Respirator


A respirator is type of mask designed to protect the wearer from inhaling hazardous atmospheres including lead fumes, vapors, gases and particulate matter such as dusts and airborne pathogens such as viruses. There are two main categories of respirators: the air-purifying respirator, in which respirable air is obtained by filtering a contaminated atmosphere, and the air-supplied respirator, in which an alternate supply of breathable air is delivered. Within each category, different techniques are employed to reduce or eliminate noxious airborne contaminants.
Air-purifying respirators range from relatively inexpensive, single-use, disposable face masks, known as filtering facepiece respirators, reusable models with replaceable cartridges called elastomeric respirators, to powered air-purifying respirators, which use a pump or fan to constantly move air through a filter and supply purified air into a mask, helmet or hood.

History

Earliest records to 19th century

The history of protective respiratory equipment can be traced back as far as the first century, when Pliny the Elder described using animal bladder skins to protect workers in Roman mines from red lead oxide dust. In the 16th century, Leonardo da Vinci suggested that a finely woven cloth dipped in water could protect sailors from a toxic weapon made of powder that he had designed.
Alexander von Humboldt introduced a primitive respirator in 1799 when he worked as a mining engineer in Prussia.
Julius Jeffreys first used the word "respirator" as a mask in 1836.
In 1848, the first US patent for an air-purifying respirator was granted to Lewis P. Haslett for his 'Haslett's Lung Protector,' which filtered dust from the air using one-way clapper valves and a filter made of moistened wool or a similar porous substance. Hutson Hurd patented a cup-shaped mask in 1879 which became widespread in industrial use.
Inventors in Europe included John Stenhouse, a Scottish chemist, who investigated the power of charcoal in its various forms, to capture and hold large volumes of gas. He built one of the first respirators able to remove toxic gases from the air, paving the way for activated charcoal to become the most widely used filter for respirators. Irish physicist John Tyndall took Stenhouse's mask, added a filter of cotton wool saturated with lime, glycerin, and charcoal, and in 1871 invented a 'fireman's respirator', a hood that filtered smoke and gas from air, which he exhibited at a meeting of the Royal Society in London in 1874. Also in 1874, Samuel Barton patented a device that 'permitted respiration in places where the atmosphere is charged with noxious gases, or vapors, smoke, or other impurities.'
In the 1890s, the German surgeon Johannes Mikulicz began using a "mundbinde" of sterilized cloth as a barrier against microorganisms moving from him to his patients. Along with his surgical assistant Wilhelm Hübener, he adapted a chloroform mask with two layers of cotton mull. Experiments conducted by Hübener showed that the "mouth bandage" or "surgical mask" blocked bacteria.

20th century

World War I

United States

In the 1970s, the successor to the United States Bureau of Mines and NIOSH developed standards for single-use respirators, and the first single-use respirator was developed by 3M and approved in 1972. 3M used a melt blowing process that it had developed decades prior and used in products such as ready-made ribbon bows and bra cups; its use in a wide array of products had been pioneered by designer Sara Little Turnbull.

1990s

21st century

Continuing mesothelioma litigation

certifies B Readers, people qualified to testify or provide evidence in mesothelioma personal injury lawsuits, in addition to regulating respirators. However, since 2000, the increasing scope of claims related to mesothelioma started to include respirator manufacturers to the tune of 325,000 cases, despite the primary use of respirators being to prevent asbestos and silica-related diseases. Most of these cases were not successful, or reached settlements of around $1000 per litigant, well below the cost of mesothelioma treatment.
One reason is due to the fact that respirator manufacturers are not allowed to modify a respirator once it is certified by NIOSH. In one case, a jury ruled against 3M for a respirator that was initially approved for asbestos, but was quickly disapproved once OSHA permissible exposure limits for asbestos changed. Combined with testimony that the plaintiff rarely wore a respirator around asbestos, the lack of evidence, and the limitation of liability from static NIOSH approval, the case was overturned.
Nonetheless, the costs of litigation reduced the margins for respirators, which was blamed for supply shortages for N95 respirators for anticipated pandemics, like avian influenza, during the 2000s.

2020

China normally makes 10 million masks per day, about half of the world production. During the COVID-19 pandemic, 2,500 factories were converted to produce 116 million daily.
During the COVID-19 pandemic, people in the United States, and in a lot of countries in the world, were urged to make their own cloth masks due to the widespread shortage of commercial masks.

2024

Summary of modern respirators

All respirators have some type of facepiece held to the wearer's head with straps, a cloth harness, or some other method. Facepieces come in many different styles and sizes to accommodate all types of face shapes.
A full facepiece covers the mouth, nose and eyes and if sealed, is sealed round the perimeter of the face. Unsealed versions may be used when air is supplied at a rate which prevents ambient gas from reaching the nose or mouth during inhalation.
Respirators can have half-face forms that cover the bottom half of the face including the nose and mouth, and full-face forms that cover the entire face. Half-face respirators are only effective in environments where the contaminants are not toxic to the eyes or facial area.
An escape respirator may have no component that would normally be described as a mask, and may use a bite-grip mouthpiece and nose clip instead. Alternatively, an escape respirator could be a time-limited [|self-contained breathing apparatus].
For hazardous environments, like confined spaces, atmosphere-supplying respirators, like [|SCBAs], should be used.
A wide range of industries use respirators including healthcare & pharmaceuticals, defense & public safety services, oil and gas industries, manufacturing, mining, construction, agriculture and forestry, cement production, power generation, painting, shipbuilding, and the textile industry.
Respirators require user training in order to provide proper protection.

Use

User seal check

Each time a wearer dons a respirator, they must perform a seal check to be sure that they have an airtight seal to the face so that air does not leak around the edges of the respirator. This check is different than the periodic fit test that is performed using testing equipment. Filtering facepiece respirators are typically checked by cupping the hands over the facepiece while exhaling or inhaling and observing any air leakage around the facepiece. Elastomeric respirators are checked in a similar manner, except the wearer blocks the airways through the inlet valves or exhalation valves while observing the flexing of the respirator or air leakage. Manufacturers have different methods for performing seal checks and wearers should consult the specific instructions for the model of respirator they are wearing. Some models of respirators or filter cartridges have special buttons or other mechanisms built into them to facilitate seal checks.

Fit testing

Contrast with surgical mask

Surgical N95

Respirator selection

Air-purifying respirators are respirators that draw in the surrounding air and purify it before it is breathed. Air-purifying respirators filter particulates, gases, and vapors from the air, and may be negative-pressure respirators driven by the wearer's inhalation and exhalation, or positive-pressure units such as powered air-purifying respirators.
According to the NIOSH Respirator Selection Logic, air-purifying respirators are recommended for concentrations of hazardous particulates or gases that are greater than the relevant occupational exposure limit but less than the immediately dangerous to life or health level and the manufacturer's maximum use concentration, subject to the respirator having a sufficient assigned protection factor. For substances hazardous to the eyes, a respirator equipped with a full facepiece, helmet, or hood is recommended. Air-purifying respirators are not effective during firefighting, in oxygen-deficient atmosphere, or in an unknown atmosphere; in these situations a self-contained breathing apparatus is recommended instead.

Types of filtration

Mechanical filter

Mechanical filters remove contaminants from air in several ways: interception when particles following a line of flow in the airstream come within one radius of a fiber and adhere to it; impaction, when larger particles unable to follow the curving contours of the airstream are forced to embed in one of the fibers directly; this increases with diminishing fiber separation and higher air flow velocity; by diffusion, where gas molecules collide with the smallest particles, especially those below 100 nm in diameter, which are thereby impeded and delayed in their path through the filter, increasing the probability that particles will be stopped by either of the previous two mechanisms; and by using an electrostatic charge that attracts and holds particles on the filter surface.
There are many different filtration standards that vary by jurisdiction. In the United States, the National Institute for Occupational Safety and Health defines the categories of particulate filters according to their NIOSH air filtration rating. The most common of these are the N95 respirator, which filters at least 95% of airborne particles but is not resistant to oil.
Other categories filter 99% or 99.97% of particles, or have varying degrees of resistance to oil.
In the European Union, European standard EN 143 defines the 'P' classes of particle filters that can be attached to a face mask, while European standard EN 149 defines classes of "filtering half masks" or "filtering facepieces", usually called FFP masks.
According to 3M, the filtering media in respirators made according to the following standards are similar to U.S. N95 or European FFP2 respirators, however, the construction of the respirators themselves, such as providing a proper seal to the face, varies considerably. Standards for respirator filtration the Chinese KN95, Australian / New Zealand P2, Korean 1st Class also referred to as KF94, and Japanese DS.