Powered air-purifying respirator

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Powered air-purifying respirator
Fil'truiushchii SIZOD s podachei vozdukha dlia ChS.jpg
Other name(s)PAPR
Regulated by National Institute for Occupational Safety and Health
Regulation 42 CFR 84
NIOSH scheduleTC-21C
A PAPR, gown, and biosafety cabinet in use in a BSL-3 laboratory. All parts of the PAPR are visible: the waist unit holding the fan, filter, and battery; the hose; and the mask, in this case a flexible, loose-fitting one. Influenza virus research.jpg
A PAPR, gown, and biosafety cabinet in use in a BSL-3 laboratory. All parts of the PAPR are visible: the waist unit holding the fan, filter, and battery; the hose; and the mask, in this case a flexible, loose-fitting one.

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.

Contents

Description

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]

Filters

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]

Regulatory requirements

42 CFR 84

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]

Part 84 air flow requirements
FacepieceAir flow in
liters/minute
Tight-fitting115
Loose-fitting170

The following table lists the ratings for particulate ratings for Part 84 PAPRs. [CF2] PAPR100 ratings were added in 2020. [CF3]

NIOSH particulate classes for powered air-purifying respirators
ParticulateRespirator
class
Minimum
efficiency level
Permitted for
TB
Permitted for
asbestos [CF1]
0.3 micron DOP HEPA or HE99.97%YesYes
0.075 to 1.86 micron NaCl PAPR100-NRating
discontinued
Not yet
defined
0.075 to 1.86 micron DOPPAPR100-P

PAPR100-N is not designed to filter oil particulates, and the official color-coding for all three respirator types is magenta. [CF2]

Usage

This full-face mask has an inner orinasal mask to reduce dead space, and, since it is being used against asbestos, exhalation valves (white). The hose connects to a PAPR filter-pump. Asbestos mask.jpg
This full-face mask has an inner orinasal mask to reduce dead space, and, since it is being used against asbestos, exhalation valves (white). The hose connects to a PAPR filter-pump.

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]

In healthcare

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]

Racal suits consist of a PAPR combined with a separate protective suit. They are used in healthcare settings, in this case by the U.S. Army Aeromedical Isolation Team at Fort Detrick, Maryland Racal Space Suits.JPG
Racal suits consist of a PAPR combined with a separate protective suit. They are used in healthcare settings, in this case by the U.S. Army Aeromedical Isolation Team at Fort Detrick, Maryland

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]

For CBRN defense

A PAPR is certified for chemical, biological, radiological, and nuclear contaminants (CBRN) U.S. and Thai military members conduct CBRN training together 150216-M-LS369-002.jpg
A PAPR is certified for chemical, biological, radiological, and nuclear contaminants (CBRN)

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]

See also

Related Research Articles

<span class="mw-page-title-main">Gas mask</span> Protection from inhaling airborne pollutants and toxic gases

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.

<span class="mw-page-title-main">Personal protective equipment</span> Equipment designed to help protect an individual from hazards

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.

<span class="mw-page-title-main">Self-contained breathing apparatus</span> Breathing gas supplied respirator carried by the user

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.

<span class="mw-page-title-main">Respirator</span> Device worn to protect the user from inhaling contaminants

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.

<span class="mw-page-title-main">Immediately dangerous to life or health</span> Exposure to dangerous levels of 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."

<span class="mw-page-title-main">Hazmat suit</span> Protective suit against chemical, bacteriological, and nuclear risks

A hazmat suit is a piece of personal protective equipment that consists of an impermeable whole-body garment worn as protection against hazardous materials.

<span class="mw-page-title-main">Escape breathing apparatus</span> Self contained breathing apparatus providing gas to escape from a hazardous environment

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).

<span class="mw-page-title-main">Respirator fit test</span> Safety procedure for testing PPE air-tightness

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.

<span class="mw-page-title-main">Chemical cartridge</span> Container that cleans pollution from air inhaled through it

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.

<span class="mw-page-title-main">NIOSH air filtration rating</span> U.S. rating of respirators

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.

<span class="mw-page-title-main">Respirator assigned protection factors</span>

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.

<span class="mw-page-title-main">Workplace respirator testing</span> Testing of respirators in real life conditions

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.

<span class="mw-page-title-main">N95 respirator</span> Particulate respirator meeting the N95 standard

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.

<span class="mw-page-title-main">Mechanical filter (respirator)</span> Air-filtering face masks or mask attachments

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.

<span class="mw-page-title-main">Source control (respiratory disease)</span> Strategy for reducing disease transmission

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.

<span class="mw-page-title-main">Elastomeric respirator</span> Respirator with a rubber face seal

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.

<span class="mw-page-title-main">Supplied-air respirator</span> Breathing apparatuus remotely supplied by an air hose

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.

<span class="mw-page-title-main">Glossary of breathing apparatus terminology</span> Definitions of technical terms used in connection with breathing apparatus

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.

References

  1. 1 2 3 4 5 6 7 8 "Considerations for Optimizing the Supply of Powered Air-Purifying Respirators (PAPRs)". U.S. Centers for Disease Control and Prevention. 2020-04-19. Retrieved 2020-05-25.
  2. 1 2 3 4 5 Bach, Michael (2017-07-06). "Understanding respiratory protection options in healthcare: the overlooked elastomeric". NIOSH Science Blog. Retrieved 2020-04-21.
  3. 1 2 3 4 5 Garvey, Donald J. (2010-04-01). "Constructing a Powered Air Purifying Respirator System". EHS Today. Retrieved 2020-04-21.
  4. "Powered Air Purifying Respirator (PAPR)". Minnesota Department of Health. Retrieved 2020-05-25.
  5. 1 2 Bollinger, Nancy (2004-10-01). "NIOSH respirator selection logic". U.S. National Institute for Occupational Safety and Health: 5–10. doi: 10.26616/NIOSHPUB2005100 . Retrieved 2020-04-20.
  6. "Considerations for Optimizing the Supply of Powered Air-Purifying Respirators (PAPRs)". US Centers for Disease Control and Prevention. 11 February 2020.
  7. Vanessa, Roberts (Fall 2014). "To PAPR or Not to PAPR?". Canadian Journal of Respiratory Therapy. 50 (3): 87–90. PMC   4456839 . PMID   26078617.
  8. "Understanding Respiratory Protection Against SARS". U.S. National Institute for Occupational Safety and Health. 2020-04-09. Retrieved 2020-05-26.
  9. "Best Practices for the Protection of Hospital-Based First Receivers from Mass Casualty Incidents Involving the Release of Hazardous Substances". U.S. Occupational Safety and Health Administration. 2005-01-01. Retrieved 2020-05-26.
  10. "PAPR - Powered Air Respirators". www.envirosafetyproducts.com. Retrieved 2021-10-12.
  11. "The threat to the United States from Emerging Infectious Diseases, Hearing before the Committee on International Relations, House of Representatives". 30 July 1997: 9. Retrieved 15 April 2015.{{cite journal}}: Cite journal requires |journal= (help)
  12. Sidell, Frederick R.; Takafuji, Ernest T.; Franz, David R., D.V.M. (1997). "19". Medical Aspects of Chemical and Biological Warfare. Office of The Surgeon General Department of the Army, United States of America. Retrieved 15 April 2015.{{cite book}}: CS1 maint: multiple names: authors list (link)
  13. 1 2 Metzler, Richard W.; Szalajda, Jonathan V. (2013-09-01). "What's special about chemical, biological, radiological, and nuclear (CBRN) powered air-purifying respirators (PAPR)?". doi: 10.26616/NIOSHPUB2013156 . Retrieved 2020-05-25.{{cite journal}}: Cite journal requires |journal= (help)

Sources from NIOSH

N1.
N2.

Sources from the Federal Register (Titles 29, 42)

CF1.
29 CFR 1910.1001(g)(3)(ii) , retrieved 2024-12-14 via OSHA
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.
Federal Register, vol. 85, 2020-04-14 via eCFR