major Problems in Dental water lines
• Microbial presence inside water tubes due to stagnant water (even
with purified water)
• Water in direct contact with the patients open wounds increases the
chances of infection
• Microbial counts can reach as high as 200,000 CFU/mL within five
days(1) after installation of new dental unit waterlines and levels of
microbial contamination as high as 1 million or 106 CFU/mL have been
documented(2).
• The maximum allowed heterotrophic count as per WHO is 500 CFU/mL
References:
(1) Barbeau J, Tanguay R, Faucher E, Avezard C, Trudel L, Cote L, Prevost AP. Multiparametric analysis of
waterline contamination in dental units. Appl Environ Microbiol 1996;62:3954-9.
(2) Mayo JA, Oertling KM, Andrieu SC. Bacterial biofilm: a source of contamination in dental air-water syringes.
Clin Prev Dent 1990;12(2):13-20
10Strictly Confidential
Case study
According to a recent article in 2012(3), a case report was
published concerning an old healthy woman who
developed Legionnaire's disease after a dental visit.
Despite medical efforts, the patient died within 2 days.
Her dentists were stunned because the pneumonia
causing bacteria (Legionella pneumophila) was acquired
while receiving dental care.
(3) Ricci ML, Fontana S, Pinci F, et al. Pneumonia associated with a dental unit waterline. Lancet
2012;379(9816):684
11Strictly Confidential
• Biofilm is like a slime layer of pathogenic microbes that
forms inside the dental unit water tubing. Formation begins
in a new dental unit within hours of the first use.
• Dental unit water becomes stagnant inside the lines at
several times: between patients, overnight, on weekends,
during lunch breaks.
• Stagnation of the water allows the bacteria to grow and
flourish on the walls of the waterlines.
BIOFILM
12Strictly Confidential
A cross-section of a dental unit waterline illustrating the formation of biofilm on
the inside wall of a dental tube
13Strictly Confidential
Fig. 24-3 Magnification of biofilm
formation on the walls of the tube.
Magnification of biofilm formation on the walls of the dental tube
Microbial maze of dental unit water lines
15Strictly Confidential
How do microbes adhere to biofilm
16Strictly Confidential
Biofilm – A Breeding Ground
17Strictly Confidential
Major Problems in Dental Water Lines
Scaling
– Frequently seen in spittoon and
guns
– Caused by hardwater (prevalent
in >60% of Indian water sources)
– Reduces the pressure in guns/jet
– Requires frequent replacement of
the tubes and guns
– Requires frequent cleaning of
spittoon
18Strictly Confidential
Water Quality Vs Source
TAP
water
RO
waterBiosafe
WATER
SUPPLY
WATER
SOURCE
GARGLING
UNIT
TREATMENT
UNIT
MICROBES = Nil
TDS = Low
BIOFILM = Nil
MICROBES = Nil
TDS = Low
BIOFILM = Nil
MICROBES = High
TDS = High
BIOFILM = High
MICROBES = High
TDS = High
BIOFILM = High
MICROBES = High
TDS = Low
BIOFILM= Medium
MICROBES = High
TDS = Low
BIOFILM= Medium
General Practices:
• Avg. water consumption = 1-2 Litre/patient (5-6/day)
• Gargling unit water source = Tap water
• Treating unit water source = RO water (manually
filled)
PRESS twice
19Strictly Confidential
Biosafe™ by EUREKA FORBES
20Strictly Confidential
Biosafe™ Technology*
• Comprehensive patient health protection & value
addition for dentists
• I-cartridge removes the suspended mud particulates –
Protection from turbid murky waters
• Chemi-block removes organics, colour and odour –
Protection from smelly coloured waters
• Specialized Reverse Osmosis membrane removes
dissolved solids and microbes – Protection from
micropollutants like metals, pesticides and biologicals
• Protec+ cartridge avoids biofilm formation – Protection
from recontamination of harmful microbes with unique
demand-release technology
*Patent Pending
21Strictly Confidential
Biosafe™ in action
Advantages:
• Prevents biofilm. Keeps waterlines
safe at all times even when not in
use
• Provides safe water at all times in
both gargling and treatment units
• Eliminates scaling inside gargling
unit tubes. Saves on the
replacement cost
• Provides constant water pressure
at all times as it does not use air
pressure from chair
• Increases water pressure in the
treating unit giving better cleaning
efficiency
Biosafe
Dental
Chair
22Strictly Confidential
Biosafe™ - Proven Performance
Product test by customers:
• Prototypes of biosafe are tested both at individual dental clinics as well as dental chair
manufacturer’s facility
• The results were exemplary in biofilm reduction, water pressure and quality
• Though we recommend customers to replace their old tubes (filled with biofilm) before product
installation, the product eliminated existing biofilm too.
Sample Test results at a Leading Dental Clinic in Bangalore (without replacement of contaminated
tubes)
Sample
days
Water passed
(litres)
Bacterial Colony
Count
Gargling
Unit
Treating
Unit
0 0 120 71
15 60 18 2
22 88 0 1
30 120 0 0
0
20
40
60
80
100
120
140
0 5 10 15 20 25 30 35
BacterialColonyCount(Nos.)
Sample Days
BioFilm Reduction by biosafe
Gargling Unit
Treating Unit
23Strictly Confidential
0
20
40
60
80
100
120
140
BacterialpopulationCFU/0.1ml
Bacterial count in the dental chair water outlets before and after
installation of the water purifier with Protec plus cartridge at
A LEADING DENTAL CLINIC in Bangalore
Console 3 way gun
Tumbler and Spitoon
Trolley 3 way syringe
Air outer
Scaler
24Strictly Confidential
0
50
100
150
200
250
Week 0 Week 2 Week 6
BacterialpopulationCFU/0.1ml
Console 3 way gun
Tumbler and spitoon
Scaler
TESTS ARE STILL
UNDERWAY
Bacterial count in the dental chair water outlets before and after
installation of the water purifier with Protec plus cartridge at
RAMACHANDRA MEDICAL COLLEGE, Chennai*
25Strictly Confidential
*We gratefully acknowledge Dr. Kandaswamy for his
encouragement in testing of the product in their premises
Biosafe™ - Testimonials
26Strictly Confidential
Visit us @ stall D-7A
VISIT OUR STALL FOR
ADDITIONAL DETAILS /
INFORMATION
27Strictly Confidential

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Biosafe famdent presentation

  • 1. Safe water at all times in our dental units FAMDENT, May 23 2014, Mumbai by Dr. M. Sathish Kumar
  • 2. AQUAGUARD BIOSAFE WORLD’S FIRST COMPLETE DENTAL WATER PURIFIER
  • 4. • A strong team of over 8000 committed ‘Eurochamps’ operating from 132 cities & towns of India from 220 branch offices ‘Customer Response Centres’ • 324 EuroPartners (Franchisee Operations in the same tows as above) help increase our reach. • 402 EuroSathis (Franchisee Direct Operations) in as many towns. • 600,000 new consumer homes added to the family each year. Our Direct presence in over 500 towns Strictly Confidential 4
  • 5. Our Pillar of Success – Customer Service • ISO 9000-2008 certification for after sales in key Cities – 1100 service partners – 5800 trained technicians • Over 3.9 Million customers covered under AMC – 85 % of service revenue is thru annual maintenance contract • Customer Confidence Center – Unique initiative – Call 3988 3434 – Customers can check the authenticity of Service technician • 12 hour National Call Centre – Eurohelpline – Telephone – Web support Strictly Confidential 5
  • 6. 30 years of leadership across technologies Strictly Confidential 6
  • 7. 4 State of the art ISO Certified factories with a capacity of 100,000 units per month Green Factory of Dehradun •LEED INDIA GOLD rating, Indian Green Building Council •100% Green Power (Windmill Power) •Thermal Insulation (Fly Ash Bricks & Hollow Brick Construction) •Geo-Thermal Air Ventilation System •Rain Water Harvesting •Natural Light Harvesting •Turbo Ventilators •Reed Bed Waste Water System •Solar Outdoor Lighting Our Manufacturing Facility…our pride Strictly Confidential 7
  • 8. Investment in World Class Research • Over 16water labs manned by qualified microbiologists • Water mapping proving product efficacy Strictly Confidential 8
  • 9. Water lines in Dental Chair Gun/ Treatment Unit Water Bottle Spittoon/Gargling Unit 9Strictly Confidential
  • 10. Major Problems in Dental water lines • Microbial presence inside water tubes due to stagnant water (even with purified water) • Water in direct contact with the patients open wounds increases the chances of infection • Microbial counts can reach as high as 200,000 CFU/mL within five days(1) after installation of new dental unit waterlines and levels of microbial contamination as high as 1 million or 106 CFU/mL have been documented(2). • The maximum allowed heterotrophic count as per WHO is 500 CFU/mL References: (1) Barbeau J, Tanguay R, Faucher E, Avezard C, Trudel L, Cote L, Prevost AP. Multiparametric analysis of waterline contamination in dental units. Appl Environ Microbiol 1996;62:3954-9. (2) Mayo JA, Oertling KM, Andrieu SC. Bacterial biofilm: a source of contamination in dental air-water syringes. Clin Prev Dent 1990;12(2):13-20 10Strictly Confidential
  • 11. Case study According to a recent article in 2012(3), a case report was published concerning an old healthy woman who developed Legionnaire's disease after a dental visit. Despite medical efforts, the patient died within 2 days. Her dentists were stunned because the pneumonia causing bacteria (Legionella pneumophila) was acquired while receiving dental care. (3) Ricci ML, Fontana S, Pinci F, et al. Pneumonia associated with a dental unit waterline. Lancet 2012;379(9816):684 11Strictly Confidential
  • 12. • Biofilm is like a slime layer of pathogenic microbes that forms inside the dental unit water tubing. Formation begins in a new dental unit within hours of the first use. • Dental unit water becomes stagnant inside the lines at several times: between patients, overnight, on weekends, during lunch breaks. • Stagnation of the water allows the bacteria to grow and flourish on the walls of the waterlines. BIOFILM 12Strictly Confidential
  • 13. A cross-section of a dental unit waterline illustrating the formation of biofilm on the inside wall of a dental tube 13Strictly Confidential
  • 14. Fig. 24-3 Magnification of biofilm formation on the walls of the tube. Magnification of biofilm formation on the walls of the dental tube
  • 15. Microbial maze of dental unit water lines 15Strictly Confidential
  • 16. How do microbes adhere to biofilm 16Strictly Confidential
  • 17. Biofilm – A Breeding Ground 17Strictly Confidential
  • 18. Major Problems in Dental Water Lines Scaling – Frequently seen in spittoon and guns – Caused by hardwater (prevalent in >60% of Indian water sources) – Reduces the pressure in guns/jet – Requires frequent replacement of the tubes and guns – Requires frequent cleaning of spittoon 18Strictly Confidential
  • 19. Water Quality Vs Source TAP water RO waterBiosafe WATER SUPPLY WATER SOURCE GARGLING UNIT TREATMENT UNIT MICROBES = Nil TDS = Low BIOFILM = Nil MICROBES = Nil TDS = Low BIOFILM = Nil MICROBES = High TDS = High BIOFILM = High MICROBES = High TDS = High BIOFILM = High MICROBES = High TDS = Low BIOFILM= Medium MICROBES = High TDS = Low BIOFILM= Medium General Practices: • Avg. water consumption = 1-2 Litre/patient (5-6/day) • Gargling unit water source = Tap water • Treating unit water source = RO water (manually filled) PRESS twice 19Strictly Confidential
  • 20. Biosafe™ by EUREKA FORBES 20Strictly Confidential
  • 21. Biosafe™ Technology* • Comprehensive patient health protection & value addition for dentists • I-cartridge removes the suspended mud particulates – Protection from turbid murky waters • Chemi-block removes organics, colour and odour – Protection from smelly coloured waters • Specialized Reverse Osmosis membrane removes dissolved solids and microbes – Protection from micropollutants like metals, pesticides and biologicals • Protec+ cartridge avoids biofilm formation – Protection from recontamination of harmful microbes with unique demand-release technology *Patent Pending 21Strictly Confidential
  • 22. Biosafe™ in action Advantages: • Prevents biofilm. Keeps waterlines safe at all times even when not in use • Provides safe water at all times in both gargling and treatment units • Eliminates scaling inside gargling unit tubes. Saves on the replacement cost • Provides constant water pressure at all times as it does not use air pressure from chair • Increases water pressure in the treating unit giving better cleaning efficiency Biosafe Dental Chair 22Strictly Confidential
  • 23. Biosafe™ - Proven Performance Product test by customers: • Prototypes of biosafe are tested both at individual dental clinics as well as dental chair manufacturer’s facility • The results were exemplary in biofilm reduction, water pressure and quality • Though we recommend customers to replace their old tubes (filled with biofilm) before product installation, the product eliminated existing biofilm too. Sample Test results at a Leading Dental Clinic in Bangalore (without replacement of contaminated tubes) Sample days Water passed (litres) Bacterial Colony Count Gargling Unit Treating Unit 0 0 120 71 15 60 18 2 22 88 0 1 30 120 0 0 0 20 40 60 80 100 120 140 0 5 10 15 20 25 30 35 BacterialColonyCount(Nos.) Sample Days BioFilm Reduction by biosafe Gargling Unit Treating Unit 23Strictly Confidential
  • 24. 0 20 40 60 80 100 120 140 BacterialpopulationCFU/0.1ml Bacterial count in the dental chair water outlets before and after installation of the water purifier with Protec plus cartridge at A LEADING DENTAL CLINIC in Bangalore Console 3 way gun Tumbler and Spitoon Trolley 3 way syringe Air outer Scaler 24Strictly Confidential
  • 25. 0 50 100 150 200 250 Week 0 Week 2 Week 6 BacterialpopulationCFU/0.1ml Console 3 way gun Tumbler and spitoon Scaler TESTS ARE STILL UNDERWAY Bacterial count in the dental chair water outlets before and after installation of the water purifier with Protec plus cartridge at RAMACHANDRA MEDICAL COLLEGE, Chennai* 25Strictly Confidential *We gratefully acknowledge Dr. Kandaswamy for his encouragement in testing of the product in their premises
  • 27. Visit us @ stall D-7A VISIT OUR STALL FOR ADDITIONAL DETAILS / INFORMATION 27Strictly Confidential