Cleanroom clothing - Why, what and how?

Presentation given by Heidi Tuomi in R3 Nordic contamination control society symposium 2014

1. Cleanroom clothing - w hy , what and how? Heidi Tuomi R3 Nordic symposium 20.5.2014

2. Contents People as a source of contamination Cleanroom clothing Requirements for cleanroom clothing Cleanroom apparel Gowning for the cleanroom

3. People as a source of contamination

4. People Supply air Room surfaces Raw materials, packaging, tools and equipment Utilities Production machinery Production processes Adjacent, dirtier areas Sources of contamination in a cleanroom

5. People as a source of contamination Personnel have an important role in the production process, but they are the greatest contamination source in a cleanroom and thus can seriously compromise the product. 80 % of the impurities present in a cleanroom originate from people. People are the major source of viable particles present in a cleanroom. Everything else in the cleanroom can be sterilized or disinfected, except people.

6. People as a source of contamination skin flakes, microbes, cosmetics particles, hair, textile fibers, dust A person sheds the outermost layer of skin epidermis every 24 hours 10 million particles per day up to 100 g of dead skin cells per week As hair regenerates, old hair falls off

7. The human microbial flora SKIN scalp 1,5 x 10 6 cfu /cm 2 palm 1,0 x 10 3 cfu /cm 2 arm 1,1 x 10 2 cfu /cm 2 forehead 2,0 x 10 5 cfu /cm 2 SALIVA 10 7 - 10 8 cfu /cm 3 SNEEZING 10 4 - 10 6 cfu

8. The human microbial flora The microbes in a human body belong to either the normal or transient flora 1. Normal flora Normal flora is the harmless, permanent bacterial population present in the human body Normal flora is important for the well-being on a person The composition of normal flora varies between people by age, gender, region and season.

9. The human microbial flora 2. Transient flora (mainly on the skin) can contain any microbes including pathogens transmits from the environment or from other people can be removed from the skin by washing and disinfection d uring inflammation the amount of microbes on skin/mucous membrane can increase thousand fold

10. The human microbial flora Microbes are detached from people with skin flakes or secretions (e.g. saliva)

11. People as a source of contamination The number of particles generated from a person is increased by: Movement: a person walking generates 10 times more particles than one sitting down talking and coughing smoking; exhalation air contains a great number of particles the use of cosmetics = particles applied on the skin

12. Particles  0,3 m per minute personal clothing cleanroom coat cleanroom coverall, boots, hood sitting 448 000 142 000 14 920 standing still 4 450 000 462 000 48 600 rotating the upper body 2 240 000 390 000 31 700 walking 5 380 000 128 500 157 000 People as a source of contamination

13. The spreading of contamination

14. Decreasing the amount contamination from people Ways to decrease the amount contamination: Efficient and correctly worn protective clothing Slow movements and correct work methods Good personal hygiene Training the employees is most important !

15. Cleanroom clothing

16. Why use cleanroom clothing? to protect the cleanroom environment and products from contamination secreted by people to protect the personnel from hazardous materials or products

17. Requirements for cleanroom clothing Cleanroom clothing should protect the cleanroom environment from contamination shed no particles be easy to put on be comfortable to wear be dirt repellent and easily cleanable withstand washing and sterilization have adequate strength and resistance to break-up have desirable electrostatic properties

18. Cleanroom clothing = personal filter Garments act as filters and retain the particle dispersions from personnel The " filtration efficiency " is dependent on the fabric the garments are made of Some amount of air escapes from under the garment unfiltered , via closures and holes in the garment . This can be reduced by careful design and good construction .

19. Fabric materials monofilament polyester cotton

20. Fabric types Woven fabrics Spun bonded fabrics Laminated fabrics (with membrane)

21. Body garments

22. Body garments coat and trousers or coverall (bunny-suit) simple and straight-lined model no pockets, belt pleats or tucks minimum of seams coverall/coat is sealed with a zipper covered with a placket (=zipper covering) secure closures at the wrist, neck and ankle openings; adjustable (with snaps) or rib knit garments should be a bit loose (not too large)

23. Headgear H air cover and/or hood must cover hair completely the hood should fully cover the head and reach under the coverall neck beard cover is worn if required a cleanroom helmet with a ventilating fan and exhaust filter for total containment

24. Headgear Facemasks single use surgical style masks with earloops or straps veil-type snapped or sewn into the hood Goggles additional barrier prevents eyebrow hair and eyelashes from falling onto cleanroom surfaces provides protection to the eyes

25. Footwear Shoe covers short single use model for lower classification areas can be used as first stage protection when entering the gowning rooms Boots the boot should cover the pant leg of the coverall and reach above the calf plastic/rubber soles, zipper, straps on the top hem and for fastening the sole to the foot/shoe

26. Gloves Selection of material depends on the use knitted/woven gloves may be suitable for inspection and assembly work barrier gloves are made of latex, nitrile or vinyl latex; excellent fit, feel and comfort; allergenic nitrile; excellent tear and chemical resistance vinyl ; economical, susceptible to tears, breakage and pinholes

27. Gloves Gloves must be powder-free! The glove should enclose the wrist opening of the coverall U ndergloves can be worn to enhance comfort D ouble gloves can be worn to increase protection

28. Clothing in different cleanroom classes The required filtration efficiency depends on: the cleanroom class the product/process (sterile product? aseptic process?) It defines the material and model of the clothing

29. Clothing in different cleanroom classes Garment systems may include several layers of garments; by using cleanroom undersuits , the effectiveness of the cleanroom apparel can be increased By combining various types of garments and accessories a suitable combination for different cleanroom classes and applications can be found Clothing manufacturers give recommendations on which products to use at different cleanroom classes

30. Clothing requirements in GMP Grade D: Hair and, where relevant, beard should be covered. A general protective suit and appropriate shoes or overshoes should be worn. Appropriate measures should be taken to avoid any contamination coming from outside the clean area. Grade C: Hair and where relevant beard and moustache should be covered. A single or two-piece trouser suit, gathered at the wrists and with high neck and appropriate shoes or overshoes should be worn. They should shed virtually no fibres or particulate matter.

31. Clothing requirements in GMP Grade A/B: Headgear should totally enclose hair and, where relevant, beard and moustache; it should be tucked into the neck of the suit; a face mask should be worn to prevent the shedding of droplets. Appropriate sterilized, non-powdered rubber or plastic gloves and sterilized or disinfected footwear should be worn. Trouser-legs should be tucked inside the footwear and garment sleeves into the gloves. The protective clothing should shed virtually no fibers or particulate matter and retain particles shed by the body.

32. ISO 14644-5 Clothing should be made of fabrics that do not shed particles/contamination The frequency of clothing change varies according to the use of the cleanroom Cleanroom clothing should not leave the controlled area expect for cleaning or service/repair Clothing must be stored and transported in a way to minimize contamination Clothing should be donned and disrobed in a manner to minimize the generation and spreading of contamination Clothing should be regularly inspected to ensure continued compliance to specifications

33. IES-RP-C003.3 recommendations

34. Clothing recommendations

35. Gowning for the cleanroom

36. Gowning for the cleanroom Cleanroom garments are donned prior to entering the cleanroom There is no single right practice to put on cleanroom clothing, but it varies with the clothing used The best method of changing into cleanroom garments is the one that minimizes the amount of contamination getting onto outside of the garments. A written instruction should be available in the changing room(s )!

37. Changing rooms The number of consecutive changing rooms depends on the cleanroom class and the gowning procedure. The changing rooms should act as air-locks The changing rooms must have a cleanliness classification high enough not to compromise the cleanliness of the cleanroom Personnel entering and exiting the cleanroom should be separated; either by time interval or in different changing rooms

38. Changing rooms The changing rooms should be divided into three zones: pre-change zone; for removing clothes that are not to be worn underneath the cleanroom garment Changing zone; storing and donning/taking off cleanroom garments Entrance zone; checking of the garments and entrance to the cleanroom

39. Outside the cleanroom Take a shower, preferably at least 6 hours before D on clean underwear and socks R emove jewelry, watches etc. D on clean working clothes suitable for entry in the pre-change area P ut on clean shoes D on clean hair-cover (and beard cover)

40. Hand hygiene An effective scrub-up with soap removes dirt, microbes transmitted from the environment and a part of the skins normal flora. Microbes of the skins normal flora start to multiply fast after washing hands. By using disinfectants, the multiplication of bacteria can be significantly slowed down. A sterile moisturizer after scrub-up is recommended for keeping up healthy skin.

41. Hand hygiene Instruction for washing hands: Moisten hands and arms down from the elbows. Take washing liquid from the dispenser and scrub it in your hands, with special care taken in between fingers, nail walls and nails Scrub hands together for at least 30 seconds. Rinse hands carefully Dry hands with a non- linting single use towel. Close the tap with the towel Scrub disinfectant on the hands.

42. Suggested gowning protocol Remove make-up and jewelry before entering the pre-change area. When entering the cleanroom pre-change area you should wear clean working clothes, hair cover and indoor shoes. The cap should cover all hair completely.

43. Changing room 1 3. Clean shoe soles by stepping on the sticky mat. 4. Take off clothing not to be worn under the cleanroom garments. 5. Wash hands thoroughly with washing liquid. Dry them with a paper towel. Disinfect the hands. 6. Move on to the next changing room.

44. Changing room 2 7. Remove gloves from the packaging and don them. 8. Disinfect the pass-over bench. 9. Select the garments to be worn (2 bags; coverall + boots) and place them on the bench. 10. Remove face mask from the packaging and tie it on. Do not touch anything else but the straps and the “nosepiece”. Disinfect the gloves. 11. Take the hood from the packaging and don it. Do not touch anything else but the lower fringe and the straps. Disinfect the gloves.

45. Changing room 2 12. Remove the coverall from the packaging and grab it from the waist, legs and cuffs. Be careful not to touch the floor or other surfaces with the coverall. Don the coverall. The outer side of the coverall should not touch your clothing or skin. Lift the glove cuffs over the coverall cuffs. Disinfect the gloves. 13. Remove the boots from the packaging put them on while crossing over the bench at the same time. The cleanroom boots should not touch the floor on the “dirty” side of the bench.

46. Changing room 2 14. Check the clothing in a mirror for correct wear. 15. Check that the gloves are intact; in case of damage change a new pair. Disinfect gloves. 16. Enter the cleanroom.

47. Thank you !