Article Text

Download PDFPDF
Original research
Fit and filter integrity of a respirator mask after multiple cycles of autoclave
  1. Nidhi Desai1,
  2. Hasan Naveed2,3,
  3. Michael Koenig3,4,
  4. Jörg Huber5,
  5. Nikil Kapur6,
  6. Mahmood F Bhutta3,7,
  7. Saul Rajak2,3
  1. 1 Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  2. 2 Ophthalmology, Sussex University Hospitals NHS Foundation Trust, Brighton, UK
  3. 3 Brighton and Sussex Medical School, Brighton, UK
  4. 4 Cellular Pathology, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  5. 5 School of Health Sciences, University of Brighton, Brighton, UK
  6. 6 School of Mechanical Engineering, University of Leeds, Leeds, UK
  7. 7 Ear, Nose and Throat, University Hospitals Sussex NHS Foundation Trust, Brighton, Brighton and Hove, UK
  1. Correspondence to Saul Rajak, Ophthalmology, Brighton and Sussex University Hospitals NHS Trust, Brighton, BN2 5BF, UK; saul.rajak{at}nhs.net

Abstract

Background The COVID-19 pandemic has led to profound shortages in personal protective equipment worldwide. The availability of filtering facepiece class 3 (FFP3) respirators could be greatly increased if they could be reused after sterilisation.

Aims To determine the effects of repeated autoclave cycles on the fit and filter function of the 3M 1863 FFP3 disposable respirator.

Methods Participants underwent fit tests with 3M 1863 FFP3 respirators. Respirators were subjected to autoclave cycles and a repeat fit test was conducted after each cycle until failure. The filter function of both unused and autoclaved respirators was determined by quantitatively assessing the differential pressures and filter penetration of aerosolised sodium chloride particles. Mask structural inspection was also carried out by light microscopy.

Results A total of 38 participants were recruited. Repeat fit testing with a new respirator was passed by 30 of 38 (79%) participants in comparison with 31 of 38 (82%) of participants after the respirator had undergone one autoclave cycle. There was fit test failure with further rounds of autoclave. There was no evidence of structural changes after one autoclave cycle, but the nose foam began to separate from the mask following further cycles. Filter efficiency of all 15 autoclaved respirators that underwent filter testing was 97.40% or more. Differential pressure (breathability) of respirators was unaffected by autoclaving.

Conclusions 3M 1863 FFP3 respirator retains good fit and filter function after a single autoclave cycle. Addressing nose foam separation and further testing to EN149 standards would be required before respirators could be considered for reuse.

  • health services research
  • healthcare quality
  • access
  • and evaluation
  • infections
  • virus diseases

Data availability statement

Data are available upon reasonable request. The datasets generated during the current study are available from the corresponding author on reasonable request.

Statistics from Altmetric.com

Data availability statement

Data are available upon reasonable request. The datasets generated during the current study are available from the corresponding author on reasonable request.

View Full Text

Footnotes

  • Contributors MFB and SR designed and conceived the study. NK assisted in planning the study. ND and MK collected the data. ND, MK, JH, MFB and SR performed data analysis. ND, HN, MK, MFB and SR wrote the manuscript. All authors reviewed and approved the final manuscript.

  • Funding This research study has been supported by a grant awarded by the Applied Research Collaboration Kent, Surrey and Sussex (ARC KSS).

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.