Powered air-purifying respirator | |
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Other name(s) | PAPR |
Regulated by | National Institute for Occupational Safety and Health |
Regulation | 42 CFR 84 |
NIOSH schedule | TC-21C |
A powered air-purifying respirator (PAPR) is a type of respirator used to safeguard workers against contaminated air. PAPRs consist of a headgear-and-fan assembly that takes ambient air contaminated with one or more type of pollutant or pathogen, actively removes (filters) a sufficient proportion of these hazards, and then delivers the clean air to the user's face or mouth and nose. They have a higher assigned protection factor than filtering facepiece respirators such as N95 masks. PAPRs are sometimes called positive-pressure masks, blower units, or just blowers.
The modularity of PAPRs allows them to be customized for different working environments. Regardless of type, a PAPR consists of: [1]
The mask may be hard and tight-fitting, or flexible and loose-fitting. The former affords a higher level of protection, but is less comfortable. [2] Tight-fitting PAPRs require a fit test in hazardous workplace environments, while loose-fitting PAPR users can avoid OSHA fit test requirements in certain hazardous workplace environments (see OSHA's respirator assigned protection factors for more information). Loose-fitting PAPRs can be useful when a fit test for a tight-fitting respirator cannot be successfully passed, for example when facial hair is present. [2] [3] Masks may be reusable or disposable. Some masks allow the full face to be seen by others, aiding in interpersonal communication. [1]
PAPRs have low breathing resistance, unlike filtering facepiece respirators such as N95 masks. [3] A PAPR may have adjustable air flow rates for added comfort. [1] While they are often referred to as positive pressure masks, they are not true positive-pressure devices as overbreathing can overcome the pressure supplied by the fan. [4]
PAPRs may be outfitted with mechanical filters for atmospheres with particulate contamination, with a chemical cartridge for atmospheres with toxic gases or vapors, or both in combination. [5] PAPRs can provide an assigned protection factor between 25 and 1000 depending on the type, as compared to an N95 mask's assigned protection factor of 10. [2] [3] When comparing various makes and models of PAPR, the supporting documentation from each of the respective manufacturers should be consulted in order to confirm the APF value of each product. [6]
In the United States, HE (high-efficiency) filters are the main class of particulate filter used with PAPRs. These are 99.97% efficient against 0.3 micron particles, the same as a P100 filter. [1] [7] [8] PAPR HE filters used in industry are generally re-used until they are soiled, damaged, or reduce PAPR air flow below specified levels. In healthcare settings involving a live virus, CDC recommends that a practical replacement cycle be implemented. [1]
42 CFR 84, from 1995 to 2020, copies 30 CFR 11 rules for PAPRs. [N2]
The following table lists the air flow requirements for NIOSH-approved PAPRs under Part 84.175. Tight-fitting PAPRs may be fit tested with the facepiece unpowered and in negative-pressure (under 29 CFR 1910.134) while loose-fitting PAPR fit test protocols have not been changed from 30 CFR 11. [CF2]
Facepiece | Air flow in liters/minute |
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Tight-fitting | 115 |
Loose-fitting | 170 |
The following table lists the ratings for particulate ratings for Part 84 PAPRs. [CF2] PAPR100 ratings were added in 2020. [CF3]
Particulate | Respirator class | Minimum efficiency level | Permitted for TB | Permitted for asbestos [CF1] |
---|---|---|---|---|
0.3 micron DOP | HEPA or HE | 99.97% | Yes | Yes |
0.075 to 1.86 micron NaCl | PAPR100-N | Rating discontinued | Not yet defined | |
0.075 to 1.86 micron DOP | PAPR100-P |
PAPR100-N is not designed to filter oil particulates, and the official color-coding for all three respirator types is magenta. [CF2]
According to the NIOSH Respirator Selection Logic, PAPRs 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 (IDLH) 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. PAPRs are not effective during firefighting, in an oxygen-deficient atmosphere, or in an unknown atmosphere; in these situations a self-contained breathing apparatus or supplied-air respirator is recommended instead. [5]
PAPRs have the advantage of eliminating breathing resistance caused by unpowered negative-pressure respirators such as N95 masks. This makes them usable by persons who are medically disqualified from negative-pressure respirators. [3] Loose-fitting PAPRs may also be selected for people who cannot pass a fit test due to facial hair or other reasons. [2] [3] PAPRs have disadvantages in terms of ergonomic impacts, and they restrict peripheral vision. [2]
Because they provide higher assigned protection factors, PAPRs are suitable for use during aerosol-generating procedures [1] and by hospital first receivers. [1] [9] In healthcare settings, CDC recommends cleaning of all components except the filter after each use; care must be taken to select PAPRs that are not damaged or deteriorate due to cleaning and disinfecting agents. [10] [1]
In healthcare, a product known as the Racal suit can be used, consisting of a plastic suit and a PAPR fitted with HEPA filters. They were used by the U.S. Army Aeromedical Isolation Team to perform medical evacuations of patients with highly infectious diseases. [11] [12]
Some PAPRs have special certification for chemical, biological, radiological, and nuclear contaminants (CBRN). In the United States, they must be certified to resist permeation of chemical warfare agents, which may involve additional protective coverings; that gas or vapor will not pass through the filter before a specified amount of time; and its ability to fit a wide range of facial sizes and shapes. [13]
Under immediately dangerous to life or health (IDLH) conditions, tight‐fitting full facepiece gas mask respirators with canisters (those with "14G approval") with CBRN approval may be used for escape, but loose‐fitting hoods and cartridges (those with "23C approval") with CBRN approval may not. Neither may be used to enter an IDLH atmosphere. The 23C CBRN PAPRs also must not be used if liquid droplet exposure occurs. [13]
A gas mask is a piece of personal protective equipment used to protect the wearer from inhaling airborne pollutants and toxic gases. The mask forms a sealed cover over the nose and mouth, but may also cover the eyes and other vulnerable soft tissues of the face. Most gas masks are also respirators, though the word gas mask is often used to refer to military equipment, the scope used in this article. Gas masks only protect the user from ingesting or inhaling chemical agents, as well as preventing contact with the user's eyes. Most combined gas mask filters will last around 8 hours in a biological or chemical situation. Filters against specific chemical agents can last up to 20 hours.
Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, electrical, heat, chemical, biohazards, and airborne particulate matter. Protective equipment may be worn for job-related occupational safety and health purposes, as well as for sports and other recreational activities. Protective clothing is applied to traditional categories of clothing, and protective gear applies to items such as pads, guards, shields, or masks, and others. PPE suits can be similar in appearance to a cleanroom suit.
A self-contained breathing apparatus (SCBA) is a respirator worn to provide an autonomous supply of breathable gas in an atmosphere that is immediately dangerous to life or health from a gas cylinder. They are typically used in firefighting and industry. The term self-contained means that the SCBA is not dependent on a remote supply of breathing gas. They are sometimes called industrial breathing sets. Some types are also referred to as a compressed air breathing apparatus (CABA) or simply breathing apparatus (BA). Unofficial names include air pack, air tank, oxygen cylinder or simply pack, terms used mostly in firefighting. If designed for use under water, it is also known as a scuba set.
A respirator is a device 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.
The term immediately dangerous to life or health (IDLH) is defined by the US National Institute for Occupational Safety and Health (NIOSH) as exposure to airborne contaminants that is "likely to cause death or immediate or delayed permanent adverse health effects or prevent escape from such an environment." Examples include smoke or other poisonous gases at sufficiently high concentrations. It is calculated using the LD50 or LC50. The Occupational Safety and Health Administration (OSHA) regulation defines the term as "an atmosphere that poses an immediate threat to life, would cause irreversible adverse health effects, or would impair an individual's ability to escape from a dangerous atmosphere."
A hazmat suit is a piece of personal protective equipment that consists of an impermeable whole-body garment worn as protection against hazardous materials.
Escape breathing apparatus, also called escape respirators, escape sets, self-rescuer masks, emergency life saving apparatus (ELSA), emergency escape breathing devices (EEBD), and Respiratory Protective Smoke Escape Devices (RPED), are portable breathing apparatus that provide the wearer with respiratory protection for a limited period, intended for escape from or through an environment where there is no breathable ambient atmosphere. This includes escape through water and in areas containing harmful gases or fumes or other atmospheres immediately dangerous to life or health (IDLH).
A respirator fit test checks whether a respirator properly fits the face of someone who wears it. The fitting characteristic of a respirator is the ability of the mask to separate a worker's respiratory system from ambient air.
A respirator cartridge or gas mask canister is a type of filter that removes gases, volatile organic compounds (VOCs), and other vapors from the air through adsorption, absorption, or chemisorption. It is one of two basic types of filters used by air-purifying respirators. The other is a mechanical filter, which removes only particulates. Hybrid filters combine the two.
The NIOSH air filtration rating is the U.S. National Institute for Occupational Safety and Health (NIOSH)'s classification of filtering respirators. The ratings describe the ability of the device to protect the wearer from solid and liquid particulates in the air. The certification and approval process for respiratory protective devices is governed by Part 84 of Title 42 of the Code of Federal Regulations. Respiratory protective devices so classified include air-purifying respirators (APR) such as filtering facepiece respirators and chemical protective cartridges that have incorporated particulate filter elements.
The respiratory protective devices (RPD) can protect workers only if their protective properties are adequate to the conditions in the workplace. Therefore, specialists have developed criteria for the selection of proper, adequate respirators, including the Assigned Protection Factors (APF) - the decrease of the concentration of harmful substances in the inhaled air, which to be provided with timely and proper use of a certified respirator of certain types (design) by taught and trained workers, when the employer performs an effective respiratory protective device programme.
Respirators, also known as respiratory protective equipment (RPE) or respiratory protective devices (RPD), are used in some workplaces to protect workers from air contaminants. Initially, respirator effectiveness was tested in laboratories, but in the late 1960s it was found that these tests gave misleading results regarding the level of protection provided. In the 1970s, workplace-based respirator testing became routine in industrialized countries, leading to a dramatic reduction in the claimed efficacy of many respirator types and new guidelines on how to select the appropriate respirator for a given environment.
An N95 respirator is a disposable filtering facepiece respirator or reusable elastomeric respirator filter that meets the U.S. National Institute for Occupational Safety and Health (NIOSH) N95 standard of air filtration, filtering at least 95% of airborne particles that have a mass median aerodynamic diameter of 0.3 micrometers under 42 CFR 84, effective July 10, 1995. A surgical N95 is also rated against fluids, and is regulated by the US Food and Drug Administration under 21 CFR 878.4040, in addition to NIOSH 42 CFR 84. 42 CFR 84, the federal standard which the N95 is part of, was created to address shortcomings in the prior United States Bureau of Mines respirator testing standards, as well as tuberculosis outbreaks, caused by the HIV/AIDS epidemic in the United States. Since then, N95 respirator has continued to be used as a source control measure in various pandemics that have been experienced in the United States and Canada, including the 2009 swine flu and the COVID-19 pandemic, and has been recommended by the EPA for protection against wildfire smoke.
Mechanical filters, a part of particulate respirators, are a class of filter for air-purifying respirators that mechanically stops particulates from reaching the wearer's nose and mouth. They come in multiple physical forms.
Peter Tsai is a Taiwanese-American inventor and material scientist who is best known for inventing and patenting improved meltblown filtration manufacturing techniques, used in respirators (like N95 respirators, which is a 1995 NIOSH standard made to address the shortcomings of USBM standards). He is an expert in the field of nonwoven fabric. Tsai was a Professor Emeritus at the University of Tennessee, but ended his retirement during the COVID-19 pandemic to research mask and respirator sterilization.
Source control is a strategy for reducing disease transmission by blocking respiratory secretions produced through breathing, speaking, coughing, sneezing or singing. Multiple source control techniques can be used in hospitals, but for the general public wearing personal protective equipment during epidemics or pandemics, respirators provide the greatest source control, followed by surgical masks, with cloth face masks recommended for use by the public only when there are shortages of both respirators and surgical masks.
Elastomeric respirators, also called reusable air-purifying respirators, seal to the face with elastomeric material, which may be a natural or synthetic rubber. They are generally reusable. Full-face versions of elastomeric respirators seal better and protect the eyes.
The European respirator standards refer to the filtering classification by EN 149, EN 14683, and EN 143, all European standards of testing and marking requirements for respirators. FFP standard masks cover the nose, mouth and chin and may have inhalation and/or exhalation valves.
A supplied-air respirator (SAR) or air-line respirator is a breathing apparatus used in places where the ambient air may not be safe to breathe. It uses an air hose to supply air from outside the danger zone. It is similar to a self-contained breathing apparatus (SCBA), except that SCBA users carry their air with them in high pressure cylinders, while SAR users get it from a remote stationary air supply connected to them by a hose. They may be equipped with a backup air tank in case the air-line gets cut.
A breathing apparatus or breathing set is equipment which allows a person to breathe in a hostile environment where breathing would otherwise be impossible, difficult, harmful, or hazardous, or assists a person to breathe. A respirator, medical ventilator, or resuscitator may also be considered to be breathing apparatus. Equipment that supplies or recycles breathing gas other than ambient air in a space used by several people is usually referred to as being part of a life-support system, and a life-support system for one person may include breathing apparatus, when the breathing gas is specifically supplied to the user rather than to the enclosure in which the user is the occupant.
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(help)N1. | – via Wikisource. . NIOSH. June 1995 |
N2. | . NIOSH. January 1996 |
CF1. |
CF2. | "42 CFR Part 84 - Approval of Respiratory Protective Devices". ecfr.gov. United States Government Publishing Office. Archived from the original on 23 February 2020. Retrieved January 26, 2025. |
CF3. |