NTS N 113-MINSA / DGIEM-V.01, Technical Health Standard: Infrastructure and Equipment of Health Establishments of the First Level of Care.

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2 NTS N MINSA / DGIEM-V.01, Technical Health Standard: Handling and Management of Solid Waste in Health Establishments and Supportive Medical Services. NTS N 113-MINSA / DGIEM-V.01, Technical Health Standard: Infrastructure and Equipment of Health Establishments of the First Level of Care. NTS N 110-MINSA / DGIEM-V.01, Technical Health Standard: Infrastructure and Equipment of Health Establishments of the Second Level of Care. NTS N 119-MINSA / DGIEM-V.01, Technical Health Standard: Infrastructure and Equipment of Health Establishments of the Third Level of Care.

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4 TREATMENT TYPE FACTORS. TECHNICAL & ECONOMICAL FACTORS. INFRAESTRUCTURE & FINAL RESULTS.

5 STERILIZATION WITH AUTOCLAVES (Shredding System Integrated). MICROWAVE DESINFECTION CHEMICAL DESINFECTION BURNING (Double chamber and gas cleaning) Fuente: NTS: N MINSA/DIGESA V.01

6 FACTOR AUTOCLAVE VERTISA INCINERATOR MICROWAVE CHEMICALS TECHNOLOGY Shredding and sterilization process integrated in a single sealed and closed chamber. Chemical oxidation process. Process by high frequency radiation electromagnetic waves. Chemical disinfection process. APPLICATION Small - Medium Large Health & Medical Providers Health Facility Medium - Large Health Facility Medium - Large Small Health Establishment EQUIPMENT Equipment autoclave with shredder Incinerator Equipment Microwave equipment Chemical Supplies TEMPERATURE C (Annex 6 - C / 1b) 600 and 850 C. / 1200 C 95 to 100 C Does not use. TIME minutes minutes 30 minutes As Required VOLUME REDUCTION Reduces the volume between 60-80% with shredding Reduces the volume between 85% to 95% Reduce the volume by 60% with crushing Does not reduce the volume OPERATIVE COST Low cost High price High price The cost depends on the chemicals used PURCHASE COST Low cost High price High price The cost depends on the chemicals used RESIDUES Most Waste Almost all waste Almost all waste some wastes EFFLUENTS Low risk moderate risk Low risk moderate risk EMISSIONS None. High: hazardous gaseous emissions containing dioxins, PCBs, SOx, NOx among others. High: frequency of electromagnetic radiation. Medium: hazardous gaseous emissions. OPERATION Easy: Trained staff. Complex: Trained staff Moderately Complex: Trained staff Moderately Complex: Trained staff AIR POLLUTANTS None High risk Low risk Moderate risk

7 VERTISA works under rigurous standards: -ISO 9001: ISO 14001: OHSAS 18001: STAATT4 (USA) - EN285 (EU) - Machinery Directives 2006/42/EC - Low Voltage Directive 73/23/EEC - Directive of Pressurized Equipments (2014/68/EU). - Electromagnetic Compatibility 2004/108/EC - DIN Esterilizers designed for laboratories (Germany)

8 MEDICAL WATE ESTERILIZERS RANGE PRE-SHREDDING SOLUTION POST-SHREDDING SOLUTION PROMED VERTICAL -COMPACT- P-50 AXL (20 Kg/h) PROMED VERTICAL P-300 (100 Kg/h) PROMED HORIZONTAL P-75A (75 Kg/h) P-100 AXL (35 Kg/h) P-150 AXL (55 Kg/h) P-500 (150 Kg/h) P-1000 (250 Kg/h) P-2000 (450 Kg/h) P-150A (150 Kg/h) P-300A (300 Kg/h) P-500A (500 Kg/h) P-1000A (1000 Kg/h)

9 PROMED AXL COMPACT SYSTEM PROMED VERTICAL -COMPACT- P-50 AXL (20 Kg/h) P-100 AXL (35 Kg/h) P-150 AXL (55 Kg/h) ADVANTAGES - Compact design - Fully Automated - User friendly interface - Hospital usage intended - Electrical Steam Generator - Minimal sound - Odor minimized - No vibration - Minimal water usage - No waste water produced - Easily transported

10 AUTOCLAVE STERILIZATION PRE-SHREDDING PROMED VERTICAL P-300 (100 Kg/h) P-500 (150 Kg/h) P-1000 (250 Kg/h) P-2000 (450 Kg/h) ADVANTAGES - Industrial design - Integrated shredder - Fully automated - User friendly interface - Minimal maintenance - 8 LOG10 Sterilization - Large capacities - Odor minimized - No water usage - Automatic waste elavator - Anti - Jam shredder - Long shredder lifetime

11 AUTOCLAVE STERILIZER POST-SHREDDING PROMED HORIZONTAL P-75A (75 Kg/h) P-150A (150 Kg/h) P-300A (300 Kg/h) P-500A (500 Kg/h) P-1000A (1000 Kg/h) ADVANTAGES - Industrial design - Separate shredder - Fully automated - User friendly interface - Minimal maintenance - Vaccuum sterilization - Extra Large capacities - Odor minimized - No water usage - Auto waste elavator - Anti - Jam shredder - Long shredder lifetime

12 AUTOCLAVE STERILIZER POST-SHREDDING PROMED VERTICAL P-300 (100 Kg/h) P-500 (150 Kg/h) P-1000 (250 Kg/h) P-2000 (450 Kg/h)

13 ESTERILIZACIÓN POR AUTOCLAVE POST-TRITURADO PROMED HORIZONTAL P-75A (75 Kg/h) P-150A (150 Kg/h) P-300A (300 Kg/h) P-500A (500 Kg/h) P-1000A (1000 Kg/h

14 GENERAL PROPERTIES Small Space Needed. Volume Reduction Minimal Impact No Water Use Completely Automated User Friendly Interfase GENERAL ADVANTAGES Autoclave made of stainless steel 321 rust resistant. Odor control and reduction (Deodorant). Safety systems controlled by PLC INDUSTRIAL % Volume Reduction. Air cooling system (Patent Pending). Touchscreen for easy operation of each step during the process.

15 PROMED SYSTEM: Control Panel Touch screen control panel with intuitive operation, it allows the visualization of process variables such as time, waste temperature, chamber pressure, phases, etc.

16 PROMED SYSTEM: Shredder Autoclave with integrated shredder - in only one device with pressurized closing and complete accessories.

17 PROMED SYSTEM: Deodorant. Equipped with odor reduction system configured to the PLC of the autoclave that performs the neutralization of odors at the beginning and at the end of the cycle (from the filling stage of the autoclave to the cooling stage). The deodorization system works by injecting bad odor neutralizing chemicals or an alternative proposed by the manufacturer.

18 COOLING SYSTEM High-pressure air injected colling system. Integrated system with: blower, condensated tank y and cold water tank.

19 VERTISA SYSTEM: Microbial Inactivation 8LOG10

20 VERTISA SYSTEM: Work Flow COLD CHAMBER(4 C) Transport Container Weight Autoclave Filling Automated Container Lift Container waste transfer to the autoclave Control Panel Touch Screen Cycle Parameters View

21 VERTISA SYSTEM: Work Flow Container Unloading Container Unloading Treated Waste Residues Appearance Waste Load Weight

22 OPTIONAL EQUIPMENTS: MOBILE STERILIZERS ADVANTAGES - All - In - One Solution - Mobile structure design - Plug and Play - Can be fitted on truck - Easily movables - Weather proof - Full Automatic functioning

23 OPTIONAL EQUIPMENT: STEAM BOILER ADVANTAGES - Specially designed for PROMED sterilizers - 3 Pass Scotch type - 97% Efficiency - Wet Back efficient design - PLC Controlled - LPG/LNG/NG/Diesel/Fuel Oil - Dual Stage Burners - Special insulation - Stainless steel cover - Fully Automated functioning - Insulated chimney - High security

24 OPTIONAL EQUIPMENTS: OTHER WASTE COMPACTORS CONTAINER LOADERS/SKIPPERS CONTAINER WASHER / DISINFECTOR

25 OPTIONAL EQUIPMENTS: OTHER ELECTRICAL STEAM BOILERS STEAM / WATER RECYCLING SYSTEMS MEDICAL WASTE TRUCK BOXES

26 VERTISA Medical Waste Technology 111 E. Monument Avenue, Suite Kissimmee, FL USA Phone Numbers Main Office +1 (407) USA +1 (407) USA