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Prince of Wales Hospital

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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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, HONG-KONG
(2) Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, HONG-KONG
Résumé / Abstract

Guidelines issued by the Centers for Disease Control and Prevention and the World Health Organization state that healthcare workers should wear N95 masks or higher-level protection during all contact with suspected cases of severe acute respiratory syndrome. Before use, the manufacturer recommends performing a user seal check to ensure that the mask is fitted correctly. This study aimed to test the ability of the user seal check to detect poorly fitting masks. This study is a retrospective review of a mask-fitting programme carried out in the intensive care unit of the Prince of Wales Hospital in Hong Kong. In this programme, all staff were tested with two types of N95 mask and one type of N100 mask. The results of the documented user seal check were then compared with the formal fit-test results from a PortaCount. Using a PortaCount reading of 100 as the criterion for a correctly fitted mask, the user seal check wrongly indicated that the mask fitted on 18-31% of occasions, and wrongly indicated that it did not fit on 21-40% of occasions. These data indicate that the user seal check should not be used as a surrogate fit test. Its usefulness as a pre-use test must also be questioned.

Revue / Journal Title
The Journal of hospital infection ISSN 0195-6701

Source:

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Time for a better mask to protect children

by info on March 17, 2008

“I can find adult N95 masks, but none to fit a child.”

After the San Diego fire in the summar of 2008 Joe Flynn started to worry about her son. She bought a few N95 masks for herself but it was impossible to find smaller masks to fit her child.

Joe was not alone. Bob Williams from Knoxville has been trying hard to search for a small N95 mask that will fit his 6 years old boy. It was for the family emergency kit. When he stumbled on TOTOBOBO mask on the web, he told himself “This mask is exactly what I am looking for.” Like Joe, he was delighted that the mask fit comfortably on his son’s small face.

fitting TOTOBOBO mask on a boy

Good protection = good seal + good filter

“Good protection is built on two factors: a good filter and a good seal“.

Surgical mask is not good enough

You may have seen news on TV that many school kids in Asia wearing surgical masks during the SARS. But the fact is surgical mask was not designed to prevent air-borne contamination. There are gaps from both sides that virus can bypass the mask easily.

sugical mask showing gaps from both sides

Surgical mask is designed to protect nurses or surgeons from contaminated blood splash during an operation. In Japan it is commonly used to reduce the risk of spreading the flu virus from the wearers when they are sick. The protection value of surgical mask from air borne virus is a big question mark.

N95 mask effectiveness: fit-testing is a problem

Adult N95 mask big gaps on child's face

Respirator (e.g. N95 mask), on the other hand, is designed to protect the wearer from air borne virus. This is only possible if the respirator is making a good seal on your face such that air have to go through the filter before entering the breathing zone. However a proper fit-test can only be conducted by a trained specialist with special equipment, which is simply too complicated for the public.

Manufacturer come up with “user seal check” which typically involve blocking the filter and blow into the mask while wearing it. To feel that if there is any air leak from gaps around the mask. But such practice is questioned by a study from the Prince of Wales Hospital in Hong Kong. The study suggested there is 25% of failure rate when trained users apply the standard “User seal check”. The standard user seal check recommended by most manufacturers is just too ambiguous and unreliable. “It’s usefulness as a pre-use test must be questioned”, the report concluded.

Another study “Respiratory Donning in Post-Hurricane New Orleans” (US CDC, May 2007) found 76% participants were not able to demonstrate proper donning for a good seal and their protection has been compromised.

TOTOBOBO mask improve user seal check by 25%

Main features of TOTOBOBO mask

Main features of TOTOBOBO mask

When looking for a respirator to protect his kids, Francis Chu, the inventor of TOTOBOBO mask, encountered the same frustration as Joe and Bob. He became aware of the many difficulties faced by parents and determined to come up with a better solution. He applied his expertise in product design and experimented with hundreds of prototypes. Finally he came up with an ergonomic design that fits most people and can be customized to fit children.
He understand that beyond a good seal and good filter, other issues like comfort, cleaning, reuse, portability are all important factors need to be addressed before the mask can be considered as “Child Friendly”.

Following is a summary of the issues and respective solutions embedded in Totobobo:

PROBLEMS………………………………….. SOLUTIONS

Children’s face size varies …….…….. Trim it to fit small faces

Hard to determine a good seal …… VSC Visual Seal Check makes it easy

Difficult to disinfect (for reuse) …… Anti-virus mask easy to clean and safer to reuse

Children’s skin is delicate………… FDA approved, non allergic soft material
……
Not easy to carry………………..…………. light weight, folded flat

Parents and school teachers from different parts of the world have discovered the new solution for their children. If you are looking for an effective mask to protect your child, TOTOBOBO is exactly what your are looking for!

“It is the only mask out there that fits my boy and give him adequate protection.”
- Bob Williams, Knoxville , USA

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Get a Family pack (4 masks + 50 pair 96% filters )= $169 (We absorb the FedEx cost!)



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This package contains 4 Totobobo masks + 50 filter pairs (96%), great for respiratory protection for the whole family.

Each mask can be customized to fit individual family member, from children as young as 5 years old to adult. The 96% filters provide extra protection. They are individually sealed in plastic and can be shared amongst all family members.

Read more about TOTOBOBO mask for children :

The best fitting mask for children

Say no to pollution in school buses

Time for a better mask for children

Protect children from incense smoke

Transparent mask make easy seal check

How to’s

How to customize TOTOBOBO mask for your children?

How to wash TOTOBOBO mask for reuse?

How to check the mask-to-face-seal without fit-test equipment?

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