3 reasons why Totobobo Masks is the best for children!

“Totobobo is far superior to any other mask on the market. Period!”

-Debbie Witte @ www.freehelpforcancer.com

Filter + Face seal = Good Protection

principle of respiratory mask protection

The basic principle of any mask is very simple: Isolation (Proper Seal) and Filtering. The function of the mask is to force all the air entering the breathing zone through the air filters. This can only be achieved if the mask form a good seal with the face.

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

 

Surgical Masks are not good enough for airborne contamination 

Surgical masks were designed to reduce the spread of germs from a patient, it is not designed to prevent air-borne contamination from entering the bodies. There are numerous gaps between the mask and the user’s face, allowing viruses or pollutants to pass through easily.

sugical mask showing gaps from both sides

Surgical masks were designed to protect nurses and surgeons from blood contamination during an operation. In Japan, it’s common use was to reduce the risk of passing the Flu virus around by the wearers. 

N95 mask effectiveness: Fit Testing is a problem.

Respirators, on the other hand, were designed to protect the wearer from airborne viruses. This is possible if the respirator provides a good seal on your face, making sure that the air you breathe, will only pass through the filter(s) before entering your respiratory system. A proper fit test can be conducted by a trained specialist with proper equipment, which is usually inaccessible for the public.

Adult N95 mask big gaps on child's face

Some manufacturers suggest a “User Seal Check”, which is performed by blocking the filter(s) while blowing into the mask to feel if any air is leaking from the sides of the mask. Such practice is questioned by a study from the Price of Wales Hospital in Hong Kong. The study showed a 25% failure rate when trained users applied the “User Seal Check”. This technique recommended by most manufacturers is too ambiguous and unreliable. “It’s usefulness as a pre-use test must be questioned.”, the study concluded.

Another large scale study, “Fitting Characteristics of N95 Filtering-Facepiece Respirators Used Widely in China” found that over 90% of the participants were not able to pass the fit test as required by the standard.

TOTOBOBO mask improve user seal check

Main features of TOTOBOBO mask
Main features of TOTOBOBO mask

While looking for a respirator to protect his children, Francis Chu, the inventor of Totobobo Mask, encountered the same frustration as all the other parents. He became aware of the many difficulties that parents faced and determined to come up with a solution for everyone. He applied his expertise in product designing and experimented with hundreds of prototypes, before coming up with an ergonomic design that fits most users and more importantly, customisable and children friendly. He understands that apart from good seal and filtering, other factors like comfort, cleaning, reusing and portability are also important points to be considered before the product can be considered “Child Friendly”.

Following is a summary of how Totobobo Mask solves the common issues relate to mask wearing:

3 Reasons why Totobobo mask are superior!

Problem 1: Difficult to check for a good seal |  Totobobo solution: Watermark visual Check makes it easy

Totobobo mask is transparent, for a good reason. Most masks are made of opaque material, it is not easy to determine if there is small leaks between the face and the mask. Totobobo mask solve this issue with a simple method to visualise the seal and the leaks. Through the transparent mask, the user can easily check the seal with a bit of watermark. First the user wet the face with a dampen cotton wool. Where the mask touches the skin, the frosted surface turns into transparent, immediately indicating a good seal.

Problem 2: Reusing dirty mask |  Totobobo solution: Anti-virus, easy to wash, clean and dry

Disposable N95 masks and cloth based mask gets reuse for some times. The contamination and germs accumulated on the mask after each use can be a thread to health. Disposable mask cannot be wash, and cloth based masks are not easy to dry after wash. Totobobo mask is made of a soft plastic with embedded anti-virus silver ion. The Silver ion agent stop the grow of germs and the mask is easy to wash clean and dry for immediate reuse.

Problem 4: Different facial sizes |  Totobobo solution: Trim to fit smaller faces

Childhood is a fast growing period, their face size change rapidly and extends a wide range. To address this size range, most manufacturer come up with different sizes, such as S,M and L. However, it is not easy to determine which size before you open the package and try the mask on your kid’s face. Most shop don’t accept returned product due to personal hygiene consideration. The unique solution that Totobobo mask offer is to allow the use to trim the mask according to the size of the face. You can even download a “Totobobo mask simulator” to construct a paper model of the mask to test the cut and the sizing before you purchase.

Parents and school teachers from different parts of the globe have discovered this new solution for their children and students. If you are looking for an effective Respirator to protect your children, Totobobo Mask is exactly what you are looking for!

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A true example:

After Chemo, Kayla’s Immune System is still compromised. This mask is our safety net that has proven its workability.

“When Kayla did not have the mask and went to school, she ended up in the hospital for two weeks, every month, for three months, a total of 45 days. With the mask, she had no sickness, no hospitalizations, no colds, nothing.

Your mask is far superior to any other mask on the market. Period!”

Debbie, the mother of Kayla, knew that she needed proper respiratory protection if she wanted to play with other children. She had her tried all sorts of masks, Surgical Masks, N95 Masks, but none of them worked. Due to her weakened immune system after the Chemotherapy, Kayla would fall sick easily after she mingled around with other kids. Determined, Debbie continued to search for a solution. One day, a Google search led her to Totobobo mask. After studying the website, she decided to give it a shot. To her surprise, the Totobobo mask worked!

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?

 

 

Testing Totobobo mask against N95 mask

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.

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

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
Rsum / 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:

Time for a better mask to protect children

“Totobobo is far superior to any other mask on the market. Period!”

7 years old Kayla wearing Totobobo mask, fighting Leukemia with the support from her mother, Debbie
7 years old Kayla wearing Totobobo mask

After the Chemo Kayla is still immune compromised. This mask is our safety net that has proven its workability.
When Kayla did not have the mask and went to school she ended up in the hospital for two weeks, every month, for three months, totaling 45 days. With the mask -no sickness, no hospitalizations, no colds, nothing.
Your mask is far superior to any other mask on the market. Period!

– Debbie Witte, Kaylas mum @ www.freehelpforcancer.com

Debbie known that her daughter Kayla needed proper respiratory protection if she wanted to play with other children. Kayla tried all sorts of masks: surgical masks, N95 masks but none of these work. Due to her compromised immune system after the Chemo-therapy, Keyla fall sick easily time after she play with other kids. Undefeated, Debbie continued to search. One day, a Google search led her to the Totobobo mask. After studied the website, she decided to give it a go. Much to her delight, the Totobobo masks works!

Filter + Face seal = good protection
The principle of how Totobobo mask work is simple: Isolation (good seal) and filtering.

principle of respiratory mask protection

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 Debbie. 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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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?