fit-test

Testing Totobobo mask against N95 mask

by info on April 20, 2010

Totobobo mask is the most comfortable and advanced respirator in the non-certified respirator market. In many respects the patented design is revolutionary. The original design cater to the needs of common users, who do not have access to professional fit-test facility and yet need the assurance of a well fitted respirator.

preparing Totobobo mask for test

Preparing Totobobo masks for test

A different approach
To provide assurance of good fit, we made the reusable mask with transparent plastic, so that users can see through it and check the face-seal. We make the mask customizable, so that users can trim it to fit their face. The thin and flexible plastic is highly adaptive and easily follows the contour of the face, require very little force to hold on to the face. The strap is exceptionally flexible and comfortable to use. There is silver ion anti-virus additive in the mask to make reuse more safe. all these sounds great on paper, but how does it perform in real life?

testing Totobobo mask

Testing Totobobo mask

Testing the masks
To validate the protection of Totobobo, we sent the masks to the Prince of Wales Hospital in Hong Kong to test the effectiveness by professional fit-test facilities.
A randomized controlled cross over study was carreid out to compare the efficacy of Totobobo with fitted tested N95 masks (1860 or 1860s or 1862, 3M). The test was conducted in 22 healthy volunteers. The key findings are:

- The pass rate (filtration factor >100) of Totobobo mask was over 73%, while majority of (N95) masks fitting less than 40% of the test population
- The average filtration factor of fitted tested N95 masks is higher (193) then Totobobo mask (135).
- In terms of comfort, 65% subjects preferred Totobobo mask over their fitted tested N95 masks

Quote from the report:

“..Using the Totobobo mask in the panel of masks to be tested may reduce the number of masks that need to be tested before an adequate fit is found. This potential advantage, however, will need to be balanced against the time taken to trim the Totobobo mask to size. Furthermore, in situations where there is insufficient time to carry out fit testing use of the Totobobo mask may be a useful stopgap measure. In addition to this, the fact that the Totobobo mask is designed to be reusable may provide significant advantage. This would minimize the problems associated with the need to stockpile disposable masks and the difficulty of obtaining supplies in an epidemic. However, prior to concluding the mask is re-usable it is necessary to test the effect of sterilization processes on the mask. It is conceivable that such processes may make the mask less pliable and the fit less good. Moreover it is important to ensure that the process of changing the HEPA filters does not contaminate the user with infectious particles.

In terms of comfort 65% of subjects preferred the Totobobo mask over the N95 mask (1860, 1860s 3M). While the confidence interval straddles 50% this may be due to our small sample size. Comfort is an important issue when masks need to be worn for long periods of time. Greater comfort may translate into greater compliance with proper use of the mask and hence greater protection in clinical use. The experience of our ICU during SARS suggests that compliance is an important factor in determining the risk of occupational infection.”

The bottom line
If your have access to fit-test facility and have time to conduct fit test, the best option is fit-tested N95 mask. Otherwise, Totobobo mask provides reasonable good protection even if you don’t have access to fit-test facility or there is no time for fit test.

fit-test result from one of the subject

fit-test result from one of the subject

Source:
A randomized controlled pilot study to compare filtration factor of a novel non fit tested HEPA filtering facemask with a fit-tested N95 mask.
by Dr Sylvia S.W. Au, Dr Charles D. Gomersall, Patricia Leung and Dr Peggy T.Y. Li.
Dept of Anaesthesia & Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.

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London, January 26 (ANI ): Respiratory infections like flu can be guarded against if people use protective facemasks, according to a study led by British and Aussie scientists.

In their study report, the researcher also say that protective facemasks can even be helpful in defending against a pandemic.

Researchers at Imperial College London and the University of New South Wales, however, have also found that persuading people to wear a mask and to fit it properly is a difficult task, which could limit their effectiveness.

In a clinical trial of the effectiveness of masks, the researchers studied 280 adults from 143 families living in Sydney during the winter flu seasons of 2006 and 2007.

When a child in the household was ill with flu, the volunteers were asked either to wear a mask or not, on a random basis.

The researchers observed that people who wore a mask while their children were sick were four times less likely to become infected by their sick children than non-wearers.

Led researcher Neil Ferguson, director of the MRC Centre for Outbreak Analysis and Modelling at Imperial College, said that the findings suggested that masks could be useful in protecting against flu infections, and could be important in a pandemic.

In a severe influenza pandemic, there may be limited availability of vaccines in the first few months. In that context, masks are a potentially important additional weapon, he said.

The study, published in the journal Emerging Infectious Diseases, indicates that masks could be an effective extra element of the defence plan, provided that people could be made to wear them consistently.

During the study, fewer than half of those who were asked to wear masks kept them on as directed. (ANI)

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How to perform a Visual-Seal-Check (VSC)?

by info on January 12, 2009

Totobobo mask is able to  fit a wide range of  large and small faces. However, it is not possible to claim that it always seal your face perfectly. Sometimes it may reqire adjustment of the strap and the position of the mask to improve the seal. Sometimes trimming down the mask to a smaller size may help.

The purpose of a user-seal-check is to provide a fast and reliable method to evaluate the face seal, without the need of fit-test equipments.

User-seal-check of normal respirator (e.g. N95 mask) involve the steps of cupping the filter area with hands, forcefully inhale and/or exhale to sense if there is air-leak. Such method relys on the user’s ability to feel the air movement around the leak area. Sereverl studies shown such method is not relaible.

The Totobobo Visual-Seal-Check (VSC) method (patent pending) is facilitated by a very fine texture molded on the inside of the transparent mask. In normal condition, the surface is dry and it appear as semi-transparent. The same surface turns transparent if there is water stick on the surface. Even a tiny little water trapped between the mask and the face will make the surface change from semi-transparent to complete transparent.

To do a simple Visual-Seal-Check, you apply a little moisture on your face, than put the mask on. Observe the edge of the mask. Where it is completely transparent, there is a good seal. Where there is semi-transparent, there is no seal. It will be consider as a good overall seal If there is a continuous seal circle around the nose and mouth.

Our user test using a TSI PortaCount system in a hospital, the gold standard of respirator fit test, shows there is a strong correlation (90%+) between the Visual-Seal-Check (VSC) and the standard fit-test results. In other words, it is possible to predict if the mask will pass or fail the gold standard fit-test by performing a TOTOBOBO VSC. This is particular useful for people who don’t have access to a proper fit-test system.

Milky surface indicates the face seal leak location

Milky surface indicates the face seal leak location

Transparent surface indicates good face seal of Totobobo mask

Transparent surface indicates good face seal of Totobobo mask

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The Bangalore test

by info on December 10, 2008

“Rohan is glad that the dirt is collected on the filter, not in his lung.”

used filter (200km) vs new

used filter (200km) vs new

Rohan Kini, an online bicycle shop owner in Bangalore, India, was testing a new pollution mask. After 200 km of bicycling in the city, he was very impressed with the performance of a new mask call TOTOBOBO from Singapore and decided to carry it in his shop.

The air pollution in London is nowhere near Bangalore standards. However, riding in heavy traffic can damage the respiratory system. The question is: How does one know if a pollution mask is needed or not?

The latest TOTOBOBO mask won’t be able to tell that in advance. But you can be pretty sure when it does the job – simply by checking out the color of the filters. The filter will turn into a distinguish dirty gray to signal that it’s time to change the filters.

The mask is ergonomically designed to fit the majority of faces, from adult down to children of age 5! The secret is in a world’s first “customizable” feature which allows you to trim the mask smaller if it is too big for you.

This reusable, flat folding little gadget may just be the right thing to keep in your pocket when you brave the urban traffic.

more:  BumOnTheSaddle

PS. Totobobo filter use special electro-static charge to collect even sub-micron dust.

TOTOBOBO and cycling

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Predictive value of the user seal check (of normal N95/N99 mask)

September 28, 2008

Document title Predictive value of the user seal check in determining half-face respirator fit Author(s) DERRICK J. L. (1) ; CHAN Y. F. (1) ; GOMERSALL C. D. (1) ; LUI S. F. (2) ; Author(s) Affiliation(s) (1) Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, [...]

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TOTOBOBO mask in NIOSH site

September 12, 2008

Hopeful to see Fit-Test to be lifted- Edward Hernandez, City of Hialeah, Fire Rescue says:- Thank you for proposing a study as this. For a while now this OSHA (Fit-test) requirement  has been a burden to our Fire/EMS service. Hopeful to see Fit Test to be simplified-Peggie Reinhardt, RN BSN, says: I would be interested in this study, [...]

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Protect children from cancer causing incense smoke

August 31, 2008

If you burn incense at home regularly, aside from the potential for a nightmare conversation with your home insurance provider should a fire start, you may be putting your children at a risk of developing cancer or lung problems. TOTOBOBO mask may be the only practical solution for children who cannot avoid exposed to the [...]

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Clearly a Better Way to Check for Safety

January 11, 2008

The protective function of a respirator mask is based on two functions; (1) the filter media must let in air but stop harmful and unwanted particles from entering the breathing zone. (2) the mask must fit the user’s face and form a complete seal so that no air bypasses the filter media and enters the [...]

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