A Modified Method for Measuring Pressure Drop in Non-medical Face Masks with Automated Data Acquisition and Analysis

BACKGROUND

Non-medical face masks, such as face coverings donned by the general population play an important role in reducing transmission of respiratory pathogens. Pressure drop or breathability of such masks is an important attribute especially with the advent of new standards such as ASTM F3502-21 that have specified pressure drop limits for general use of face coverings. Although several standards are available that discuss pressure drop measurement techniques, the methodologies reported are typically complex or are part of more sophisticated and expensive instruments. Thus, the applicability of such methods is often limited to medical device manufacturers.

OBJECTIVE AND METHODS

This manuscript adapts from the pressure drop measurements proposed in British Standard EN 14683:2019 and describes a methodology to create a simple 3D printed model of a pressure rig for measuring the breathing resistance across non-medical face masks. The method also enables real time pressure drop data acquisition and analysis of multiple samples or batches using Python and MATLAB scripts.

RESULTS

We performed a validation study by comparing the pressure drop obtained for one brand of respirators with our set up and compared it with data obtained by traditional means by CDC. An unpaired two-tailed student t-test (n=3) between the two means implied no statistically significant difference.

CONCLUSION

The method we have developed can be easily implemented at community levels for characterizing the breathability of non-medical grade face masks.

Speech intelligibility test methodology applied to powered air-purifying respirators used in healthcare

Powered air-purifying respirators (PAPRs) are worn to protect workers from hazardous respiratory exposures in a wide range of workplaces, including healthcare. However, PAPRs may diminish the ability of wearers to correctly hear words spoken by others, potentially interfering with safe performance of healthcare duties. Accordingly, the impact of PAPRs during healthcare use on speech intelligibility (SI) and consequently on user safety, usability, and patient care is not well studied. The objectives of this study were to (1) determine a listener's ability to comprehend single-syllable words spoken by a PAPR wearer; (2) determine a PAPR wearer's ability to intelligibly hear and identify single-syllable words spoken by a PAPR wearer; (3) to assess the variability between speakers, listeners, and PAPR models; (4) to investigate the effects of PAPR design features on SI; and (5) inform a SI requirement for certifying future PAPRs for use in healthcare. This study utilized a Modified Rhyme Test to assess SI for PAPRs. The current National Institute for Occupational Safety and Health (NIOSH) methods for assessing SI are limited to the recently introduced PAPR100 respirator class and the class of respirators claiming chemical, biological, radiological, and nuclear (CBRN) protections. Four NIOSH-approved PAPRs were evaluated using four human subjects. Four experimental conditions were examined:(1) Speaker and Listener with no PAPR; (2) Speaker and Listener both wearing PAPRs; (3) Speaker with a PAPR, Listener without a PAPR; and (4) Speaker without a PAPR, Listener with a PAPR resulted in a total of 144 experiments. Statistical analysis showed that the SI performance ratings were not significantly different among the PAPR models, but experimental conditions had significant impact on SI. The pattern of SI across the conditions of the experiment also showed a significant difference depending on PAPR model. The SI performance rating for all PAPRs could meet the current NIOSH CBRN certification requirement for speech intelligibility.

Planning for Epidemics and Pandemics: Assessing the Potential Impact of Extended Use and Reuse Strategies on Respirator Usage Rates to Support Supply-and-Demand Planning Efforts

During epidemics and pandemics healthcare personnel (HCP) are on the front line of disease containment and mitigation. Personal protective equipment (PPE), such as NIOSH-approved N95 filtering facepiece respirators (FFRs), serve an important role in minimizing HCP risks and are in high demand during public health emergencies. Because PPE demand can exceed supply, various public health strategies have been developed to reduce the rate of PPE consumption as supply dwindles. Extended use and limited reuse of N95 FFRs are strategies advocated by many governmental agencies used to increase the number of times a device can be used. Increased use of respirators designed for reuse-such as powered air-purifying respirators (PAPRs) and elastomeric half-mask and full facepiece air-purifying respirators- is another option designed to reduce the continuous need for new devices as the daily need for respirator use increases. Together, these strategies are designed to reduce the number of PPE units that must be discarded daily and, therefore, extend the longevity of available supply. The purpose of this paper is to theoretically estimate the impact of extended use and limited reuse strategies for N95 FFRs and the increased use of reusable respirator options on PPE consumed. The results suggest that a considerable reduction in PPE consumption would result from extended use and limited reuse of N95 FFRs and the increased use of respirators designed for reuse; however, the practical benefits must be balanced with the risks and economic costs. In addition, extended use and reuse strategies must be accompanied by proper procedures to reduce risk. The study is designed to support epidemic and pandemic PPE supply and demand planning efforts.

Simulated effects of head movement on contact pressures between headforms and N95 filtering facepiece respirators-part 1: headform model and validation

In a respirator fit test, a subject is required to perform a series of exercises that include moving the head up and down and rotating the head left and right. These head movements could affect respirator sealing properties during the fit test and consequently affect fit factors. In a model-based system, it is desirable to have similar capability to predict newly designed respirators. In our previous work, finite element modeling (FEM)-based contact simulation between a headform and a filtering facepiece respirator was carried out. However, the headform was assumed to be static or fixed. This paper presents the first part of a series study on the effect of headform movement on contact pressures-a new headform with the capability to move down (flexion), up (extension), and rotate left and right-and validation. The newly developed headforms were validated for movement by comparing the simulated cervical vertebrae rotation angles with experimental results from the literature.

Simulated effects of head movement on contact pressures between headforms and N95 filtering facepiece respirators part 2: simulation

Finite element (FE) filtering facepiece respirators (FFRs) were developed and mated to the new headforms with a cervical spine model. The FFRs from three manufacturers included three sizing systems: (i) a single one-size-fits all, (ii) an FFR with two sizes (S/M and M/L), and (iii) an FFR with three sizes (S, L/M, XL). Finite element method (FEM) simulations of 16 headform and respirator combinations (5 headforms and 6 respirators) were used to examine maximum contact pressure changes for five cases: static head, flexion, extension, left rotation, and right rotation. For each of the 16 headform and respirator combinations, maximum contact pressures of the static headform and motile headforms were compared using t-tests. Significant differences on the maximum contact pressures were found in the extension, left rotation and right rotation at the nose (P < 0.005), the left rotation at the top of right cheek (P = 0.03), and the extension at the bottom of left/right cheek (P = 0.01). When separately considering each headform and each FFR manufacturer, the effects of the four head movement cases on the nose maximum contact pressure changes were observed in the simulations with all five headforms and all FFR manufacturers. The effects of the left and right rotations on the chin maximum contact pressure changes were observed in the simulations with the small headform. It was also found that the use of a nose clip could reduce the impact of the head left/right rotations on nose maximum contact pressure changes. In addition, head movements changed pressure contours of the key nose area. Caused by the head movements, the maximum contact pressure changes may affect seal quality, and the increase of the maximum contact pressures could reduce the facial comfort level.