CDC Health Advisory · October 2022

Your Waterlines Are
Contaminated.
Can You Prove They're Not?

Dental unit waterlines (DUWLs) harbor biofilm within 5 days of installation. Standard chemical shock treatments may not eliminate established biofilm — and until BioUView, there was no way to visually verify whether they had worked.

CDC Health Advisory — October 2022

The CDC issued a formal Health Advisory warning that untreated dental unit waterlines cannot reliably meet the ≤500 CFU/mL safety standard required for patient contact water. Standard chemical shock treatments may not eliminate established biofilm — and there has been no reliable way to verify whether they have worked. Until now.

5 days

Time for biofilm to establish in new waterlines

≤500 CFU/mL

CDC required safety standard for patient contact water

71

Children infected in a documented DUWL outbreak (2015–2016)

100%

Of untreated DUWLs exceed the safety threshold

What's Living in Your Lines

The Invisible Threat

DUWL biofilm is not a single organism — it is a complex, multi-species community that is highly resistant to chemical disinfection.

Legionnaires' Disease

Legionella pneumophila

Causes severe pneumonia. Documented in dental unit waterlines globally. Immunocompromised patients at highest risk.

Opportunistic Infection

Pseudomonas aeruginosa

Highly resistant to disinfectants. Forms thick biofilm matrices. Can cause serious infections in surgical and immunocompromised patients.

Non-Tuberculous Mycobacteria

Mycobacterium spp.

Extremely resistant to standard disinfection. Responsible for the 2015–2016 pediatric outbreak that infected 71 children in California.

The Problem

Shock Treatments
Don't Guarantee Results.

The current standard of care is to shock waterlines with chemical disinfectants and then send a water sample to a lab for CFU testing. This approach has two critical flaws:

Lab results take days

By the time you receive CFU counts, you have already treated dozens of patients with potentially contaminated water.

CFU counts miss biofilm

A water sample tests the planktonic bacteria in the water column — not the biofilm attached to the tubing wall. Biofilm can be present even when CFU counts pass.

No visual verification

No existing dental instrument can look inside a waterline and show you whether the biofilm has been removed. Until BioUView.

The BioUView Solution

See Inside.
Verify Instantly.

BioUView's 3.9mm articulating probe fits directly into dental unit waterline tubing. The 405nm UV illumination makes biofilm glow red-orange against the tube wall — providing immediate, visual confirmation of contamination or successful decontamination.

Real-time visual inspection

Insert the probe, activate 405nm mode, and see the biofilm status inside the tubing immediately — no lab wait.

Definitive verification

When the red-orange fluorescence is gone, the biofilm is gone. A clear, unambiguous endpoint for your decontamination protocol.

Documentable proof

Capture before/after video of the waterline inspection. Timestamped documentation for your infection control records and liability protection.

The Protocol

Inspect · Treat · Verify

A three-step protocol that closes the verification gap in dental waterline infection control — the first of its kind.

01

405nm · Biofilm Mode

Inspect the Lines

Insert the 3.9mm BioUView probe into the waterline tubing. Activate 405nm UV illumination. Biofilm glows red-orange — you can see exactly where contamination exists and how extensive it is.

02

Treatment

Apply Targeted Treatment

Apply your chemical shock protocol with the knowledge of exactly where the biofilm is concentrated. Re-inspect during treatment to monitor progress in real time.

03

405nm · Verification

Verify & Document

Re-insert the probe after treatment. When the red-orange fluorescence is absent, the biofilm has been eliminated. Capture the verification video for your infection control records.

NDT Platform

Industrial Precision.
Clinical Application.

BioUView is built on the same Non-Destructive Testing (NDT) platform used to inspect aerospace components, industrial pipelines, and medical device lumens. The 3.9mm articulating borescope with dual-UV illumination is the first time this level of inspection precision has been applied to dental infection control.

Probe Diameter

3.9mm

Fits standard DUWL tubing

Articulation

360°

Inspects every angle of the lumen

UV Wavelengths

365 + 405nm

Structure mapping + biofilm detection

Get Started

See Inside Your
Waterlines Today.

Schedule a 15-minute virtual demo and see exactly what BioUView reveals inside dental unit waterline tubing.

No commitment required. Response within 1 business day.