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D E L A B I E WATER CONTROLS FOR HOSPITALS Healthcare Facilities & Retirement Homes WATER CONTROLS FOR HOSPITALS

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DELABIE

WATER CONTROLS FOR HOSPITALSHealthcare Facilities & Retirement Homes

WATER

CONTR

OLS FO

R HOSPITA

LS

DOC900INT - 07/2011

RC Amiens B 615 680 089

Other brochures available*:

• DOC 609 INT: Sanitary Fittings

• DOC 950 INT: Grab Bars & Rails, Hygienic Accessories

• DOC 200 INT: Water Controls for Professional Catering

• DOC 910 INT: Safety & Laboratory Controls

18, rue du Maréchal Foch - 80130 FRIVILLE - FRANCE

Tel. 00 33 (0)3 22 60 22 72 • Fax : 00 33 (0)3 22 60 22 82 • [email protected]

* Other languages available on request

General Conditions of SaleContacts and Additional Information

HEAD OFFICE & PRODUCTION SITE:

18, rue du Maréchal Foch 80130 Friville - FRANCETel.: 00 33 (0)3 22 60 22 72Fax: 00 33 (0)3 22 60 22 82e-mail: [email protected]: www.delabie.com

Commercial Director: Luc DELABIE

Export Sales Manager: Loïc PIQUARD

Export Area Managers:- Sébastien JEUX- Vincent ROBINET- Nicolas VÉLU

For order processing and product availabiity pleasecontact our Export Sales Administration Teame-mail: [email protected]

Technical Support:Laurent BOUTLEUXTel. 00 33 (0)3 22 60 22 74e-mail : [email protected]

Contacts Additional Information

www.delabie.com

Available brochures*

Clicking on the SPECIFIERS tab on the home page will give you access to our services andcustomised features.

Various SEARCH options allow you to find the products you need quickly:- BY PRODUCT REFERENCE for direct access to the relevant technical information, - BY TYPE OF INSTALLATION for a selection of products that meet your project's specific criteria

such as resistance to vandalism, hygiene, comfort, etc.- BY PRODUCT RANGE (e.g. washbasins) providing a summary of each product solution (e.g. time

flow mixers) according to the method of installation and including technical drawings and specificfeatures.

More services to discover: Personalise your shopping basket and customise your product selection withregulations, personalised water savings calculations, technical data calculations, news etc.

DOC 609 INT DOC 950 INT DOC 200 INT DOC 910 INT

The conditions of sale are valid for all customers.

ORDERS AND OFFERS:These are fulfilled in order of receipt.All orders despatched from DELABIE imply acceptance of ourgeneral conditions of sale and customers waive any claimsthat may arise from clauses in their own documentation,which may differ.The customer agrees to these terms from the moment that wereceive their order, which cannot be cancelled. Orders areaccepted without obligation to deliver complete, in onedelivery.Our commercial representatives are not authorised to agreeadditional terms verbally, or to provide verbal guaranteesbeyond those provided in the written contract. In the event of delay or payment default our company will beentitled to suspend deliveries or cancel existing orders withoutany claim for damages from the customer. In the event of achange in circumstances of the buyer, we reserve the right tocancel existing orders or to demand payment guarantees.

PRICES:Deliveries are invoiced according to the conditions in place atthe date of delivery. Prices are given without guarantee andthey may be changed without notice in accordance withfluctuation of costs, VAT or other taxes, according toeconomic circumstances.Price increases are announced one month prior to theirapplication, and they apply to offers and orders in hand.

PAYMENTS:Terms of payments are confirmed when an account is opened,and are dependent on the terms of our credit insurance, andaccording to each country. In the event of payment after the date on the invoice and inthe conditions set out above, interest will accrue on the sumoutstanding at the banking rate (ECB) plus 10%. In the caseof late payment, a cash payment may be required, replacingexisting conditions. We will not accept any set-off, only ourassets have a legal value.

DELIVERY TIMES:Delivery dates are indicative only and we shall not be liable forany delay or failure in carrying out our obligations where thedelay or failure to deliver is caused by risks of manufacturingor where the cause is beyond our control. Delivery delay willnot give rise to compensation payment or goods rejection.

DELIVERY CLAIMS:Unless otherwise stated in the Incoterms on the invoiceaccompanying the goods, the goods are always forwarded atthe buyer’s own risk whatever the method of transport, evenif the carriage is free. The buyer assumes responsibility ofcarriage and packing costs. Notwithstanding the method ofdelivery, the buyer shall examine the goods on receipt and, incase of goods being damaged or lost in transit, notify thecarrier immediately in writing (within 48 hours). A copy of thisletter must be addressed to us. No claim will be allowed where the delay in reporting exceeds8 days following the receipt of the goods. The whole of thedelivery cannot be rejected because of partial damages orshortages.

PROPERTY IN GOODS:Notwithstanding any agreed terms of sale, the goods shallremain our property until the payment in full has beenreceived. The failure to meet a payment deadline may result inthe reclamation of these goods.The buyer assumes the risks of loss or damage, regardless ofthe means of delivery, as described in paragraphs ”DeliveryTimes” and ”Delivery Claims” above, as well as liability fordamage they might cause.

WARRANTY AND RESPONSIBILITY:Our products are warranted against any manufacturing defectfor a period of 10 years (except for electronic sanitary fittingsand electrical equipment, which are guaranteed for 3 years)from the date of purchase as evidenced by a stamped dealer’sinvoice.Our warranty covers the exchange or repair of parts admitteddefective (by our workshops) but excludes the cost forspoilage, handling and carriage or compensation whatever itis. We are not responsible for handling charges.

Disasters or major water damage as a result of manufacturingdefects are covered by “product” public liability insurance.The warranty does not apply and our total liability is excludedin the following cases:- installations that do not conform to the normal practices of

installers or the technical specifications provided,- normal wear and tear,- the failure to follow instructions for installation, operation

and maintenance;- other factors independent of our products’ quality, for

example: damage caused by detergents or abrasive cleaningproducts, hard water, foreign bodies in water (such as sand,gravel, filings or scale, etc.), or chemical and electrolyticphenomenon.

- defective surveillance, storage or maintenance.- modification or intervention by the Client, or third party, to

the product without our authorisation or using parts and/orconsumable parts that are not original.

The water-tightness of connections, joints and the mountingof the installation is the responsibility of the professionalresponsible for installation, and must be guaranteed by them. Warranty excludes joints, washers and rubber seals. Anyfinishes other than chrome or nickel are also excluded fromthe warranty.In the event that the product has been discontinued ormanufacturing methods changed and replacements are notavailable, similar, alternative products will be offered.Replacement under warranty will not extend the duration ofthe original warranty.Legal warranty of latent defects applies in any case.

RETURNS:Goods may not be returned to us for credit unless priorwritten approval is obtained by the buyer from our Companyand they are received in a good state (determined by ourgoods inwards department). All transportation costs forreturned goods must be paid by the buyer. Goods must bereturned with good protective packaging.Goods delivered for less than 1 month will be refunded at theinvoiced price. After 1 month a deduction will be made forchecking, handling and accounting costs. A repair and re-stocking fee will apply in all instances if necessary. Product returns are not permitted in the followingcircumstances: specially manufactured products, technical oraesthetic evolution of the product since the date of purchase,scratched or damaged products, products purchased morethan one year previously. When sent to Delabie, thoseproducts outside of the scope of returns, will be immediatelydestroyed / recycled, and will not be returned to the client.The schedule of standard deductions is as follows:- Return <1 month……………… Refund at invoiced price- Return between1-3 months………… Deduction of 15%- Return between 3 months and 1 year… Deduction of 30%- Return >1 year………………………. No refund possible

CLEANING - MAINTENANCE:Clean only with soapy water and using a soft rag or sponge.Rinse and dry after washing. Do not use abrasive orchlorinated products (with an hydrochloric acid base).

PHOTOS AND DRAWINGS:All photos, drawings or plans, specifications and otherillustrations are for reference only. Our company reserves theright to modify or alter the design, construction orappearance of goods described in our catalogues, installationguides, price lists and website at any time, without notice andwithout recourse.

JURISDICTION:Acceptance of an order delivered from France settles thecontract under the French law. All disputes arising from thepresent contract will be settled definitively by the Courtlocated in the area of our domicile, even in the event ofmultiple defendants, regardless of the delivery location orstipulated payment. All clauses to the contrary will beconsidered null by the mere fact of having dealt with ourcompany.

Copy forbidden without our written agreement.

DELABIE Société en Commandite Simple au capital de 1.000.000 E - RC 615 680 089 Amiens

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* Other languages available on request.

OXFORD

SOUTHAMPTON

BRIGHTONBOULOGNE

DOVER DUNKERQUE

CALAIS

ABBEVILLE

LILLE

HASTINGS

DIEPPE AMIENS

ROUENCOMPIEGNE

BEAUVAIS

LISIEUXCAEN

LE HAVRE

GENT

ARRAS

REIMS

GERMANYSWITZERLANDITALY

BELGIUM

PARIS

BRUSSEL

LONDON

LE TREPORT

AUTOROUTE/HIGHWAY

ROUTE NATIONALE/MAIN ROAD

NORTH E

UROPE

Contents

• Controls with Ceramic Cartridges

• Disinfectable BIOCLIP Mixers & Taps

• Electronic Controls• Knee or Foot Operated Mixers & Taps

• SECURITHERM Mixers - Thermostatic Mixers - Pressure Balancing Controls

• Controls with Ceramic Cartridges

• Thermostatic Controls

THERMOSTATIC MIXING VALVES

BED PAN CLEANERS, FRAME SYSTEMS & WCS

SPARE PARTSCERTIFICATIONSINDEX OF REFERENCES

BASINS, SINKS & TROUGHS

SHOWERS & BATHS

Total hygiene, total comfort, water savings.

Anti-scalding safety, thermal shock capability, stable temperatures.

Hygiene, safety, water savings, ergonomics.

Anti-scalding safety, special thermal shock, stable temperatures.

Water saving, comfort, safety.

Safe hot water distribution

Eliminating bacteria, impurities and scale in mixers & taps.

127/129

130/131

132/135

20/29

6/19

30/43

46/53

54/67

68/79

80/91

• Introduction: Specific Solutions for the Healthcare Sector

44/45

• PREMIX Security & Comfort Mixers

92/105

• PREMIX Compact Mixers

• Ben Pan Cleaners 106/110

• Frame Systems 111/118

• Flush Valves for WC 119/126

3

HEALTHCARE

UKStoke Mandeville HospitalAylesbury Addenbrooks HospitalCambridge Newcastle General HospitalNewcastle Leaf Hospital, EastbourneSt. Thomas’ Hospital, LondonQueen Alexandra Hospital,PortsmouthNorth Teeside Hospital,Hartlepool

IRELANDWaterford Regional Hospital St. John's Hospital, Limerick Tralee General Hospital, Cork

FRANCEParis HospitalsMarseille HospitalsLyon Civic HospiceUniversity Hospital Centre, CaenHospital Centre, Le HavreHospital Centre, SoissonsHospital Centre, CahorsHospital Centre, NancyHuriez Hospital Centre, LilleUniversity Hospital, RennesUniversity Hospital, Bordeaux

SPAINLeon Hospital Seville HospitalBurgos HospitalUniversity Hospital, MalagaUniversity Hospital, Barcelona

GREECEMetropolitan Hospital, AthensYgia Hospital, Athens

PORTUGALHospital Da Luz, LisbonClinica Dos Poetas, OeirasHospital da Santa Luzia, ElvasHospital da Santa MariaSan Joao Hospital, Porto

GUADELOUPELes Abymes Regional HospitalBasse Terre HospitalBeauperthuy Hospital, PointeNoire

MARTINIQUELe Lamentin HospitalLouis Domergue, La TrinitéFort de France University Hospital

FRENCH GUIANACayenne HospitalSurgical Hospital, Kourou

REUNION ISLANDFelix Guyon Regional Hospital,Saint-DenisEast Pole Hospital, Saint-BenoitAsfa Hospital, Saint-DenisSaint-Paul Hospital

QATARHamad Hospital

CYPRUSNew Famagusta Hospital

SAUDI ARABIASAAD Hospital, Al-khobar

MOROCCOOujda Hospital

CAMEROONSangmelina Hospital

SENEGALDalal Jamm Hospital, Dakar

EGYPTRailway Hospital, Cairo

SYRIAGhraiwatie Hospital

INDONESIAGovernment Hospital, BanyumasHermina Hospital, Jakarta

CHINAPrince Philip Dental Hospital, HK

PAKISTANShaukat Khanum Memorial Cancer Hospital & Research Centre

MALAYSIAJantung Negara National HeartInstitute, Kuala Lumpur

POLANDRaciborz HospitalMyszkow HospitalPiekary HospitalLimanowa HospitalNational Heart & Lung Hospital,Wroclaw

HUNGARYDr Rose Clinic, BudapestBaktaloranthaza ClinicNyergesujfalu Clinic

MENTAL HEALTHUNITS

UKBethlem Hospital, LondonManchester RoyalCountess of Chester Hospital,Chester

FRANCEMental Health Unit, Saint Andre

GREECEPsychiatric Centre, Athens

GUADELOUPESaint-Claude Psychiatric Hospital

REUNION ISLANDMental Illness Public Institute ofLa Reunion, Saint-Paul

CARE HOMES

UKDarland House Care Home,Gillingham

FRANCENeuville, Saint Remy Care HomeSainte Emilie Care Home,Maubeuge

SWITZERLANDLes Aliziers Care Home, Moutier

GUADELOUPEGerontology Centre, La Raizet

2

Applications Applications

5

ref 546400 > p.116

TEMPOFIX Frame Sys-tem electronic WC

Selection Guide for SHOWERS, SHOWER-BATHS & WCs

Washbasins Wastesfor tiled or PVC floorsref 683... > p. 91

THERMOSTATIC MIXERS FOR SHOWERS & BATHS

PREMIX Panelinteg. battery & electronics

ref 792... > p.75

model withflexiblehandset

SECURITHERMshowerref H9739 > p.74

SECURITHERM Mixer for Showers & Baths

SECURITHERMsecuritouch showerref H9741 > p.74

H9739 Auto-draining Kitref H9739HYG > p.72

SECURITHERM Shower Kits

MIXER WITH CERAMIC CARTRIDGE FOR SHOWERS & BATHSShower/Shower-Bath Mixers

ADDITIONAL FITTINGS

Disposable Shower Kit flexible hose & spray head ref 809 > p.88

Anti-stagnation Device between valve and flexible ref 880 > p.90

Shower Heads mono-jet with 4 sprays ref 81... > p.89

Shower Head Holderfixed or swivel ref 84... > p.89

Shower Kits flexible hose & spray head+ bar ref 80... > p.88

2539 Anti-stagnation Kitwith mixer 2539 andhand spray with 2 sprayoptions ref 2539HYG > p.84

2539 Complete Kitwith mixer 2539 andhand spray with 2spray optionsref 2539KIT > p.84

Remote Mixerref 2542 > p.86Twin Hole Mixers, sculptured or solid lever with under and over

spoutref 2538, 2539, 2439, 2239 > p.85

Single Hole Recessed Control wall plate ø110mmref 2443 > p.86

Single Hole Shower-bath Mixer deck-mounted ref 2505 > p.87

Twin Hole Shower-bath Mixerwith sculptured or solid leverref 2252 > p.87

H9741 Auto-draining Kitsecuritouchref H9741HYG > p.72

H9739 Complete Kitref H9739KIT > p.73

H9741 Complete Kitsecuritouchref H9741KIT > p.73

SECURITHERMshower-bathref H9752 > p.74

BED PAN CLEANERS

FRAME SYSTEMS/ WC S

TEMPOMATIC WC through-the wall

ref 463... > p.123

TEMPOMATIC WC Recessed st. steel wall plate 320x220

ref 463326 > p.123

TEMPOFLUX 2 Recessedwall plate ø195 single ordual flushref 762... > p.125

TEMPOFIX FrameSystem Tempoflux 2 WCref 576... > p.125

TEMPOMATIC 4 & 8-Waymultifunction control unitref 441452, ...... > p.123

Electronic Controls Time Flow Controls

PREMIX Shower Panels

PREMIX ComfortGroup thermostatic mixing valvefor 6 - 40 showers (55 - 190 lpm)ref 731... > p. 100

Shower Kits

Bed pan cleaner, stop cockHOSPITAL sprayref 2591 > p.109

Bed pan cleaner, time flowHYGIENA sprayref 7480.. > p.109

Spray HeadsM1/2’’ref 434..... > p.110

1/2’’ Stopcock with vacuum breakerref 158100 > p.110

Bed pan cleaner, stop cocktrigger hand sprayref D275058 > p.109

Thermostatic Mixing Valves

PREMIX CompactIndividual mixing valve for1 - 10 valvesref 733... > p.101

4

Selection Guide for WASHBASINS, SINKS & TROUGHS

DISINFECTABLE BIOCLIP MIXERS & TAPS

BIOCLIP removable body ref 282... > p.25

BIOCLIP Mechanicalbrass spoutref 2870T. > p.26

disposable spout ref 2871T. > p.26

disposable spout ref 20871T. > p.26

BIOCLIP Spout disposable spoutref 20015 > p.27 ref 20870T. > p.26

BIOCLIP for Panels brass or disposable spout

ref 2080... > p.27

BIOCLIP Removable Mixers

BIOCLIP Electronicbrass spout

ELECTRONIC & FOOT OR KNEE OPERATED CONTROLS

Wall & Deck-mtd or Cross Wall Spoutsswivel/fixedref 1306T./981... > p.45ref 941.../947... > p.45

TEMPOGENOUknee-operatedref 734.../735... > p.44

MONOFOOT/MIXFOOTfoot-operatedref 736.../739... > p.44

Mixers and Tabs with Removable BIOCLIP Spout

Wall or Deck-mounted SpoutsFoot or Knee-operated Mixers

Electronic Mixers & Taps Lithium 6V battery

TEMPOMATIC 4 & 8-Waymultifunction control unitref 44145. > p.43

SECURITHERM THERMOSTATIC PRESSURE BALANCING MIXERSMixers with Pressure Balancing Ceramic CartridgeThermostatic Mixers

Thermostatic Mixerbasin L.150 H.210ref H9726 > p.50

Thermostatic Mixersink L.200 H.230ref H9716 > p.52

Mixer 2520 EPFixed spout L.135 H.85ref 252..EP > p.50

Mixer 2565 EPfixed spoutref 2565..EP > p.52

BIOCLIP 2820 EPdisinfectable mixerref 282..EP > p.51

Mixer 2720 EPfixed spout L.120 H.85ref 272..EP > p.51

MIXERS & TAPS WITH CERAMIC CARTRIDGE

Mixer and retractablespray headref 2544. > p.64

Mixer with retractablespray head, H.210ref 2597 > p.64

Basin Mixers

Mixers for Sinks & Troughs

Mixers with Retractable Spray Heads

Spout H.85 L.120fixed spoutref 2720 > p.58

Spout H.85 L.135fixed spoutref 2520 > p.58

Spout H.60 L.110fixed spoutref 2420 > p.59

Spout H.45 L.110fixed spoutref 2220 > p.59

Spout H.95 L.200swivel spoutref 2522 > p.59

Spout H.200 L.150swivel spoutref 2506T1 > p.59

High, swivel spoutsuitable for filtersref 2564.. > p.60

Spout H.150 L.230swivel spoutref 2510 > p.61

High, fixed spoutsuitable for filtersref 2565.. > p.60

Mixer, centres 150Auto-draining, swivel spoutref 2519 > p.62

Spout H.220 L.200swivel spoutref 2506T2 > p.61

Spout H.145 L.220 swivel spoutref 2210 > p.61

ADDITIONAL FITTINGS

WASHBASIN WASTEShygienic with concave gridref 611... > p.66

PREMIX ComfortGroup Thermostatic Mixing Valvefor 6 - 40 showers (55 - 190 lpm)ref 731... > p. 100

PRE-MIXER compactref 200... > p.65

Drainage Connectors

TEMPOMATIC 4 & 3 integ. battery & electronics

ref 443... > p.40

TEMPOMATIC/BINOPTIC RECESSEDwith recessing box

ref 447500 > p.41ref 379ECM > p.42

TEMPOMATIC/BINOPTIC cross wall

ref 441157 > p.41ref 379... > p.42

TEMPOMATIC 2/BINOPTIC design + solid brass

ref 494.../444... > p.37ref 378.../478... > p.37

TEMPOMATIC 4 & 3integrated battery + electronics

ref 490.../440... > p.36ref 492.../442... > p.36

Mains 230/12 V.

BIOCLIP removable body ref 282... > p.25

ref 495.../445... > p.38

ADAPTOR for a terminal filterref 969... > p. 67

Wall-mounted Connectorsfor single-hole mixersref B055AG75 > p.90

SIPHONhorizontal outlet 1’’1/4ref 517000 > p.66

230/12V Mains Supply

Thermostatic Mixerwall-mtd sink mixer withBIOCLIP spoutref H9718/H9719 > p.53

Mixer with High, Swivel Spoutlever L.215

ref 20164T./20464T. > p.39

NEW

NEW

NEW

NEW NEW NEW NEW NEW NEW NEW

NEW NEW NEW

NEW NEW

NEW

NEW NEW NEW NEW

NEW

TEMPOMATIC/TEMPOMATIC PRO removable spout

NEW

Specific Solutions for the Healthcare Sector

6

SPECIFIC SOLUTIONS FOR THE HEALTHCARE SECTOR

8/11The Fight Against Healthcare Acquired Infection

• Why consider specialist controls in healthcare facilities?- for hand hygiene- to provide ease, comfort and ergonomics- to save water and energy- to remove the risk of scalding

• Our specialist water controls meet these constraints

12/19DELABIE Mixers & Taps

• The fight against healthcare acquired infections.- What is an healthcare acquired infection?- How do you contract an healthcare acquired infection?- Hand hygiene: essential action to prevent healthcare acquiredinfections.

• Pseudomonas Aeruginosa and water.How does Pseudomonas Aeruginosa contaminate mixers & taps?

Our innovative project "Development of hospital taps to reduce thespread and transmission of pathogens" is supported by the Europeansubsidy EDFR) and Oséo Innovation (refundable grant).

Hand washing: 1st Line of Defence

9

LEVEL

OF RISK

Low level risk of infection:Consultations, care homes, paediatrics, psy-chiatrics, etc.

Intermediate level risk of infection:wards for infectious patients, wards for patients sus-ceptible to infections, certain technical areas, etc.

High level risk of infection:intensive care wards, surgical units, haematology andneo-natal wards, etc.

OBJECTIVES

&

METHODS

• Remove stains and dead skin scales. • Reduce the transient flora.

=>Mechanical hand wash using water andplain soap.

• Remove stains and dead skin scales. • Reduce the transient flora.

=> Hygienic hand washing or hygienic rubbing usingwater and a disinfectant (disinfectant soap orhydro-alcoholic solution).

• Remove stains and dead skin scales. • Reduce the transient flora. • Reduce the resident flora.

=> Surgical hand washing or surgical rubbing using waterand a disinfectant (disinfectant soap or hydro-alcoholicsolution).

WASHING

TECHNIQUES

Public advice on hygiene:

Historically, hand washing constitutes the first means of protection against nosocomial infections. It is the decisive barrier for restricting nosocomial infections between nursing staff and patients.Nursing staff must wash their hands after treatment when moving from one patient to another.This pre-supposes that an effort is made to change old habits and make the necessary hand washing equipment available to staff in every room.In addition, monitoring and training are required to ensure that hand washing protocols are diligently observed. Different protocols exist and can be summarized as follows: - Simple hand wash- Hygienic hand wash (European Standard) or ‘’Antiseptic’’- Surgical hand washNursing staff must have permanent access to hand washing equipment for every day use, as well as techniques for deep disinfection when appropriate.

Source : "100 recommendations for observation and prevention of nosocomial infections" CSHP 1992.

Hand washing practices by healthcare professionals have improved in recent years. However, studies reveal that hand washing protocols are not always followedby healthcare staff.

Hand Hygiene: How to Prevent Nosocomial Infections (HAIs).To remove all risks of nosocomial infection is almost impossible. However, by simply following strict hygiene rules such aswashing or disinfecting the hands, the number and severity of nosocomial infections can be significantly reduced. Attention to manual hygiene by nursing staff is one of the most simple and effective ways of fighting nosocomialinfections.

Onto dry, clean and non-powdered hands:

1) Place a dose of hydro-alcoholic solution intothe palm of the hand.

2) Rub all the surfaces ofthe hands, wrists andforearms for 30 - 60 seconds (according to themanufacturer's instruc-tions).

3) Let the hands dry natu-rally.

1) Wet hands and forearms. 2) Soap hands, forearm andelbows for one minute eachwith liquid disinfectantsoap.

3) Scrub nails for 1 minute (30seconds per hand).

4) Rinse hands and forearms.5) Soap hands and forearmsexcluding elbows for oneminute each.

6) Rinse hands and forearms. 7) Dab dry with disposable, sin-gle-use hand towel.

1) Simple washing of handsand forearms.

2) Scrub nails for 1 minute (30seconds per hand).

3) Rinse hands and forearms.4) Dry thoroughly with dispos-able, single-use hand towel.

5) Rub hands and elbows untilcompletely dry (for morethan 1 minute).

6) Repeat process and rubalcohol over hands andforearms (excludingelbows), allow hands todry naturally until com-pletely dry (for more than 1minute).

Hygienic hand wash(EN 1499)

Hygienic treatment byrubbing(EN1500)

Surgical washing (EN 12791)

Surgical disinfection byrubbing(EN 12791)

Different techniques for hand washing and their applications

30sec. min

1) Wet hands.

2) Place a dose of soap:- plain liquid soap for simplehand washing.- liquid disinfectant soap forhygienic hand washing.

3) Carefully soap between the fingers,nail edges and theoutside edges of thehands.

4) Rinse under run-ning water.

Soaping time:- At least 15 seconds forsimple hand washing.- At least 30 seconds forhygienic hand washing.

5) Dry with disposable,single-use handtowel.

60 sec. minto 1 min.

min3 - 5 min.

5 min.approx..

Source : SFHH “recommendations for hand disinfection, 2002

Hygienic disinfection of the handsSimple hand wash Surgical hand wash

The Fight against Hospital Acquired Infec-tions

8

Removable mixers & taps fordisinfection.

Electronic controls:Total Hygiene (no manual contact).

Mixer with long lever can becontrolled by the wrist orforearm.High spout for fitting a filter.

What is an Healthcare Acquired Infection?Healthcare Acquired Infections (HAIs) are 'infections occuring in a patient/staff/visitor in ahealthcare facility not present or incubated at the time of admission'.Defined in the Healthcare Associated Infections and Antiobiotic Resistance: an increasing threat to Pa-tient Safety in Europe presentation by the European Centre for Disease Prevention and Control in 2010.Hospital acquired infections are now included in healthcare-related infections. An infection is said to be healthcare related if it occurs during or after patient care (diagnostic,therapeutic, palliative, explorative or preventative treatment) which was not present or incu-bating when treatment began. If the infection status is not known when the patient care starts, an infection is considered healthcare re-lated if the symptoms present after 48 hours of the treatment starting, or after the respective incubationperiod. In the case of surgical wounds, infections are considered to be healthcare associated when theyoccur within 30 days of surgery, or within a year where a prosthetic or an implant has been fitted.

Healthcare Acquired Infections are normally contracted through the handsHospitals and private clinics are places with a high concentration of patients with a variety of diseases (contagious and non contagious) and where they are open to numerous sources of germs (viruses,microbes, etc.)

• Sources of contamination:

• The ways of transmitting nosocomial infections:

1. Endogenous infections: the patient contracts the infection from his own germs (bacterial flora)following invasive surgery and/or when the immune system is vulnerable.

2. Exogenous infections: these infections are numerous, they can be:

- Infections caused by the germs from the nursing staff, hospital equipment and instruments.

- Infections linked to the contamination of the hospital environment (water, air, food, etc.).

- Cross contamination is the most common cause and infections are transmitted from one patient toanother, by direct contact between patients and nursing staff, or indirect contact, through equip-ment or medical material.

Hands constitute the primary means of transferring germs through cross contamination: 75-90 % of nosocomial infections are due to the transfer of bacteria through manual contact.In healthcare establishments germs are principally transferred by the hands of the nursingstaff. These infections can be reduced by following strict guidelines for hand washing.

However they are transferred, the occurrence of nosocomial infections depends on the medical conditionof the patient, their vulnerability to infection, the type of care and the environmental conditions.

Manual contact transmits nosocomial infections

Patient & hospital personnel(the most important source of germs)

Hospital environment(air, water, food)

Medical equipment and surfaces• naturally covered with numerousmicrobes

• contaminated with germs carriedby people.

MRSA (Staphylococcus. Aureus)

Healthcare Acquired Infections inNumbers:

• Healthcare acquired infections affect 4.1 mil-lion patients every year within the EuropeanUnion, causing more than 50, 000 deaths.(Source : European Commission website, Patient Safety2010).

• In England, approximately 8% of hospitalpatients present one or several active health-care acquired infections, or 1 patient in 13.(Source: Third Prevalence Survey of Healthcare Associ-ated Infections in Acute Hospitals 2006 - Preliminaryresults, published by the Hospital Infection Society (HIS).

• Healthcare acquired infections are responsiblefor almost 4,200 deaths in France.(Source : Inquiry by the Centre for Co-ordinating thefight against Nosocomial Infection (C.CLIN) Paris-North,PHRC, 2001)

Door handles Instruments

Sanitary fittings

Shaking Hands

Nursing staff and patients

Flowers

Telephones

Antiseptic bottles

The Fight Against Healthcare Acquired Infection Hand Washing: 1st Line of Defence

> Curative treatments usually performed in hospitals:1. Thermal and chemical shocks:

Pseudomonas Aeruginosa develops primarily in the mixer or tap spout, they colonise by area.The treatment focuses on the point-of-use rather than the whole system (unlike Legionella).Currently, the main method is to perform a curative thermal shock to the infected area. > These treatments show the difficulty of treating Pseudomonas Aeruginosa.

2. Limited results with constraints and high risks:

Chemical and/or thermal curative treatments are limited and ineffective over time (recolonisation ofthe mixer/tap occurs sooner or later). In addition, the treatments have a high level of associated risk(risk of 3rd degree burns with thermal shocks, risk of poisoning with chemical shocks) andconstraints (strict protocols to follow, keeping the system out-of-use during the treatment). These treatments also have an adverse effect on the pipework and drainage system, putting them under serious stress.

3. The need for increased monitoring of the bacteriological quality of water:

> DELABIE solutions:Pseudomonas Aeruginosa contamination occurs primarily in the outlet (inside the spout andaround the outlet). The fight against Pseudomonas therefore focuses in this part of the mixer/tap toprevent their development and, if there is contamination, to put into place corrective action to fight against the bacteria.

1. BIOCLIP disinfectable mixers and tapsBIOCLIP mixers and taps offer a solution for restricting bacterial development:

• Mixer with removable spout for disinfection.- Spout can be removed quickly without the need for tools (1/4-turn, bayonet system).- Mixers/taps delivered with a 2nd spout to ensure continuous use during disinfection.- Removable brass spout can be replaced by a disposable spout made from hostaform.

• BIOCLIP mixer can be removed entirely from its base for disinfection.

2 types of action:- Preventative: In sensitive areas, strict protocols must be put in place to limit the proliferation of bacteria. We recommend undertaking a cleaning and disinfection procedure once or twice a yeardepending on the age of the facility and the sensitivity of the location (preventative maintenance).- Curative: When a water sample from a mixer/tap reveals the presence of Pseudomonas Aeruginosa,it can be easily removed by maintenance staff for cleaning and disinfection.

2. Electronic mixers and taps with duty flushThe two essential factors for the development of bacteria are the temperature of hot water in thesystem and water stagnation. It is difficult to maintain hot water temperatures above 50°Cthroughout the distribution system. To prevent water stagnation in mixers and taps that are inactive for more than 24 hours and to fight against bacterial development all DELABIE electronic mixers and taps feature an Anti-bacterial duty flush (~ 45 seconds every 24 hours after the lastuse).

3. Smooth interiorsMost of the mixers and taps on the market have rough bodies and spouts and as a result they area source of bacterial niches. Certain DELABIE models have entirely smooth internals including thespout area, slowing the growth of bacteria. A study undertaken on our behalf by the laboratory BioPI and the Department of Biology at theJules Verne University in Amiens, France in June 2010 shows that under constant conditions mixers and taps with rough bodies have Pseudomonas Aeruginosa contamination levels14 times higher than those with smooth bodies.

4. Anti-stagnation drainage device and circulating devices.They prevent water stagnation and the resulting growth of bacteria.

> DELABIE offers specific solutions for all of the constraints faced by the healthcare sector inthe fight to eliminate Pseudomonas Aeruginosa.

Comment traiter les Pseudomonas Aeruginosa ? Gamme Chavonnet

Chlorine

70°C

- Chemical shock: injection of chlorine> 10mg/litre of water for 8 hours

- Thermal shock: circulate hot water in the systemat 70°C for at least 30 minutes

1

2

BIOCLIP: Body and spout with smooth internalsSlows the development of bacteria considerably.Contamination by Pseudomonas Aeruginosa is, on average, 14 times less (see opposite).

Interior of a brass, cast tap body:bacteria adhere more readily torough interiors.

+

Les Pseudomonas Aerugias et l’EauGamme Chavonnet

Pseudomonas Aeruginosa Infections in numbers:

• In UK healthcare establishments 1 in 13 patientssuffer from an healthcare acquired infection. The mortality rate is > 10% in hospitals and nursing homes.

• Pseudomonas Aeruginosa bacteria may account for approximately 10% of healthcare acquiredinfections. It is the highest cause of intensive care related pneumonia infections.

(Source: Health Protection Agency, 2008; Centrefor Disease Control and Prevention, 2009.)

Pseudomonas Aeruginosa

How Legionella and Pseudomonas Aeruginosa are linked to WATER? What is Pseudomonas Aeruginosa?• It is a small bacillus (Gram negative) which is highly mobile thanks to its tail (flagellum), andwhich can be found everywhere. It occurs naturally in water, damp soil or on plant surfaces. It also lives in human and animal intestines. More rarely it is found on the skin and in the mucous of animals.

• The bacillus produces two pigments: pyocianine, blue-grey, and pyoverdine, yellow-green.

Opportunistic BacillusPseudomonas Aeruginosa prefers damp environments and is sometimes found on the skin, the upper respiratory tract, the outer ear and the gastrointestinal tract of healthy individuals.In healthy people, the spread of Pseudomonas Aeruginosa is relatively low. It develops more easily inpeople with weakened immune systems, hospital patients and people taking antibiotics, etc.Pseudomonas Aeruginosa infections are mostly nosocomial, i.e. contracted during a hospital stay.

Different forms of disease caused by the bacteria include: local infections of the eye and ear; infected wounds, particularly burns or surgical wounds;urinary infections, predominantly after probes; infections of the lungs (pulmonary) after meningitis inoculation; septicemia as the final stage of severe infections; complications in patients undergoing immunosuppressive therapy or treatments for leukaemia, cancer, AIDS and cystic fibrosis.

How does Pseudomonas Aeruginosa contaminate taps?Pseudomonas Aeruginosa requires two elements to develop: water at temperatures between4 - 46°C (optimal proliferation between 25 – 36°C) and oxygen.

Pseudomonas Aeruginosa can develop in the cold water supply by attaching to the Biofilm in thepipework. Contamination is less likely in the main pipework systems because the environment isnot suitable for the bacteria to develop. Nevertheless, contamination can occur where thepipework passes close to a heat source (i.e. heated premises, circulating pumps, machines forwashing instruments, etc...).

The principal source of contamination is retro-contamination i.e. when filters are replaced,through manual contact, splashing water or contaminated materials.

The development of Pseudomonas Aeruginosa is therefore at the tap, mainly inside thespout and the water outlet where there is an air-water mixture.

The main ways of transmitting nosocomial infections:

1. Endogenous infections: the patient contracts the infection from his own germs (bacterial flora)following treatment (auto-infection).

2. Exogenous infections: these infections are numerous, they can be:

- Infections caused by the germs from the nursing staff, hospital equipment and instruments.

- Infections linked to the contamination of the hospital environment (water, air, food, etc.).

- Cross contamination is the most common cause of infections and are transmitted from one patient to another, by direct contact between patients and nursing staff, or indirect contact, primarily through equipment or medical material.

Hands constitute the most important means of transferring germs through cross contamination: 75-90 % of nosocomial infections are due to the transfer of bacteriathrough manual contact.

During outbreaks of Pseudomonas Aeriginosas, the source of environmental contamination (e.g. the pipework) is systematically sought but not always discovered. One of the first control measures is to reinforce hand hygiene to reduce thetransmission of bacteria from patient to patient.

(Source: Institute of Health Surveillance (InVS) and the Centre for coordination of the fight against nosocomial in-fection (CCin) for the Alert Network, investigation and surveillance of nosocomial infections (Raisin) – 19/05/2008).

> What is BIOFILM?Biofilm is composed of a set of micro-or-ganisms trapped in a matrix of organicpolymers, adhering to a surface. It providesan ideal environment (water, warmth, nutrients, etc.) and suitable conditions fortheir growth. Due to the nature of itsstructure, the biofilm protects the bacteria against disinfection treat-ments.

The stages of development of biofilm:• Bacteria are transported in the water flow.

• The almost instantaneous absorption ofbacteria within the biofilm surface causing a physico-chemical change in thebiofilm.

• The adhesion to the surface occurs intwo stages: reversible adhesion wherethe bacteria can be easily removed bysimple flushing; and irreversible adhesionwhich requires more effort to remove thebacteria.

• Colonisation can last from several hoursto several months depending on the conditions in which the bacteria arefound. It is this settlement that leads tothe formation of the biofilm. The biofilmgrows and matures if the conditions areoptimised.

• Dispersion: induced by aging ordeficiencies in the biofilm, the micro-organisms can detach themselves andenter into the main flow in the pipeworkto find a new habitat.

10 11

Pseudomonas Aeruginosa and WaterHow to Treat

Pseudomonas Aeruginosa?

French Anti-bacterial legislation

requires the bacteriological quality of water to be monitored in the sanitary installations inhealthcare facilities and all public buildings.(Source : French Official Journal JORF n°0033 9th February 2010). (more information on page 95).

This regulation requires the regular sampling and analysis of water and highlights the importance ofthe bacterial risk and the choice of appropriate water controls.

Mixer with BIOCLIPdisposable spout

Removable BIOCLIP Mixer

Why consider specialist water controls for the healthcare sector?

2. THE NEED FOR GREATER COMFORT Domestic washbasin mixers and taps do not provide the necessary level of comfort for the residents ofhealthcare facilities and nursing homes. In effect, conventional mixers/taps are designed for domestic usefor face washing or cleaning teeth etc.

• Unsuitable DimensionsResidents in healthcare facilities are sick, weak, elderly or physically handicapped. The mixers and taps used for personal hygiene should be suitable for the resident's physical needs and the required use(e.g. washing at a hand basin requires greater comfort). Washbasin mixers and taps designed for use by hospital patients and residents in retirement homes should have increased spout heights and projections to ensure optimised hygiene.

• Lack of ErgonomicsThe control knobs of conventional mixers and taps are not specially designed to be easily gripped. As a result, residents in healthcare facilities and retirement homes have to make an additional effort to operate the mixer/tap. In addition, the movement required to adjust the flow rate are not always smooth, making it difficult to adjust the settings.

DELABIE'S specialist mixers and taps offer EASE, COMFORT and ERGONOMICS.• Specific dimensions: high and extended spout (projection)The dimensions of mixers and taps installed in the patient's bathroom must be suitable for their range of movements and offer them all the ease and comfort they require. DELABIE offer mixers and taps with higher spouts (drop height > 85mm) and longer spouts (spout projection > 135mm) than traditional mixers and taps. An increased drop height and longer spout projection allow the patient to optimise hand washing andpersonal washing. Moreover, an increased drop height reduces the risk of bacteria splashing back ontothe spout.

• Ergonomic Controls

DELABIE offers a wide choice of ergonomic control levers to meet the specific needs of different users:

> Controls with Manual Contact:- Sculptured levers for an easy grip- Solid levers combining design and ergonomics

> Controls with no Manual Contact:- Long Levers specially designed for patientswith reduced mobility. Mixer/tap can be controlled without manual contact using the elbow, forearm or elbow.

Infrared presence detection DELABIE'S electronic mixers and taps do not require any effort from the patient. The mixer/tap opens and closes automatically when hands are presented in the detection zone (with no manual contact) for unparalleled comfort.

Besides the convenience and comfort they provide for the residents, these mixers andtaps, which operate without manual contact, help prevent the spread of germs by thehands (perfect hygiene).

12

DELABIE Specialist Controlsfor Ease, Comfort and Ergonomics Gamme Chavonnet

ø 34

3/8”

85

135

DELABIE Mixer:ideal for washbasins or sinks.

2520T

DELABIE has chosen the most reliable technology: active infrared presence detection.It is foolproof and the detection field is optimised to ensure maximum user comfort. Other technologies available, but not chosen by DELABIE:- Radar motion (volumetric detection) is imprecise at a distance and becomes inaccurate over time(adjustment is sensitive and requires two people to set-up). - Motion sensor requires the hand to move continuously to prevent the flow stopping which isuncomfortable.

DELABIE Specialist Controlsfor Hand Hygiene

DISINFECTABLE MIXERS & TAPS: Maximum Safety

ELECTRONIC MIXERS & TAPS: Total Hygiene & Ergonomics (non-contact) - Control without manual contact (presence detection): Helps prevent the spread of germs by hand.- Anti-bacterial duty flush:Automatic flush for ~ 45 seconds programmed every 24 hours after the last use: prevents water stagnation and bacteria multiplying in the pipework.- Option to change closure mode to “on/off" (for 230/12V models.) User can choose to close the mixer/tap or automatic timed shut-off after 30 minutes in caseof user not closing the mixer/tap voluntarily (for long surgical hand washing protocols orvoluntary flushing of the pipework).

Several models available, deck or wall-mounted options, mains or battery-operated (p. 30-43).

MIXERS & TAPS WITH LONG LEVERS: Total Hygiene & Ergonomics (no manual contact)

- Control without manual contact (by elbow, fist or forearm):Considerably reduces the risk of spreading germs by hand.

- High and extended spout ensures optimised hand washing:- Increased drop height reduces the risk of bacteria splashing back onto the spout.Spout is delivered with a hygienic flow straightener reducing the retention of water and impurities,and for the installation of a terminal filter for sterilisation.- A longer spout ensures optimised hand washing.

Several models available for deck or wall-mounting (p. 54-63).

L.160

H.160

L.135

H.85

SECURITHERM MIXERS: Total Hygiene + Anti-scalding Safety + Temperature Limitation

THESE PRODUCTS WILL WITHSTAND THERMAL AND CHEMICAL SHOCKS subject to compliance with current protocols.

- BIOCLIP Mixers & Taps with removable bodies or spouts for cleaning and disinfection:- Preventative: In sensitive areas, strict cleaning and disinfection protocols must be put in place tolimit effectively the proliferation of bacteria. - Curative: When a water sample from a mixer/tap reveals the presence of PseudomonasAeruginosa, it can be easily removed by maintenance staff for cleaning and disinfection.- Smooth body and spout internals with no asperities also slow the growth of bacteria.

- High and extended spout ensures optimised hand washing:Increased drop height reduces the risk of bacteria splashing back onto the spout.The spout is delivered with a hygienic flow straightener reducing the retention of water and impurities, and for the installation of a terminal filter for sterilisation. A longer spout ensures optimised hand washing.

Mixers and taps available in deck or wall-mounted versions, with a long lever for non-manual contact (p. 20-29).

SECURITHERM thermostatic mixing valves and pressure balancing mixers:

- High and extended spout ensures optimised hand washing:

- Increased drop height reduces the risk of bacteria splashing back onto the spout.Spout is delivered with a hygienic flow straightener reducing the retention of water and impurities,and for easy installation of a terminal filter for sterilisation.

- A longer spout ensures optimised hand washing.

- Anti-scalding safety:

- Maximum temperature limiter: maximum temperature stop.- Automatic anti-scalding safety: Hot water shuts-off immediately in case of cold water supply failure. In case of hot water supply failure, our mixers also shut-off the cold water supply.- Stable temperatures: reacts immediately to all variations.Several models available, see chapter on SECURITHERM range, p. 46-53

Why Consider Specialist Water Controls for Healthcare Facilities?The nursing staff and residents in healthcare facilities use mixers and taps every day to wash theirhands or undertake their personal washing.Mixers and taps used in healthcare facilities differ from domestic mixers and taps because ofthe specific constraints faced by healthcare facilities. In effect, the mixers and taps in resident's bedrooms must overcome the following constraints: increased water consumption; the need for comfort and ergonomics; a higher risk of scalding, etc.The mixers and taps used by nursing staff for hand washing also have specific requirements: the needfor increased hygiene, comfort and ergonomics, etc.DELABIE offers mixers and taps that respond to these needs.

1. FOR HAND HYGIENEHand washing is essential to prevent nosocomial infections. DELABIE offers a large choice of mixersand taps for nursing staff to wash their hands and for resident's personal hygiene.

13

2400 < models > 25002700 - 2800

2200 < models > 2500

L.150 L.215

L.200

• To reduce the risk of scalding we recommend installing a group thermostatic mixing valve to lowerthe temperature of the of the hot water distributed (i.e. from 65° to 55°C°). (see the ThermostaticMixing Valve section, pages 92 -101).Scalding can also be prevented at the point-of-use.

DELABIE's specialist water controls for patients ELIMINATE ALLRISKS OF SCALDINGDELABIE's basic solution: mechanical mixers with maximum temperature limitationAll DELABIE mechanical mixers for washbasins, showers and baths are fitted with a ceramic cartridge with a maximum temperature limiter. This limiter is engaged to save time during installation (which is not generally the case with other mixers on the market). This safety device reduces the risk of scalding considerably, but if there is low pressure or anunexpected cold water supply failure, there is no hot water shut-off. There is always the risk of scalding.

DELABIE's specialist solutions: SECURITHERM EP or thermostaticmixing valves

• SECURITHERM EP Mixers with a Pressure-balancing Cartridge:

>Pressure balancing:The EP cartridge compensates pressure variations between the hot and cold water, therefore reducing temperature differences due to changes of pressure in the system.The EP cartridge also avoids the need for pressure regulators upstream of the mixer, which are complex and have large cavities and several membranes which are additional sources of microbialniches.

>Maximum temperature limiter:SECURITHERM EP mixers are supplied with a maximum temperature limiter.This limiter is engaged to save time during installation. The initial setting can be adjusted by theinstaller.NB: If a PREMIX Comfort is installed upstream, the temperature limiter must be removed from the mixers at the point-of-use.

>Automatic anti-scalding safety:If the cold water supply fails unexpectedly, the hot water will shut-off immediately and vice versa.

DELABIE Specialist ControlsRemoving the Risk of Scalding

Correlation between temperature andthe risk of scalding:• at 55°C:3rd degree burns in 100 seconds on aver-age. Healthy adult skin will suffer burnsin 30 seconds.

• at 60°C :3rd degree burns in 5 seconds for adults(less for children - at 70°C less than ONEsecond).

SECURITHERM thermostatic range:Maximum temperature limiter set at 40°C:the user cannot raise the temperature above40°.

• SECURITHERM Thermostatic Mixing Valves:

> Maximum temperature limitation: All our SECURITHERM thermostatic mixing valves are supplied with a temperature limiter setat 40°C. Unlike domestic thermostatic mixing valves, the user cannot override the limiter to increase the temperature. As a result there is no risk of accidental scalding (the point-of-use is completely safe).

> Automatic anti-scalding safety: - SECURITHERM thermostatic technology ensures that the hot water supply shuts-off instantly if there is a sudden loss of the cold water supply. In case of the loss of the cold water supply, the European Standard EN 1111 permits a slight leak of hot water (0.10L /10 seconds), however in the UK this must be instantaneous. In the hospital environment, the risk of scalding is increased. It is essential that not even one drop of hot water can flow; with our thermostatic mixing valves the hot water supply shut-off is complete (no leaks at all). Our Securitherm mixers are independently tested and certified to NHS Estates DO8 specification(TMV). Certified models: H9716T, H9726T, H7939T and H9741T.- If there is a sudden loss of the hot water supply our thermostatic mixer will also shut-off thecold water supply avoiding cold showers.

> SECURITOUCH Technology: 100% SAFETYIn general, the bodies of mixing valves are made from chrome-plated brass. Since metal is a very effective heat conductor it is very easy for people to get burnt even when only brushing against the surface of the mixer.DELABIE offer increased safety for unparalleled comfort thanks to SECURITOUCHtechnology, especially designed for use by patients (people with a temporary increase in sensitivity due to their medical treatment, people with Alzheimer's disease, or people whosereflexes are slower due to a recent operation), people with reduced mobility, the elderly,young children, etc.

Any risk of accidental burning by touching the chromed surface of the mixer is removed.How?

1) SECURITHERM thermostatic mixing valves are designed so that the hot water does not have to travel along the length of the mixer to get to the mixing chamber: there is no thermalconduction along the length of the mixer.

2) The whole mechanism is covered in a highly insulating material, preventing any risk ofburning by touching or accidentally brushing against the mixer in case of a fall. The body of the mixer remains at an ambient temperature: the risk of burning is thereforetotally removed.

3) The hot water inlet is insulated (also covered in an insulating material).

Thus the point-of-use is completely safe, with no risk of burning. SECURITHERM mixers are strongly recommended for patients with heightened sensitivity (e.g. analgesia ordementia) and young children.

HW CWNon-return valves + filters

Thermostatic cell.

Temperature limiter

Piston

MWInsulating material

DELABIE Specialist ControlsRemoving the Risk of Scalding

• Hot water storage: the hot water temperature should be stored at or above 60°C.

• Cold water storage: cold water temperatures must not exceed 20°C.

• In the distribution network: the water temperature must be equal to or higher than 55°C, except in the final distribution pipework and points-of-use.

• Final distribution pipework: in low risk environments the pipework from the thermostatic mixing valve to the point-of-use must be no longerthan 5 metres and water must discharge within 30 seconds. In high risk environments the pipework must be NOT more than 2 metres.

• In the UK, the recommended maximum hot water temperature for points-of-use is 46°C in personal bathrooms, 41-44°C for baths, 41°C forshowers and 41°C for washbasins.

NB: Always refer to the current local regulations and water byelaws that operate in your country.

Why consider specialist water controls for healthcare facilities?3. TO REMOVE THE RISK OF SCALDING.The only way to reduce the risk of Legionella colonies developing is to produce and distribute hot water at high temperatures. In addition, the associated risk of scalding increases considerably with hotter water, particularly in health care facilities and retire-ment homes (for people with reduced sensitivity or slower reflexes). Every year in the UK 600 people suffer severe scald injuries. Three-quarters of the victims are under the age of five-years-old(source: RoSPA). This risk is also particularly high for handicapped or elderly people, mainly if theyaccidently change the temperature setting from its initial setting. It is therefore necessary to balance the need for hot water and reduce the risk of burning by introducing safety devices.

Hot Water Temperature Controlwhen supplying hot water, public and commercial places have to take account of: - Minimum temperatures to reduce the risk of Legionella developing- Maximum temperatures to prevent the risk of scaldingUK legislation recommends:

Conventional cartridge:

Maximum temperature limiteris pre-set using a grey indexring situated underneath thelever. Use a 2.5mm Allen key to remove the lever and gain access to the index ring.

Integrated pressure-balancing cartridge:Automatic anti-scaldingsafety and stable temperatures.

HW CW

CW

CW

HW

HW

3 bar 3 bar

2 bar3 bar

3 barr2 ba

p

Operating principle

2521EP

2821

e

Temperature limiter

14 15

Electronic mixers/taps: 0.7 litre (15 seconds at 3 lpm)

1716

DELABIE Specialist Controls for Water Savings

Electronic mixers/tapswith constant flow rate set at 3 lpmregardless of pressure

DELABIE's electronic controls for washbasins: more than 90% watersavingsCompared to conventional mixers/taps, DELABIE's electronic mixers/taps prevent any waste of water.

1• Automatic shut-off when hands are removed from the detection zone:- the flow time is reduced strictly to the minimum (wetting and rinsing).- automatic shut-off prevents any wastage (e.g. forgetting to shut-off the mixer/tap).

2• Constant flow rate pre-set at 3 lpmthanks to the new adjustable flow straightener (DELABIE patented):- For maximum user comfort, while optimising the water bill.- The flow rate is set at 3 lpm regardless of changes in the water pressure.The installer or maintenance staff can adjust the flow rate of the flow straightener from the outside using a 2.5mm Allen key: pre-set at 3 lpm, it can be adjusted from 2-5 lpm (depending onthe model).

The water savings generated also allow:- energy savings: the amount of water saved does not need to be heated. - less equipment is required: lower flow rates and water consumption mean that lower capacitypipework and water heating equipment can be installed. In addition, less water in the installation reduces the risk of bacterial development.

Comparison of water consumption in healthcare facilities: conventionalmixers/taps versus DELABIE

TEMPOMATIC 4

Examples of water saving in healthcare facilities

Water saving for a hospitalwith 400 beds

Hospital: Patient Accommodation

Short stay(medical, surgical, gynaecology, obstet-

rics, maternity)

Medium / Long stay(follow-up care and rehabilitation,

geriatrics, etc.)

Number of beds 250 150

Point-of-use (hand washing) WASHBASIN WASHBASIN

Number of uses / day & bed 6 6

Duration of use 45 seconds 45 seconds

Number of days used / year 290 290

Consumption / year (brand X)conventional mixer: 13 lpm 4 220 m3 2 532 m3

Consumption / year (DELABIE)DELABIE mixer: 5 lpm 1631 m3 978 m3

Annual Water Saving(13 lpm mixer / 5 lpm mixer)

€7,767 €4,662

€12,429Consumption / year (DELABIE)DELABIE mixer: 3 lpm

979 m3 587 m3

Annual Water Saving(13 lpm mixer / 3 lpm mixer)

€9,723 €5,835

€15,558Consumption / year (DELABIE)DELABIE electronic mixer: 3 lpm

304 m3 183 m3

Annual Water Saving(13 lpm mixer / 3 lpm electronic mixer )

€11,748 €7,047

€18,795

Price per m3 of cold water: €3 (excl. VAT) / m3 excludes hot water production costs

W

ATER SAVI NG

60 - 90 %

Wetting10 seconds

Soaping20 seconds

Rinsing the hands15 seconds

Conventional mixers/taps: 9.7 L (45 seconds at 13 lpm).DELABIE mixers/taps:. 3.75 L (45 seconds at 5 lpm)

2.25 L (45 seconds at 3 lpm)

ConventionalMixer13 lpm

DELABIEMixer5 lpm

DELABIEMixer3 lpm

DELABIE ElectronicMixer 3 lpm

9.7 L( 45 sec.)

water saving

61%

3.75 L(45 sec.) 2.25 L

(45 sec.) 0.7 LWATER SAVING PER OPERATION

water saving

77%

water saving

92%

Rinsing 10 seconds

Wetting5 seconds Automatic shut-off when hands are removed

Why consider specialist water controls for healthcare facilities?

4. TO SAVE WATERPeople are not able to have the same washing routine in hospital or a retirement home as they would athome.

The increase in personal washing at the basinAt home the shower is the preferred means of washing, however this is not the case in accommodationareas in hospitals or retirement homes. Patients or residents tend to wash at a basin rather than take ashower as they have reduced autonomy: patient's movements are temporarily restricted following hospi-talisation (e.g. after surgery), elderly people in retirement homes, invalids or semi-bedridden patients incare homes etc. This practice has developed over several years and washing at the basin usually lasts longer (14 - 20 mins)whereas washing under the shower takes less time (8 - 10 min.s on average) which results in an increasein water consumption.

DELABIE specialist controls for the healthcare sector can provide WATER SAVINGS BETWEEN 60 - 90%DELABIE mechanical mixers for washbasins offer more than 60%water savings

• 2 Types of flow rate control:> flow rate control via integrated flow rate regulator at 5 lpmA flow rate regulating cap integrated in the conventional ceramic cartridge in the mixers regulatesthe flow rate at 5 lpm.

- For maximum user comfort, while optimising the water bill.- The flow rate is set at 5 lpm regardless of changes in the water pressure.

> flow rate control via the flow straightener with adjustable flow rate (DELABIE patented)Mixers with pressure-balancing ceramic cartridges are fitted with the new flow straightener withadjustable flow rate. - For maximum user comfort, while optimising the water bill.- The flow rate is set at 3 lpm regardless of changes in the water pressure.The installer or maintenance staff can adjust the flow rate of the flow straightener from the outside using a 2.5mm Allen key: pre-set at 3 lpm, it can be adjusted from 2-5 lpm.

Other mixers on the market cannot deliver the same level of water savings. There are three possible options:1) The mixer does not have a limited flow rate (13 lpm flow rate: substantial water consumption).2) The mixer can have its flow rate limited but the installer must adjust the flow rate on the car-tridge of every mixer, however this is unlikely due to the amount of time required to change eachone.

3) The mixer has a double flow rate function on its cartridge: a limiter restricts the flow rate to 7 lpm (it will stop at 50-60% of the full flow rate). However, it is possible to achieve the maximum flow rate (13-15 lpm) by simply pushing the control lever.The control lever is rarely stopped mid-way: the alleged water saving on such mixers is thereforetotally random. Even if the control lever remains in the alleged low consumption zone of 7 lpm, theflow rate is higher than that of DELABIE mixers. Water savings will also be much less. In addition,after a certain number of operations this type of limiter becomes worn and loses its effectiveness.

DELABIE's mechanical mixers with the flow rate control devices above deliver water savings of up to 80%compared to other mixers on the market, whilst maintaining user comfort.

50%

100%

0%

100%

0%

Mixer with double flow rate system

Mixer closed

alleged low consumptionzone. (up to 7 lpm)

high consumption zone(8 - 15 lpm)

Mixer open at 100%:5 lpm

Mixer closed

DELABIE Mixer

DELABIE Specialist Controls for Water Savings

Water Consumption(average consumption per person per day)

> Domestic Consumption: 137 Litres per day per person

- Hospitals or similar buildings:300 - 450 Litres per day and per bed

- Retirement homes or care homes:Up to 250 Litres per day and per bed

Source : Centre for Information about Water (CIEAU)Water Agency, Loire Brittany

2520

2720EP

Conventional Cartridge:with flow rate regulator setat 5 lpm.

EP Cartridge:mixer with constant flowrate set at 3 lpm.

Mechanical Mixers

NEW

NEW

1918

DELABIE Specialist Controls for Water SavingsDELABIE Specialist Controls for Water Savings

LEED Developed by the United States Green Building Council (USGBC), the LEED Green BuildingRating System provides a benchmark for establishing a building's green performance inthe following areas: site development sustainability, materials selection, internal environment quality, energy efficiency, and water savings. A project must achieve the minimum number of points to earn a basic « Certified » level of LEED certification. The number of points the project earns determines the level of LEED certification (Certified, Silver, Gold or Platinum).If you would like to know more about how our products can help you achieve the maximum number of points for water savings, our Technical Sales Team would be delighted to help.

DESTINATION LEED MAXIMUM TARGET(40% in water reduction)

DELABIE minimum comfortable flow rate

Additionals SPENDINGSor SAVINGS (%)

COMMENTS

Commercial lavatory taps forprivate applications (hotelrooms, patient rooms)

4.8 lpm 3.8 lpm -37%All Controls with new

ajustable flow straightener

Commercial lavatory taps for all others

0.6 l/cycle 0.35 l/cycle -41%All Sensor Taps or Controlswith 7 sec. shut off delay

Commercial Showers 6 lpm 4.5 lpm. -25%

All Timed Flow Shower Controls with a shower head

equipped with a nozzle. No flow during

soaping time

Commercial Urinals 2.3 lpm1 l/flush2 l/flush

-56%-13%

Standard UrinalsSiphon action urinals with large siphons

Commercial toilets 3.6 l/flush 3.9 l/flush 8%1 full flush (6L) for 2 eco

Flushes

BREEAMEffective water management makes a significant contribution to meet BREEAM’s (Building Research Establishment’s Environmental Assessment Method) environment assessment initiative, which enables designers to improve a building’s green credentials.

Douglas Delabie is committed to providing its customers with energy efficient, cost-effectivesolutions that meet BREEAM’s exacting requirements.BREEAM aims include mitigation of life cycle impacts of buildings on the environment; enable buildings to be recognised according to their environmental benefits; provide a credible, environmental label for buildings; and to stimulate demand for sustainable buildings.

The New BREAAM UK 2011 for Non Domestic Buildings replaces BREEAM 2008 from Summer 2011. For further information, please visit www.breeam.org.2011

Water ManagementUp to 5 credits are available under for BREEAM UK 2011 Water Management, which hasbeen restructured to incorporate Water Consumption; Monitoring of usage; leak detectionand prevention; water recycling and water efficient process equipment.

Water consumption is compared against a notational baseline performance and assessed using the BREEAM WAT 01 calculator and Credits awarded as follows:

The above table outlines the standard by component type, used to define performance levels set in BREEAM 2011. For the full table 8-1 performance levels including the water efficient process equipment, please visitwww.breeam.org.2011

2009 Edition

% improvement Nr. of BREEAM credits

12.5% 1

25% 2

40% 3

50% 4

55% 5

65% Exemplary performance