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CYTOTOXIC SPILL BOX (Codan 79.4501)

https://unicat.msf.org/intros/21436
https://unicat.msf.org/cat/product/92765
STD SDDCCYTTS2-

Valid Article

Single use
A single-use device, also referred to as a disposable device, is intended for use on one patient during a single procedure. It is not intended to be reprocessed (i.e., cleaned and disinfected or sterilized).
1525
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)
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CYTOTOXIC SPILL BOX 2023

Definition

Cytotoxic material spill kit. Set of devices used to clean up spillage of cytotoxic material. It includes the appropriate equipment and material to remove the spillage, and includes the container for disposal of the spillage.

Single-use device

Synonym

Cytotoxic spill kit

Specifications

Quantity and Description

  • 1 protective coverall Activebreath 2® for CODAN
  • 1 pair of blue cytostatic protective gloves Berner Manu N®
  • 1 pair of green chemical protective overgloves Uvex Profastrong®
  • 1 pair of protective overboots Activebreath 2® for CODAN
  • 1 FFP3 respiratory mask BLS 860®
  • 1 safety googles Uvex 9405®
  • 1 pad ChemoSorb®
  • 6 wipes Isysoft®
  • 1 marker pen
  • 1 transparent waste bag
  • 1 white special waste bag
  • 2 cable ties
  • 1 warning sign
  • 1 waste cardboard box
  • 1 sweeper
  • 1 tong
  • 1 scoop
  • 1 bottle, destilled water (500 ml)
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Quality Standards Comment

The personal protective equipment (PPE) contained in the SpillKit is certified
in accordance with PPE Regulation (EU) 2016/425 category II + III

Technical specifications

Protective coverall Activebreath 2® for CODAN

  • size L
  • single use
  • colour: white
  • PPE category III
  • chemical protective clothing type 5/6. Protection against particles & limited spray tight according to type 5/6
  • antistatic finish
  • reliable barrier against liquid chemicals (front area).
  • suitable for handling CMR* drugs (e.g. cytostatics, antivirals).

Protective overboots Activebreath 2® for CODAN

  • size unique
  • colour: white
  • PPE category III
  • chemical protection type PB [6]-B
  • non-slip soles

Protective gloves Berner Manu N®

  • size 9
  • colour: blue
  • PPE category III
  • suitable for handling CMR drugs and biological agents

Protective gloves Uvex Profastrong NF33®

  • size 9
  • colour: green
  • PPE category III
  • type A chemical protective gloves
  • to be worn over the blue cytostatic protective glove.

FFP3 respiratory folding mask BLS 860®

  • filtering half mask with high filter performance (> 99%), tight fit and no leaks
  • protection against solid and liquid particles
  • PPE category III

Safety goggles uvex 9405®

  • anti-fog
  • protection against mechanical risks, liquids and coarse dust
  • CE marking
  • PPE category II

ChemoSorb pads®

  • for absorbing and binding waterbased liquids (spills are turned into a gel, thus ensuring a safe and effective disposal)
  • absorbent core made of superabsorbent polymers (sodium polyacrylate) between cellulose layers
  • absorbable liquid volume: ≤ 4 litres
  • single use
  • dimension: 380 x 540 mm

Isysoft wipes®: extremely absorbent, suitable for absorbing spilled liquids

Warning sign: cardboard display, size: 210 x 150 mm (opened), warnings in German and English.

Scoop: Material: plastic, size: 135 x 100 mm, Nitrofest, bead back, toothless.

Sweeper: Material: plastic, size 135 x 100 mm

Tongs: material: wood

Bottle, distilled water: plastic bottle, 500ml distilled water

Waste bag: polyethylene size: 576 x 1000 mm, thickness: 50 μm Colour: transparent Weight: 46 g/m² ± 5 g.

Hazardous waste bag: polyethylene with imprint: “Cytotoxic and cytostatic drugs“, colour white, weight: 127 g ± 5 g

Cable ties: plastic, size 200 x 3.6 mm, colour: white

* CMR: Carcinogenic, mutagenic toxic to reproduction

Instructions for use

Procedure in case of an accident involving cytotoxic agents

  1. Immediate response
    • Remain calm and seek help immediately
    • .Restrict access to the contaminated area
    • Do not enter or cross the danger zone
    • Fetch the cytotoxic spill box.
  2. Don personal Protective Equipment (PPE)
    1. Put on the respirator
    2. Don the goggles
    3. Wear the cytostatic protective overall
    4. Put on the blue protective gloves (ensure the cuff covers the end of the overall sleeve)
    5. Put on the overboots
    6. Pull the green protective gloves over the blue gloves.
  3. Secure and mark the scene of the accident
    • Mark and cordon off the scene of the accident to prevent spread
    • Use the marker pen to generously outline the contaminated area
    • Place the information sign to restrict entry
    • Close windows and doors and stop all pedestrian traffic through the area.
  4. Cleaning and disposal instructions
    • Cleaning must be proceed from the outside to the inside of the contaminated area
    • Glass or sharp fragments: pick up using tongs and dispose of in the cardboard waste box
    • Liquid contamination:
      • cover the spill with the ChemoSorb pad.
      • once absorbed into a jelly-like mass, pick up with wipes
      • use the scraper and scoop to collect the pad and wipes
      • dispose off materials in the cardboard box
    • Powdered contamination:
      • place Isysoft wipes dampered with distilled water over the powder
      • pick up the wipes with the scraper and scoop
      • dispose of in the cardboard box
  5. Waste disposal
    • Transparent waste bag
      • place the waste cardboard box, all auxiliary and cleaning materials, into the transparent waste bag
      • seal the bag with a cable tie
      • place the transparent waste bag into the white special waste bag
    • PPE disposal
      • carefully remove PPR in the following order:
        1. Overboots
        2. Green protective gloves
        3. Protective overall
        4. Blue cytostatic protective gloves
        5. Safety goggles
        6. Respiratory protection mask.
      • dispose of all PPE into the white special waste bag along with the transparent waste bag
      • seal the white special waste bag with the cable tie
  6. Final decontamination
    • The cordoned-off area must be thoroughly cleaned by trained personnel, following internal procedures.
  7. Reporting
    • Complete and submit a detailed accident report.

(Cf Introduction on drugs: Cytotoxic drugs in the MSF supply chain)

Storage

  • Store between 15ºC and 25°C - Protect from sunlight - Protect from humidity
  • Fragile article: no contact with pointed or sharp objects.
  • Shelf life: 3 years from the date of manufacture.

MSF requirements

All areas where cytotoxic substances are used should have a cytotoxic spill kit available at all times.

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